Patient lacks communication aids such as glasses or hearing aidsįacilitate delivery of essential items from the family to the patient
Teach the use of the preferred platform for videoconferencing Provide instructions for use of the preferred videoconferencing platform tailored to all technological literacy levels
FAMILY FOCUSED CARE SOFTWARE
Provide patients with access to videoconferencing via a hospital-owned device (e.g., equip a workstation on wheels with a camera and videoconferencing platform software or use tablets)Įncourage and facilitate family delivery of device to the hospital for patient use, if availableįamily members do not speak the same primary language as clinical teamĪccess translation services during videoconferencing or teleconferencingįamily members or patient have limited technological literacy Patient without device capable of videoconferencing
FAMILY FOCUSED CARE FREE
Provide the family with resources for low-cost or free internet programs, if availableĭescribe visual scene, care provided, and patient behavior in more detail to family Provide a hospital-issued phone with free outgoing calls to patients, including prepaid calling cards as needed
Use night and weekend coverage to continue seamless family communicationįamily members without internet access or device capable of videoconferencingĮngage using telephone and teleconferencing Table 1 Barriers to Family Communication and Potential Mitigation Strategies Barrierįamily spokesperson or health-care proxy unavailable during daytime hours Innovations in the implementation of family involvement during hospitalizations may lead to long-term progress in the delivery of family-centered care. We provide a toolbox of strategies for supporting family-centered inpatient care during physical distancing responsive to the current clinical climate. But the reliance on technology may compromise patient privacy and exacerbate racial, socioeconomic, and geographic disparities for populations that lack access to reliable internet access, devices, or technological literacy. Internet-based solutions can facilitate the routine, predictable, and structured communication, which is central to family-centered care. Strategies for maintaining family integrity must acknowledge clinicians’ limited time and attention to devote to learning new skills. In response, health systems must rapidly adapt family-centric procedures and tools to circumvent restrictions on physical presence. However, during the COVID-19 pandemic, maintaining public safety necessitates restricting the physical presence of families for hospitalized patients. Family support is more, not less, important during crisis.
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