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Sources of Distress for Residents With Chronic Critical Illness and Ventilator Dependence in Long-Term Care

Bibliographic Data

ID4707283
AuthorsA Fuchsia Howard (0000-0001-5704-1733, The University of British Columbia, Vancouver, British Columbia, Canada, corresponding author), Sarah Crowe (0000-0002-8145-7576, Fraser Health Authority, Surrey, British Columbia, Canada), Laura Choroszewski (Fraser Health Authority, Surrey, British Columbia, Canada), Joe Kovatch (Fraser Health Authority, Surrey, British Columbia, Canada), Adrianne Jansen Haynes, Joan Ford (Patient Partner, Vancouver, British Columbia, Canada), Joan S Ford, Scott Beck (0000-0002-1409-3952, The University of British Columbia, Vancouver, British Columbia, Canada), Gregory J Haljan (Fraser Health Authority, Surrey, British Columbia, Canada), Gregory Haljan (Fraser Health)
Year2021
Volume31
Issue3
Pages550-563
Publication date2021-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732320976373
PMID33292054
OpenAlexW3111825437
LanguageEN
Citations received1
References cited35

Limited understanding of the psychological challenges experienced by individuals with chronic critical illness hampers efforts to deliver quality care. We used an interpretive description approach to explore sources of distress for individuals with chronic critical illness in residential care, wherein we interviewed six residents, 11 family members, and 21 staff. Rather than discuss physical symptoms, sources of distress for residents were connected to feeling as though they were a patient receiving medical care as opposed to an individual living in their home. The tension between medical care and the unmet need for a sense of home was related to care beyond the physical being overlooked, being dependent on others but feeling neglected, frustration with limited choice and participation in decision making, and feeling sad and alone. Efforts to refine health care for individuals with chronic critical illness must foster a sense of home while ensuring individuals feel safe and supported to make decisions

Distress · Feeling · Psychiatry · Clinical Psychology · Family and Patient Care in Intensive Care Units · Geriatric Care and Nursing Homes · Intensive Care Unit Cognitive Disorders · Medicine · Nursing · Psychology · Social Psychology

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Unique citing works1
Citations per year0,2
Citation span2021 - 2021 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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