PSYCHOSOCIAL

ASPECT OF CRITICAL
NURSING
ANDI SAHPUTRA 160204054
ANDIKA R HAREFA 150206080
ELIS MELINA , S 170204120
MURNI KRISDAYANTI 160204088
YULI PERMATA SARI 160204076
MAYTHEN . G DAILY 160204026
WAHYUNI DIAN . WAU 160204044
RISMA AFIKHA SINAGA 160204041
Space Intensive Care Unit (ICU) is a special room
for treating patients in critical condition. The
room was described as a room full of stress not
only for patients and their families, but also for
health workers who work in the room (Jastremski,
2000). Therefore, for nurses and other health
professionals working in the ICU need to
understand about the stressor (stressors) in this
room and also on how to cope with such stress.
 Psychosocial aspects of critical illness is a
unique tangtangan for nurses especially
those in critical nursing.Psychosocial
support needed by patients in critical care
units, including assistance in overcoming the
effects of hospitalization comparable with
critical illness experienced by the patient.
Activity in the ICU disrupt patient care unit
for 24 hours. Moreover, patients must cope
with pain, fear of illness.
Realizing that threaten the environment such as in critical
nursing unit, at this point the nurse can be a negotiator
for the patient. Here is a concept that can help nurses be
a good negotiator.
A. Sensory input
B. Psychosocial impact
 Efforts To Solving Critical
Psychosocial Patient

 Environmental Modifications
◦ The first is to change the ICU
environment. ICU environment should
always be modified to make it more
flexible despite using a lot of equipment
with advanced technology, and to
improve the environment more
favorable to the process of recovery
(healing patients) (Jastremski, 2000).
 Music therapy

◦ Besides the environmental modifications as

described above, another way to reduce stress
in patients admitted to the ICU is music
therapy. The aim of music therapy is to reduce
stress, pain, anxiety and isolation. Several
studies have examined the effect of music on
patients being treated physiology and found
that music therapy can lower heart rate,
cardiac complications and increase the
temperature ferifer in AMI patients. Also
found that music therapy can reduce stress
patients
Involving his family and facilitate
family in the care of critically ill
patients
An Environmental ICU must be
able to accommodate the needs
of patients and their families
(Jastremski, 2000). Patients
must be very expect emotional
support from family (Olsen,
Dysvik & Hansen, 2009)
therefore need to be more
flexible visiting hours. During
visiting hours only 2 times a
day. This needs to be modified,
especially for someone who is
very meaningful for the
patient. Besides, the family
should be given a comfortable
waiting room with bathroom
facilities, TV and internet
connection (Hamilton, 1999).
• Therapeutic communication
Nurses and other health
professionals often forget or
lack of attention to the
problem of communication with
patients and their families.
Based on the systematic review
conducted by Lenore & Ogle
(1999) to the study of
communication nurse in the ICU
patients in Australia found that
nurses in the ICU
communication is still very poor
even though they have a very
high knowledge about
therapeutic communication.
TERIMAKASIH