Relatives' presence in connection with cardiopulmonary resuscitation and sudden death at the intensive care unit.
Within Norwegian intensive care units it is common to focus on the needs of the next of kin of patients undergoing end-of-life care. Offering emotional and practical support to relatives is regarded as assisting them in the initial stages of their grief process. It has also become usual to encourage relatives to be present at the time of death of close relatives. How can dignified end-of-life care coexist with the sometimes turbulent and dramatic character of intensive care in the highly technological environment of intensive care units? This paper describes a case study based on an incident that took place at the intensive care unit (ICU) of Trondheim University Hospital, Norway, in which the relatives of a newly deceased patient voiced unusually strong dissatisfaction with the way they were excluded in connection with cardiopulmonary resuscitation (CPR). The next of kin's criticism highlights an important paradox as well as a degree of inconsistency in lifesaving and end-of-life care at the ICU. I argue that an investigation of the multiple identities within medical practice can illuminate the potential for clashes between lifesaving and end-of-life care, as described and analysed in this paper.
Hadders
Hans
H
Norwegian University of Science and Technology, Trondheim, Norway. hans.hadders@svt.ntnu.no
D016887:Cardiopulmonary Resuscitation / Q000523:psychology*; D003422:Critical Care / Q000523:psychology*; D003645:Death, Sudden; D005190:Family / Q000523:psychology*; D006801:Humans; D009664:Norway; D011368:Professional-Family Relations; D013727:Terminal Care / Q000523:psychology*