2.50
Hdl Handle:
http://hdl.handle.net/10755/159998
Type:
Presentation
Title:
Decision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Use
Abstract:
Decision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Use
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Su, Yu-wen, graduate student
P.I. Institution Name:National Taiwan University Hospital Yuh-Lin Branch
Contact Address:nursing, 579, Sec. 2, Yunlin Rd, Douliu, Yunlin, Taiwan
Co-Authors:L.W. Suen, Nursing, Chang Jung Christian University, Tainan, TAIWAN
Background: In Taiwan, tracheotomy has become a routine procedure for patients with respiratory failure who have been depending on an endotracheal tube for ventilation for over two weeks. After tracheotomy, elderly patients either die shortly or depend on mechanical ventilation for years until they die. Furthermore, for some Taiwanese, dying with the body whole, that is, without a hole in the throat, is important. Thus, whether to receive a tracheotomy is a very difficult decision, compounded by the fact that most patients are unable to communicate. As a result, family members are the ones to decide and conflicts between family members over this issue are very common. In the acute care setting, matters are made worse by busy health care providers who often give technical explanations that are difficult to comprehend. Objective: The purpose of this qualitative study is to explore the meaning of tracheotomy to the patent's family, the family decision making process, and how they have come to accept or reject a tracheotomy for their loved one. Methods: The investigator is recruiting potential participants from a respiration care unit in a medical center. Family members whose loved ones have been on the respirator for more than 21 days are being recruited for this study. Semi-structured, open-ended questions are used in the in-depth interviews. The interviews are recorded on tape and transcribed verbatim. Two interviews have been conducted thus far, with one family accepting and the other rejecting tracheotomy. Results: Seven themes have emerged from the data analysis: general health, doctor and patient relationships, access to information, struggle and dilemma, personal values, filial piety, and caregiver burden. Many factors influence the family's decision regarding tracheotomy and the family members require time to think it through. The results suggest that health care providers must allow family members sufficient time to make the decision and provide information to meet each individual family's needs during this difficult time.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDecision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Useen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159998-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Decision Making Regarding Tracheotomy in Patients With Prolonged Ventilator Use</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Su, Yu-wen, graduate student</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">National Taiwan University Hospital Yuh-Lin Branch</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">nursing, 579, Sec. 2, Yunlin Rd, Douliu, Yunlin, Taiwan</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">su09142@mail.ylh.gov.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">L.W. Suen, Nursing, Chang Jung Christian University, Tainan, TAIWAN</td></tr><tr><td colspan="2" class="item-abstract">Background: In Taiwan, tracheotomy has become a routine procedure for patients with respiratory failure who have been depending on an endotracheal tube for ventilation for over two weeks. After tracheotomy, elderly patients either die shortly or depend on mechanical ventilation for years until they die. Furthermore, for some Taiwanese, dying with the body whole, that is, without a hole in the throat, is important. Thus, whether to receive a tracheotomy is a very difficult decision, compounded by the fact that most patients are unable to communicate. As a result, family members are the ones to decide and conflicts between family members over this issue are very common. In the acute care setting, matters are made worse by busy health care providers who often give technical explanations that are difficult to comprehend. Objective: The purpose of this qualitative study is to explore the meaning of tracheotomy to the patent's family, the family decision making process, and how they have come to accept or reject a tracheotomy for their loved one. Methods: The investigator is recruiting potential participants from a respiration care unit in a medical center. Family members whose loved ones have been on the respirator for more than 21 days are being recruited for this study. Semi-structured, open-ended questions are used in the in-depth interviews. The interviews are recorded on tape and transcribed verbatim. Two interviews have been conducted thus far, with one family accepting and the other rejecting tracheotomy. Results: Seven themes have emerged from the data analysis: general health, doctor and patient relationships, access to information, struggle and dilemma, personal values, filial piety, and caregiver burden. Many factors influence the family's decision regarding tracheotomy and the family members require time to think it through. The results suggest that health care providers must allow family members sufficient time to make the decision and provide information to meet each individual family's needs during this difficult time.</td></tr></table>en_GB
dc.date.available2011-10-26T22:31:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:31:49Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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