Search results
May 7, 2021 · ICUs have been challenged by what has become a common exception allowing for more permissive visitation for patients at the end of life. 57 Although this is intended to promote family cohesion and grief during the dying process, the “end-of-life period” for a critically ill patient is difficult to define. 58 Indeed, family members of critically ill patients with COVID-19 experience preloss ...
- Joanna L. Hart, Stephanie Parks Taylor
- 2021
Jul 1, 2021 · For patients with suspected or confirmed COVID-19, fewer than 25% of hospitals permitted any visitation and only 7% allowed visitation on a case-by-case basis (e.g., at the end of life). About half of the policy documents offered alternative modalities to connect patients with families (e.g., video calls).
- Kimia Honarmand, Sangeeta Mehta
- 2021
Oct 27, 2023 · The impact on family members caring for patients who survive critical illness with COVID-19 can be demanding as the effects of delirium are longer lasting compared to non-infection with COVID-19, and can be attributed to the underlying disease progression, longer time being mechanically ventilated (longer periods of sedation), less mobility and social isolation (Kotfis et al., 2020).
- Review Questions
- Eligibility Criteria
- Search Strategy
- Record Selection
- Data Charting
- Collating, Summarizing, and Reporting Results
1. What are the impacts of restricted hospital visitation policies due to the COVID-19 pandemic on patients, family members or healthcare professionals of hospitalized patients?2. What approaches have been taken to mitigate the impact on patients, family members, or healthcare professionals?The components of population, exposure, comparator, outcome, study design, and timeframe are as follows: 1. PopulationPatients, family members (i.e., relatives, close friends), or healthcare professionals (e.g., nurses, physicians, respiratory therapists) of adult patients (> 17 years of age, or as defined in the individual study) who were hospital...
We performed systematic searches that were unrestricted by date and language in Medline, Embase, PsycINFO, Healthstar, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database, and the Cochrane Central Register of Controlled Trials. Experienced librarians developed (N.D.) and PRESS reviewed (D.L.) all searches that were perfor...
We selected records that reported perspectives (i.e., mental views or prospects) on or impacts (i.e., any diagnosed psychopathologies or symptoms of psychopathologies, neurocognitive disorders or symptoms of neurocognitive disorders; health-related quality of life, self-efficacy [ability to function and maintain relationships], general well-being [...
In another calibration exercise to achieve > 75% inter-rater agreement, we trained the same reviewers from record selection (S.M., M.A., L.H., K.M.) to independently abstract data in duplicate using a standardized form. We abstracted the following data: record identifiers and type (e.g., purpose, sample size, measures), participants (i.e., patients...
Two reviewers (S.M., M.A., L.H., K.M.) independently and in duplicate analyzed data in a two-stage process according to validated guidelines for narrative synthesis of quantitative studies and thematic synthesis of qualitative studies for reviews on health research . Qualitative thematic analysis was performed to compare and contrast findings acro...
- Stephana J. Moss, Karla D. Krewulak, Henry T. Stelfox, Sofia B. Ahmed, Melanie C. Anglin, Sean M. Ba...
- 2021
Jun 30, 2021 · During midCOVID/lateCOVID, exceptions to visitation policies specific to COVID-19 included the following: 1) end-of-life circumstances (including medical assistance in dying [MAID]), palliative and/or compassionate care, and level of critical illness (visitors allowed); and 2) patients requiring assistance (e.g., cognitive or physical disabilities) (visitors allowed).
- Kirsten M. Fiest, Kirsten M. Fiest, Karla D. Krewulak, Carmen Hiploylee, Sean M. Bagshaw, Karen E. A...
- 10.1007/s12630-021-02049-4
- 2021
- Can J Anaesth. 2021; 68(10): 1474-1484.
Feb 1, 2022 · Make visitation for end of life a priority. When possible, allow more than one person at the bedside. Increase transparency of visitation policies by updating them regularly on facility websites ...
People also ask
Is visitation allowed at the end of life for critically ill patients?
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Why do hospital visitation rules vary across jurisdictions?
Do hospitals need a family-centered visitation policy?
Should family visitation be allowed in the ICU?
Aug 24, 2021 · End-of-life care for ICU patients is highly variable in practice, even prior to the COVID-19 pandemic (Curtis et al. 2012; Kruser et al. 2019). A large proportion of patients who die in the hospital do so in the ICU, especially during the current COVID-19 pandemic due to severe organ dysfunction (Mularski 2006).
