Place of relatives in PICU (pediatric intensive care units)

Abstract

Since several years, paediatric clinicians in PICU (pediatric intensive care units) have been aware not only of the importance of welcoming parents in PICU, but also of offering them the opportunity to become involved in care and decision-making. In partnership with the family, the patient-centred care model involves the family presence (FP). The availability of 24-hour units has made it easier for family to be involved in care. FP can be beneficial in a number of ways, particularly in the assessment of pain, anxiety and delirium contributing factors to long-term psychological morbidity. Although FP is no longer an issue in paediatrics, it should still be encouraged during complex medical procedures. Having a child in PICU requires family adjustments, and PICU becomes a place where family can live. However, we must be aware of the absence of relatives who must question us and remain vigilant to the experiences they may unwillingly witness during hospitalization. Encouraging the presence and participation of parents allows them to regain their autonomy, and parental role in a hostile environment and under difficult conditions.