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Family Presence for Critically Ill Patients During a Pandemic

Joanna L. Hart, Stephanie Parks Taylor

2021CHEST Journal57 citationsDOIOpen Access PDF

Abstract

Family engagement is a key component of high-quality critical care, with known benefits for patients, care teams, and family members themselves. The COVID-19 pandemic led to rapid enactment of prohibitions or restrictions on visitation that now persist, particularly for patients with COVID-19. Reevaluation of these policies in response to advances in knowledge and resources since the early pandemic is critical because COVID-19 will continue to be a public health threat for months to years, and future pandemics are likely. This article reviews rationales and evidence for restricting or permitting family members' physical presence and provides broad guidance for health care systems to develop and implement policies that maximize benefit and minimize risk of family visitation during COVID-19 and future similar public health crises.

Topics & Concepts

Critically illPandemicCoronavirus disease 2019 (COVID-19)Critical illness2019-20 coronavirus outbreakIntensive care medicineMedicineSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)VirologyInfectious disease (medical specialty)OutbreakDiseaseInternal medicineFamily and Patient Care in Intensive Care UnitsGrief, Bereavement, and Mental HealthIntensive Care Unit Cognitive Disorders
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