The focus of family members' functioning in the acute phase of traumatic coma: part two: Protecting from suffering and protecting what remains to rebuild life.
OBJECTIVE
The identification and description of the basic psychological process linked with the focus of family members' functioning during the acute phase of traumatic coma.


BACKGROUND
Earlier research learned that hope is a core category in coping with traumatic coma. Hope seems to be the drive to keep family members going and to enable them to fulfil their main task, namely protecting. In the two articles on the focus of family members functioning, this task is defined and the process linked with it is described.


METHODS
A qualitative approach according to the 'grounded theory' method.


METHODS
Twenty-four in-depth interviews with 22 family members of 16 patients with traumatic coma.


RESULTS
Family members describe the period after the confrontation with traumatic coma as a battle. During this battle, they feel the urge to protect their relative in coma, other family members and themselves. They go through three phases: protecting life, protecting from suffering, protecting what remains to rebuild life. In this article (Part Two) we describe the phase of protecting from suffering and protecting what remains to rebuild life.


CONCLUSIONS
All relatives go through the three phases. Family members who have already overcome previous set-backs get through the process slightly more quickly and experience less extreme emotions.


CONCLUSIONS
Understanding the process of protecting in different phases may help health care professionals to do anything in their power to avoid unnecessary suffering, to ease the pain and to support family members in their task of protecting.
Verhaeghe
Sofie T L
ST
Ghent University, De Pintelaan, Ghent, Belgium. Sofie.Verhaeghe@Ugent.be
van Zuuren
Florence J
FJ
Grypdonck
Mieke H F
MH
Duijnstee
Mia S H
MS
Defloor
Tom
T
D000208:Acute Disease; D000223:Adaptation, Psychological; D003128:Coma / Q000209:etiology / Q000523:psychology*; D005190:Family / Q000523:psychology*; D006801:Humans; D014947:Wounds and Injuries / Q000150:complications*