Παρουσία των γονέων
Σε μερικές Δυτικές κοινωνίες, η πλειονότητα των γονέων προτιμούν να είναι παρόντες κατά τη διάρκεια αναζωογόνησης του παιδιού τους.
Η γονική παρουσία δεν έχει εκληφθεί ούτε ως προβληματική ούτε ως αγχωτική για το προσωπικό.
Οι γονείς που είναι μάρτυρες της αναζωογόνησης του παιδιού τους πιστεύουν ότι η παρουσία τους είναι ευεργετική για το παιδί.
Το να επιτρέπεται η παρουσία των γονέων δίπλα στο παιδί τους τους βοηθά να έχουν μια ρεαλιστική άποψη για τις προσπάθειες αναζωογόνησης και για το θάνατο του παιδιού. Επιπλέον, μπορεί να έχουν τη δυνατότητα να αποχαιρετήσουν το παιδί τους. Οι οικογένειες που είναι παρούσες στο θάνατο του παιδιού τους φαίνεται ότι προσαρμόζονται καλύτερα και ακολουθούν πιο ήπια διαδικασία πένθους.
Η γονική παρουσία στο χώρο αναζωογόνησης μπορεί να βοηθήσει τους λειτουργούς υγείας να διατηρήσουν την επαγγελματική τους συμπεριφορά, ενώ παράλληλα τους βοηθάει να δουν το παιδί ως ανθρώπινη οντότητα και μέλος μιας οικογένειας.
Ωστόσο, σε περιπτώσεις αναζωογόνησης εκτός νοσοκομείου, μερικοί διασώστες μπορεί να νιώσουν ότι απειλούνται από την παρουσία των συγγενών και φοβούνται ότι οι συγγενείς μπορεί να θέλουν να εμπλακούν στις προσπάθειες αναζωογόνησης.
Τα στοιχεία για τη γονική παρουσία κατά την αναζωογόνηση προέρχονται από επιλεγμένες χώρες αλλά μάλλον δεν μπορούν να γενικευτούν για όλη την Ευρώπη, όπου μπορεί να υπάρχουν διαφορετικές κοινωνικά και ηθικά ζητήματα καθώς και ζητήματα κουλτούρας.
Κατευθυντήριες οδηγίες για την παρουσία της οικογένειας
Όταν επιτρέπεται στους συγγενείς να βρίσκονται στο χώρο της αναζωογόνησης, ένα αφοσιωμένο μέλος της ομάδας αναζωογόνησης θα πρέπει να είναι παρόν μαζί με τους γονείς για να τους εξηγεί τη διαδικασία με κατανόηση και συμπόνια, φροντίζοντας παράλληλα να μην εμπλέκονται στη διαδικασία της αναζωογόνησης.
Αν η παρουσία των γονέων κωλύει τη διαδικασία της αναζωογόνησης, θα πρέπει ευγενικά να τους ζητηθεί να περάσουν έξω από το χώρο αναζωογόνησης.
Όταν είναι δυνατό, θα πρέπει να επιτρέπεται η σωματική επαφή με το παιδί καθώς και η παραμονή των γονέων με το θνήσκον παιδί τους τις τελευταίες στιγμές.
Ο αριθμός των συγγενών που επιτρέπεται να βρίσκονται στο χώρο είναι στη διακριτική ευχέρεια του αρχηγού της ομάδας αναζωογόνησης για να το αποφασίσει.
Ο αρχηγός της ομάδας αναζωογόνησης, και όχι οι γονείς, θα λάβει την απόφαση διακοπής της αναζωογόνησης. Αυτό θα πρέπει να εκφραστεί με ευαισθησία και συμπόνια προς τους γονείς. Μετά το συμβάν, η ομάδα θα πρέπει να συνεδριάσει προκειμένου να μπορέσουν να εκφραστούν οποιεσδήποτε ανησυχίες και να γίνει μια αναθεώρηση των κλινικών πεπραγμένων σε ήρεμο περιβάλλον.
Συνεργάτες: Koenraad G. Monsieurs, Emergency Medicine, Faculty of Medicineand Health Sciences, University of Antwerp, Antwerp, Belgiumand Faculty of Medicine and Health Sciences, University of Ghent,Ghent, Belgium.
Jerry P. Nolan, Anaesthesia and Intensive Care Medicine, RoyalUnited Hospital, Bath, UK and University of Bristol, UK.
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