ICU: Tips for Patients and Families (cont.)
General suggestions that may be helpful to family members:
- Always check with the critical care staff before touching anything or
saying anything to the patient. Stimulation can cause harm during critical
periods of the recovery process.
- Ask the critical care staff to explain to you what the current status of
your love one is, so you understand what is going on and why.
- Ask for suggestions on what would be helpful at this time for your loved
- Do not discuss any unpleasant matters in your love one's room. If your love one's condition is critical, discuss this or other problems outside the room. For
example, do not discuss financial matters, or family disagreements, etc.
- If you are emotional and or upset either leave the room. It may be
helpful to request a
Chaplin or social worker to help you to calm down and help you feel reassured,
or sit quietly at the bedside. It may only be harmful to your loved one to speak
when you are angry or upset.
- Request your church Chaplin, the hospital Chaplin, or a social worker if you
feel you need further support for yourself or for your loved one during the
- Consider setting up a family visitation schedule to spend time at the
hospital, this prevents one person from becoming exhausted. For example:
Dad visits from 10:00 am to 12:00 pm
Maureen visits from 11:30 am to 2:00 pm
Kevin visits from 2:30 pm to 3:30 pm
It is important for family members to
remember to be supportive of each other. Don't forget to take care of yourself, eat, drink fluids and get rest!
- Consider setting up an information update on the family answering machine
so family and friends can get frequent updates on your love one's condition.
Multiple phone calls to the Critical Care Unit staff can be time consuming and
the staff wants to be at your loved one's bedside.
- Have two designated family members that communicate with the physicians and
nurses in regard to your loved one's daily progress, and then those family members can
update everyone else. You may want to keep a journal of information, questions,
and answers. The critical care staff does not have time to answer the questions
of multiple family members - they are very busy people and have your love one's
best interest at heart.
- Allow your loved one periods of rest, this is a critical part of the
- Just sit quietly at the bedside, speak only if your loved one wakes up.
Offer support and comfort.
The ICU is a busy place filled with all types of noise. Patients do not get
much sleep, and sleep deprivation along with narcotic drugs can contribute to
confusion in the intensive care unit, called "ICU psychosis," due to the critical
care environment and illness itself. Many elderly patients become confused just
being removed from their homes into a different environment, or in the dark of
night, even when they are not particularly ill. As the patient continues heal
from the illness or injury, medications are typically decreased. Normal sleep
patterns gradually return and the patient recovers from the confusion of ICU
psychosis. The act of communication will aid the patient in the process of
returning to normal orientation. You will find the hospital staff very helpful
in offering suggestions that will be beneficial to your loved one as the healing
process continues. Various types and levels of communication will be of benefit
at different stages of the recovery process.
Last Editorial Review: 2/28/2007