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All Journal The Journal of Palembang Nursing Studies Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia)
Darmawulan, Nurul
Unknown Affiliation
Nursing

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FAMILY CENTERED CARE IN PATIENTS WITH DIABETIC KETOACIDOSIS AND MULTIPLE ORGAN DYSFUNCTION SYNDROME (MODS) IN THE INTENSIVE CARE UNIT: CASE REPORT Darmawulan, Nurul; Emaliyawati, Etika
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 8, No 2 (2023): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v8i2.622

Abstract

Introduction: The presence of family members who are treated in the intensive care unit makes the patient's familyfeel anxiety related to the fear of the death of someone theylove. In dealing with this, family-centered care is used as anapproach that has advantages for families, patients, and healthworkers. This case report aims to describe the family centeredcare towards patient and patient’s family with diabeticketoacidosis and Multiple Organ Dysfunction Syndrome. Method: This study used a case report to describe theintervention in the case. The sample of this study was an adultpatient with diabetic ketoacidosis and MODS who has a family with psychological problems in an intensive care unit. Results: Based on assessment the patient's general conditionwas weak and restless, the level of consciousness undersedation with Ramsay score was 5, the urinalysis found a ketonuria and glucosuria. The patient's family feel guilty, worried, and always asks about the patient's condition whilecrying. The interventions provided with the FCC includeinformation on the patient's condition, treatment plans, andresults after the action is taken, spiritual guidance when thefamily visit time, and provides support. The output obtainedwas the patient's family feels calmer and satisfied with thehealth services provider. Conclusions: The implementation of the FCC can decreaseanxiety and increase health care satisfaction, but theimplementation can be challenged so that it is necessary todevelop the FCC program in the ICU which requiresinvolvement and input from all parties.
Family-centered care for a patient with multiple organ dysfunction syndrome in the intensive care unit: A case report Darmawulan, Nurul; Emaliyawati, Etika; Lin, Chiao Ling
The Journal of Palembang Nursing Studies Vol. 2 No. 3 (2023): September 2023
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns91

Abstract

Background: Patients with multiple organ dysfunction syndrome (MODS) require complex intensive care, and family involvement plays an essential role in achieving patient recovery. Family-centered care in the intensive care unit (ICU) benefits patients, families, and healthcare workers. Objective: This case study aimed to evaluate the family-centered care approach for patients with MODS in the ICU. Case: A 46-year-old male patient with MODS presented various problems, including the risk of respiratory infections, impaired renal perfusion, and pressure sores. An interview with the patient’s family revealed that they felt guilty, worried, and lacked sufficient information about the patient’s condition. The interventions provided to the family included giving them information about the patient’s condition, care plans, and evaluation results after procedures, providing spiritual guidance, offering family support, and involving them in the patient’s required procedures.  Conclusion: After the patient had been admitted for two days, there was an improvement in the patient’s outcomes. Simultaneously, the patient’s family experienced a sense of calmness and increased satisfaction with the provided health services. To facilitate the implementation of family-centered care in the ICU, it is crucial to further develop hospital policies. Moreover, achieving successful family-centered care necessitates the support and cooperation of the medical staff.
Co-Authors Etika Emaliyawati Lin, Chiao Ling