Family Decision about the Treatment Options at the Sudden Change for a Patient with Serious Stroke Condition

2.50
Hdl Handle:
http://hdl.handle.net/10755/602535
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Family Decision about the Treatment Options at the Sudden Change for a Patient with Serious Stroke Condition
Author(s):
Kataoka, Eri; Ito, Misae; Ito, Misae
Lead Author STTI Affiliation:
Tau Nu
Author Details:
Eri Kataoka, RN, w5313004@yahoo.co.jp; Misae Ito, RN, RMW, MSN, PhD
Abstract:
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: OBJECTIVE: When a patient has serious stroke, family will make a decision whether cardiopulmonary resuscitationis performed or not on admission. It is expected the family is unable to make a decision. The purpose of this study was to clarify how the family made a decision about the treatment options at the sudden change for a patient with serious stroke condition. METHODS: The families of a patient in this study were recruited with an introduction from the physician in charge of the patient who had stable conditions with serious stroke, were independent before admissions, and explained the treatment options including Do Not Attempt Resuscitation at the sudden change on admission. The participants were agreed with the study participation orally and in writing, and asked by interviewing the structured and semi-structured items made by the investigators originally after approving the ethical committees from Kawasaki University of Medical Welfare and the hospital where the investigators recruited the participants. The interviews were recorded by IC recorder with their agreements. Data were analyzed verbatim by the content analysis. RESULTS: One-third patients told the families about a life prolonging remedy in advance orally, and one-third families desired all life prolonging remedies not complying with the instructions of the doctors. Thoughts of the families making decisions on the treatment options at the sudden change for the patients were categorized into the following five categories: ‘difficulty in understanding the life-prolonging treatment once’; ‘to think whether to do life-prolonging treatment by the patient condition’; ‘I cannot but entrust a doctor’; ‘To have no doubts how to make decision’; and ‘To recall the patient’s wishes.’ CONCLUSIONS: It’s necessary for nurses to understand how the family understand and feel the patient’s situations, and how they have the patient’s wishes when they are required the decision-making of the treatment options at the patient’s sudden change. Nurses also have to collaborate with a physician in an interprofessional team.
Keywords:
Do Not Attempt Resuscitation; Decision Making; Family
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15SC2.45
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleFamily Decision about the Treatment Options at the Sudden Change for a Patient with Serious Stroke Conditionen
dc.contributor.authorKataoka, Erien
dc.contributor.authorIto, Misaeen
dc.contributor.authorIto, Misaeen
dc.contributor.departmentTau Nuen
dc.author.detailsEri Kataoka, RN, w5313004@yahoo.co.jp; Misae Ito, RN, RMW, MSN, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/602535en
dc.description.abstractSession presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: OBJECTIVE: When a patient has serious stroke, family will make a decision whether cardiopulmonary resuscitationis performed or not on admission. It is expected the family is unable to make a decision. The purpose of this study was to clarify how the family made a decision about the treatment options at the sudden change for a patient with serious stroke condition. METHODS: The families of a patient in this study were recruited with an introduction from the physician in charge of the patient who had stable conditions with serious stroke, were independent before admissions, and explained the treatment options including Do Not Attempt Resuscitation at the sudden change on admission. The participants were agreed with the study participation orally and in writing, and asked by interviewing the structured and semi-structured items made by the investigators originally after approving the ethical committees from Kawasaki University of Medical Welfare and the hospital where the investigators recruited the participants. The interviews were recorded by IC recorder with their agreements. Data were analyzed verbatim by the content analysis. RESULTS: One-third patients told the families about a life prolonging remedy in advance orally, and one-third families desired all life prolonging remedies not complying with the instructions of the doctors. Thoughts of the families making decisions on the treatment options at the sudden change for the patients were categorized into the following five categories: ‘difficulty in understanding the life-prolonging treatment once’; ‘to think whether to do life-prolonging treatment by the patient condition’; ‘I cannot but entrust a doctor’; ‘To have no doubts how to make decision’; and ‘To recall the patient’s wishes.’ CONCLUSIONS: It’s necessary for nurses to understand how the family understand and feel the patient’s situations, and how they have the patient’s wishes when they are required the decision-making of the treatment options at the patient’s sudden change. Nurses also have to collaborate with a physician in an interprofessional team.en
dc.subjectDo Not Attempt Resuscitationen
dc.subjectDecision Makingen
dc.subjectFamilyen
dc.date.available2016-03-21T16:31:09Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:31:09Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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