The experience of communication difficulties in @entity3124 XXXX in and beyond intensive care: Findings from a larger phenomenological study.

@entity1 @entity3124 @entity1213
Communication difficulties in @entity1213 ( @entity1213 ) with @entity3124 @entity1 have been well documented for more than three decades. However, there is only a paucity of literature that has explored communication difficulties beyond the @entity1213 environment. This paper discusses the experience of communication difficulties in @entity3124 @entity1 in @entity1213 and beyond as part of findings from a larger study that explored the lived experiences of @entity3124 @entity1 in @entity1213 in the context of daily sedation interruption (DSI). The aim of the study was to describe the lived experience of @entity1 who experienced @entity3124 in @entity1213 using a hermeneutic phenomenological approach in the DSI context. Twelve @entity1 aged between 20 and 76 years with an @entity1213 stay ranging from 3 to 36 days were recruited from a 16 bed @entity1213 in a large regional referral hospital in New South Wales (NSW), Australia. @entity1 were intubated, mechanically ventilated and subjected to (DSI) during their @entity3124 in @entity1213 . In-depth face to face interviews with @entity1 were conducted at two weeks after discharge from @entity1213 and at six to eleven months later. Interviews were audio taped and transcribed. Thematic analysis using van Manen's (1990) method was completed. The overarching theme; 'Being in limbo' and subthemes 'Being disrupted'; 'Being imprisoned' and 'Being trapped' depict the main elements of the experience. This paper discusses communication difficulties in @entity3124 @entity1 as one of the main findings relating to the theme 'Being trapped'. @entity1 ' reports of communication difficulties in @entity1213 are similar to those reported by @entity1 in other studies where DSI was not used. However, not many studies have reported ongoing communication difficulties after @entity1213 hospitalisation. Recommendations are made for new models of care and support to mitigate @entity3124 @entity1 ' communication concerns in @entity1213 and for further research into the causes and treatment to benefit this group of @entity1 . Most importantly, extra care is recommended not to damage vocal cords during intubation and cuff inflation in the course of mechanical ventilation.
