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Covid19-ICU Visiting and Family Communication In End of Life Patients: HPUPM Experience

Author: Aizad Azahar

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Abstract

Aizad Azahar¹, Noor Airini Ibrahim¹, Siti Nur Izzati Mohd Idris¹ 

 

   

 

The current pandemic has set most healthcare centers to prohibit visits. This are mainly due to the limited knowledge about disease transmission, protection against transmission and the scarcity of personal protective equipment (PPE). Thus, we solely used phone and video calls as a method to maintain communication with the next of kins. To be visited by loved ones is among the important aspects of ‘humanizing’ an intensive care unit (ICU). Often, we tend to overlook the perspective of being a patient and the need of the next of kin. Insecurity, feeling of isolation and unfamiliarity will bring about many potential negative sequelae. More so in the patient that is approaching the end of life. Presence of loved ones by the bedside will bring about better closure, transparency and better understanding of any decision-making process and grief. 

 

The poster is aimed to share our view and experience in permitting next of kin visit into HPUPM Covid-19 ICU. We believe that our ICU is one of the first few centers in Malaysia that permits such visits targeting specially at patients in their end of life. Since July 2021, 17 patients with the median age of 50 years have had the opportunity of time for such visits. They had a median stay of 14 days in ICU. Phone interviews were conducted to identify the next of kin with regards to their age, premorbid and vaccination history. Only healthy visitors from the range of 18-65 years, completed two doses of vaccination or completed a period of home quarantine could enter. Briefing on sequence of PPE donning and doffing, safety protocols and visiting etiquette were done by a trained critical care nurse. No limitation of hours was set during the visit. Subjectively next of kin expressed better satisfactions for their visits as compared to getting an update via calls. However we are still in the midst of structuring a qualitative study on satisfaction based on the data that we had collected for this protocol.  

 

Keywords: Humanizing ICU, Critical Care, Covid19, Family visit, End of Life.

 

  1. Department of Anaesthesiology and Critical Care, Universiti Putra Malaysia

 

Correspondence to: Aizad Azahar, Dr, Universiti Putra Malaysia, [email protected]

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