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Curr Opin Crit Care · Dec 2016
ReviewFamily-centered outcomes during and after critical illness: current outcomes and opportunities for future investigation.
- Ann C Long, Erin K Kross, and Curtis J Randall JR.
- aDivision of Pulmonary and Critical Care Medicine, Harborview Medical Center bCambia Palliative Care Center of Excellence, University of Washington, Seattle, Washington, USA.
- Curr Opin Crit Care. 2016 Dec 1; 22 (6): 613-620.
Purpose Of ReviewFamily-centered outcomes during and after critical illness assess issues that are most important to family members. An understanding of family-centered outcomes is necessary to support the provision of family-centered care and to foster development of interventions to improve care and communication in the ICU.Recent FindingsCurrent family-centered outcomes in critical care include satisfaction with care, including end-of-life care, symptoms of psychological distress, and health-related quality of life. Novel measures include assessments of decisional conflict, decision regret, therapeutic alliance, and caregiver burden, as well as positive adaptations and resilience.SummaryCritical illness places a significant burden on family members. A wide variety of family-centered outcomes are available to guide improvements in care and communication. Future research should focus on developing sensitive and responsive measures that capture key elements of the family member experience during and after critical illness.
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