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Mary Rose E.

Linatoc
MSN – II

Seeing CPR done on loved
one, even if fails, may
help coping
"Family presence during CPR was
associated with positive results on
psychological variables and did not interfere
with medical efforts," wrote the team, led by
Patricia Jabre of Avicenne Hospital in
Bobigny.
CPR is unsuccessful in the vast
majority of cases, and supporters of the idea
of allowing family members to observe say
it can help them understand that medical
workers did everything the could, come to
grips with the reality of death and give the
family the chance to say goodbye.
"Our results show that it is very
important to systematically propose to the
relative (it's not mandatory) that the relative
attend CPR and offer the choice to be
present or not," said study author Frederic
Adnet, also of Avicenne Hospital, told
Reuters Health in an email.
The French group's conclusions were
based on 570 cases treated by 15 emergency
medical teams equipped with mobile
intensive care units and staffed with at least
one
doctor
and
nurse. In each case when watching was
permitted, family members were directly
asked if they wanted to observe. If not, they
were taken to another part of the home.

When people chose to watch, a
member of the team briefed the relatives
through the process. Ninety days later,
relatives were interviewed using a 15-item
questionnaire.
Among the 266 cases in which
family were asked if they wanted to watch,
somebody chose to do so 79 percent of the
time. In the 304 cases where no special
effort was made to ask and the usual practice
was in place, 43 percent of the time
somebody chose to watch.
Of the 570 people who had CPR,
only 20 were still alive 28 days later, a
survival rate of 4 percent. Whether family
members were allowed to watch made no
difference in that rate.
Among the families who did not
witness the CPR, the rate of post-traumatic
stress disorder (PTSD) symptoms was 60
percent higher than among the relatives who
watched.
While 12 percent of the people who
didn't witness the CPR said they wished they
had, only 3 percent of the relatives who
watched said they wished they hadn't been.
U.S. researchers noted that most U.S.
rescue units don't have somebody designated
to explain CPR to the family, and the
emphasis is often on quickly stabilizing
them
enough
to
get
to
a
hospital, which may hamper interaction with
the family.
http://articles.chicagotribune.com/2013-0313/news/sns-rt-health-cprcopingl3n0c607320130313_1_cpr-comilla-sasson-posttraumatic-stress

post traumatic stress disorder. But in the part of the patient’s relative seeing what is happening to their loved one. were there adverse psychological side effects (9). "We felt unable to voice our opinion about the patients deteriorating condition. and grief related symptoms  Staff viewed the patient as a valued family member In their conclusion.problems (including a difficult intubation)  All relatives felt that it had been beneficial to be present  Trends towards lower degrees of intrusive imagery. with a relative present.Reaction: Based on my experience. "Relatives can see that everything possible is being done for their loved one". and if so. there is a pressure for the trauma team to perform well. even for a short period of time. Findings included:  No relatives commented on any technical procedures . The study involved relatives of 25 patients (including trauma victims) and was completed earlier than expected as the staff could see the benefits of having relatives present. the authors noted that there was little evidence to support the exclusion of relatives who wished to be present during resuscitation. This may be inhibited by a reluctance to discuss the patient’s condition in front of the relative. . may help to dispel terrible imagery or anxiety. According to Robinson et al (1998) conducted a small study into whether relatives wished to be present during resuscitation.