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  • Humanizing ICU Care:...

Humanizing ICU Care: Role of Family Centred Care - Dr Himanshu Dewan

Dr Himanshu DewanWritten by Dr Himanshu Dewan Published On 2024-12-04T17:26:09+05:30  |  Updated On 4 Dec 2024 5:26 PM IST
Featured image representing ICU care
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Development of advanced critical care units and intensive care medicine as a medical super speciality has had a massive impact on reducing patient mortality and morbidity. Some disease which were considered a doom for the patient such as celphos poisoning or severe ARDS have had a significant reduction in mortality due to modern day ICU’s and advanced machines.

The downside of all this development and technology is that the ICU’s may seem like a walled prison to the patient and his family. And times we clinicians are so busy in planning treatment for the disease that we overlook the fact that a “HUMAN” has this disease. This Human is scared that he may lose his life, he is scared that his family may not be able to support themselves in his absence. And recognizing this aspect of illness is what brings us close to humanization of ICU care.

Why does de humanization occur?

Imagine a scenario of a critically sick patient coming to critical care unit and being addressed by his bed number (rather than his name), he immediately lost his identity!

His family outside the ICU not being able to meet him due to visiting timing restrictions, he lost touch with his family! So, de humanization consists of treating someone as an “OBJECT” rather than as a “PERSON” and is often associated with failure to honour dignity.

How can family help?

Imagine you are 14 years old and first time in a foreign land. How scary can this get! And if you have a relative to guide you, it becomes so much easier for you.

Similarly, for most patient’s ICU admission is their first time encounter with a life-threatening situation and this fear gets compounded by the daunting sight of ventilators, monitors and medical jargon that they hear but not fully understand.

If such a ICU patient could have a family member at the bedside, his morale and confidence would surely improve. The sight of a familiar face and warm touch of his hand would motivate him to fight this disease along with the medical team.

Enhancing family involvement in ICU

Unlimited visitation rights for the family members would be ideal, but considering our healthcare limitations and at the same time not violating infection control protocols, one family member may be allowed to stay by the patient’s bedside for long periods.

This would help the family meet the treating doctors, understand the plan of care better. They would know the nurses better and the nursing staff would be able to know the patient as a person, and this would enhance the level of care provided.

Such patient and family centred critical care units are a need of today, and they would go a long way in improving patient care and satisfaction. And to quote from the 1998 movie PATCH ADAMS, "If you treat a disease, you may win or lose." You treat a person, I guarantee you, you will win, no matter what is the outcome.

Disclaimer: The views expressed in this article are of the author and not of Medical Dialogues. The Editorial/Content team of Medical Dialogues has not contributed to the writing/editing/packaging of this article.
icuintensive care unitintensive carecritical carefamily centred carecritical care unitdr himanshu dewansarvodaya hospital
Dr Himanshu Dewan
Dr Himanshu Dewan

    Dr Himanshu Dewan (MBBS, DNB - Internal Medicine, MNAMS, IDCCM, IFCCM, EDIC - Europe, Fellow in Critical Care Medicine - UK) is the Group Director of Critical Care Medicine at Sarvodaya Hospital, Sector-8, Faridabad. With over 18 years of experience in Internal and Critical Care Medicine, Dr. Dewan specializes in precision medicine in critical care, delirium management in the ICU, and improving critical care outcomes. His clinical expertise includes advanced ARDS ventilatory strategies such as prone positioning and inverse ratio ventilation, extracorporeal therapies in ICU (including CRRT and ECMO), sepsis with multi-organ failure, advanced airway management including tracheostomy, and advanced mechanical ventilation (both invasive and non-invasive). He also has experience in toxicology and snake bites, advanced cardiac life support, advanced hemodynamic monitoring, and the application of severity scoring systems in critical care units. Dr Dewan completed his MBBS from Government Medical College, Amritsar, followed by a Diplomate National Board (DNB) in Internal Medicine from the same institution. He then pursued his Indian Diploma in Critical Care Medicine (IDCCM) and Indian Fellowship in Critical Care Medicine (IFCCM) at Fortis Healthcare. Dr Dewan also earned the European Diploma in Intensive Care (EDIC) from the European Society of Intensive Care Medicine and completed a Fellowship in Critical Care Medicine at Manchester Royal Infirmary, part of the Central Manchester Foundation Trust. Dr Dewan is a Life Member of the Indian Society of Critical Care Medicine (ISCCM), the Indian Medical Association (IMA), the Association of Physicians of India (API), and the National Academy of Medical Sciences (NAMS). He is the current Chairperson of the ISCCM Faridabad Branch (2024).

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