Survey: Should family be present for a code? - page 4
Here are the results of last months survey question Should family be present for a code? : Please feel free to read and post any comments that you have right here in this discussion thread... Read More
Sep 30, '06Quote from ZASHAGALKANot all family members can handle witnessing their loved one in a code, but to never find it appropriate seems like a blanket statement, IMHO. I know I'd want to be present in a code situation involving a close family member. BTW, when my Dad had CABG I was able to pop in during the procedure since I was a staff nurse in the OR, at the time.This is a five yr old thread. It's been discussed much more in-depth since then:
What I said there:
Alot of grieving is perception. I'm supposed to be crying. I'm supposed to wear black. We're supposed to have a funeral.
Funerals are almost universal, even if cremated, because there is a strong societal pressure/need for closure.
If you allow the opportunity to witness, a large percentage of the population will preceive it as a requirement, else they aren't grieving like they should.
We've let our TV facination with the macabre dominate our lives, and now we are passing it off as advocacy. I said in my previous post that it might be family advocacy but not patient advocacy. I change my mind. It's not even family advocacy.
codes are ugly nasty business. It's cruel to let (require) a family member to witness.
Funerals are where closure happens. It's a time tested, time honored process. Save the macabre for those who are trained to deal with it.
Families in codes is bad medicine, all the way around.
Fortunately, in my area, the doctors aren't far-sighted enough to adopt such lunacy. But I'll say this, most policies that address such issues have a 'in the nurse's opinion/assessment of its appropriateness clause'. I would NEVER find it appropriate and would always invoke the policy to object to the family's presence.
Why? Because I'm an advocate.
Apr 27, '07I was present when my husband coded, I was the one who actually started CPR. I was a bit hysterical when the EMT arrived and was instructing a new EMT intubating him, It wasn't going easy and unthnkingly I kept trying to tell them he has a stent iin his esophagus. They threatened to make me leave and I became quiet,rode in the ambulance to the hospital with him and after a brief registration process I was allowed back in the room. This was an army hospital. I think they would have had a very hard time trying to keep me out I needed to be there and was able to give them permission to stop even though I know it was only a formality, it helped. I think if the family wants to be present their wishes should be respected.
Apr 27, '07Oh Margaret - my heart goes out to you. You are so right that you should be there. Take care.