Under the F section of the assessment process, in addition to full vital signs, the family is considered as a part of the treatment process. Which approach to the family would be most appropriate for the nurse to use?
1. The family gets in the way of acute care management so the nurse should offer no support until the patient is stable.
2. Ethically the family has a right to support the patient by being at the bedside during acute care management, including trauma resuscitation.
3. Depending on the family's awareness of health care management, they have the privilege to watch the care if they do not get in the way of the care.
4. Because the care during trauma management can be too graphic for family to witness, the family should not be allowed at the bedside.
2
Rationale 1: This is a bias and it has been shown that having family at the bedside to support the patient will frequently give a better outcome.
Rationale 2: Legally and ethically the family has the right to be with the patient under all circumstances, including trauma resuscitation. This topic is greatly debated but the right is still present and often left to the physician to decide if the family should step out.
Rationale 3: With or without the medical/health care background, the right is still present and it is not a privilege to be awarded by staff.
Rationale 4: Even if the circumstance is graphic for the family, the right is present and benefits will be gained by the patient. The focus of care is not the family's needs first but the patient's.
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