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Patients who have been in the intensive care unit are extremely agitated; what should the family do?

ICU Physical Assault Postoperative Sequelae Lung Infection Post-Traumatic Stress Disorder
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Patients who have been in the intensive care unit are extremely agitated; what should the family do? By Anonymous | Published on December 18, 2024

My father is 63 years old and spent a week in the ICU. Now, he is extremely agitated, claiming that the doctors and nurses in the ICU unit verbally abused and physically assaulted him. He used to be a leader, with a very strong personality, liking to control others. He fell and fractured 16 ribs after climbing a tree to cut branches, and refused surgery at the hospital due to fear of postoperative sequelae. However, according to his condition, surgery is the best option. After persuading him to undergo the operation, he developed a lung infection, became unconscious, and was admitted to the ICU. Upon waking in the ICU, he pulled out the intravenous tube and refused medical treatment. Is he suffering from post-traumatic stress disorder? If so, he is now insisting on not receiving treatment and wants to go home, threatening to starve himself if he doesn't get his way. What should we, his family, do?

Lucianne Clark Lucianne Clark A total of 2016 people have been helped

Hello, questioner! I'm so excited to hear more about your father's situation. It sounds like he's been admitted to the ICU due to a postoperative infection. After waking up, he became very agitated and claimed that the medical staff in the ICU beat and scolded him. Now he is not cooperating with treatment. As a family member, you are very confused and don't know what to do. On the one hand, you are worried that your father's unwillingness to cooperate with treatment will worsen his physical condition; on the other hand, you are worried that if you force him to receive treatment, he will go on a hunger strike to force you to give in. It seems that no matter what you do, your father's health will be affected. I'm here to help!

As a family member, you have the amazing opportunity to calm your father's emotions and ask which medical staff he saw hitting and scolding him and how everyone reacted on the spot. You get to find out whether your father is saying this because he doesn't want to be hospitalized or whether the other person explicitly said that it happened.

If it is the latter, you have the exciting opportunity to work with the psychiatrist to help your father feel more stable. At the same time, you can also listen to the hospital's suggestions for your father's treatment.

As people get older, they tend to become more stubborn. Your father was a leader before retirement and has a strong personality, so he may be prone to emotional outbursts during treatment. As a family member, you should still try your best to calm your father down. You can explain to him his current physical condition and the possible dangerous consequences if he does not receive timely treatment. You can also express your concerns about his health as a family member and hope that he will recover soon and enjoy the happiness of family life.

The good news is that there are ways to help your father! At present, it may be necessary to rule out whether your father has a mental disorder. If necessary, medication should be used to control his mental and emotional state. At the same time, you can also ask your father's peers or family members with whom he gets along better to persuade your father.

As a family member, you also have the amazing opportunity to strengthen your psychological resilience in this process! Believe that things will work out, don't lose heart, and especially don't get into verbal conflicts with the elderly person. Best wishes!

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Scarlett Hughes Scarlett Hughes A total of 6142 people have been helped

Hello. I am Fei Yun, a heart exploration coach. I can sense the anxiety your father is experiencing due to his illness and the emotional impact it is having on the family.

Let me give you a warm hug first. I know there are always more than three solutions to every problem. Let's sort out these issues together.

Let me give you a warm hug first. I know there are always more than three solutions to every problem. Let's sort out these issues together.

First and foremost, every behavior has an underlying motivation. This motivation may be positive or negative, but it is essential to understand it.

First and foremost, every behavior has an underlying unmet need (the behavior may be good or bad, but the motivation behind it is always good).

We must identify the psychological need that the father wants to be met behind his anxiety and manic reactions due to his hospitalization, especially his admission to the ICU after a postoperative infection.

He needs a sense of security, an early discharge, and someone who can understand his boredom. You will understand these needs as you care for him.

When a person's needs are met, some of their behaviors will disappear. It's simple: just as some children steal from others to get attention, once the need to be noticed and valued is met, the child's bad behavior disappears.

My father is 63 years old, and there is a saying that "old children are like children." When dealing with the elderly, you must be patient and caring, just like when dealing with children, and you also need to cheer them up.

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Your family should express empathy for your father's various manifestations above all else.

As a family, express your empathy for your father's various manifestations.

Empathy means putting yourself in another person's shoes, thinking like them, and feeling what they feel. We can see the "unspoken words, hidden meanings, and unexpressed emotions" through his actions, and thus find out what the motives behind his actions are.

Secondly, he sees his father's anxiety and fear of death.

In life, we rarely mention death because we consider it inauspicious. But when we understand and view death in the context of a lifetime, we see that it is actually about separation.

We learn to detach from birth. Leaving the mother's body and cutting the umbilical cord is our first detachment.

We learn how to separate from birth. Leaving the mother's body and cutting the umbilical cord is our first separation.

School, work, marriage, and ultimately death.

As people age, they inevitably become more fearful of death and separation.

Fear is a physical reaction to a present danger.

Anxiety is an emotion that arises from a perceived threat in the future.

Fear is an emotion that ensures our safety and keeps us alive.

Anxiety is a fear of the future that drives us forward. Being in a constant state of alertness drains our energy.

Fear is not the problem. It's the fear of fear.

Deal with anxiety by returning to the present. The present is where the action is.

Help your father believe in the medical level and science, and cooperate with the treatment. In addition to psychological support, this is essential.

Let him do things within his abilities, such as chatting with his fellow patients, listening to the radio together, watching TV, etc.

As family members, you will undoubtedly bear more pressure during this process.

It's not just about my father's illness. It's also about his emotions. Family is our most important social support system. We support each other emotionally, understand and accept each other, and overcome difficulties together.

I am confident that the above will be helpful to you. The world and I love you.

I am confident that the above will be helpful to you. The world and I love you.

If you want to continue the conversation, click "Find a coach" in the upper right corner or at the bottom. I will communicate and grow with you one-on-one.

If you want to continue communicating, click "Find a coach" in the upper right corner or at the bottom. I will communicate and grow with you one-on-one.

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Eugene Eugene A total of 5934 people have been helped

I extend a warm gesture of support from a distance.

I acknowledge your concern about my father's current physical condition and hope that he can continue to receive treatment. However, due to his personality and professional role, he is suddenly faced with the prospect of losing all ability to function. He expresses his inner anger and sense of powerlessness by resisting treatment, and you also feel deeply helpless and powerless in this regard.

It is important to note that, at this juncture, it is crucial to not only accept your father's irritability and emotional behavior in resisting treatment due to his illness, but also to confront and address your own anxiety, worry, and helplessness. It is essential to recognize that these emotional reactions and expressions among family members are a normal and temporary state of emotional distress following the sudden loss, which can cause feelings of unease and fear.

At this juncture, there is no objective moral evaluation of emotional behavior; however, all emotional behavior is ultimately driven by underlying needs. To illustrate, the father is uncertain about his ability to resume his previous lifestyle and regain control over his life. You are concerned that the father's condition may deteriorate due to his reluctance to undergo treatment and hope that he can accept treatment with peace of mind and recover soon.

By attempting to discern the underlying motives behind one's own and one's father's emotional conduct, it becomes possible to cultivate a greater degree of self-acceptance and understanding, particularly in relation to one's father. This approach can help to prevent the influence of one's emotions on those of one's father, and it can facilitate the expression of one's emotions in a manner that avoids causing distress to family members who are in need of mutual support and consideration.

It is recommended that the patient attempt to communicate their true feelings to their father in a sincere and courageous manner, expressing their profound love for him. Concurrently, it is advised that the patient convey their comprehension of the father's reluctance to undergo treatment and his manic behaviour. However, it would be preferable if the father were to engage in a heart-to-heart conversation with the patient, expressing his inner feelings of distress, fear and anxiety.

Once the father perceives that he is being observed, comprehended, and validated, his trepidation and distress will gradually diminish. He will then be in a position to regard his condition in a more impartial and resource-oriented manner. To illustrate, his illness has provided him with the chance to engage in candid discourse with his family, and he has experienced a sense of being cared for, thoughtful, at ease, and at ease with the decisions made.

It would be beneficial to engage in a discussion with your father regarding his preferences should he have recovered. It would also be advantageous to explore the ways in which he demonstrated love and care for you during your upbringing. Additionally, it is crucial to address the subject of death with your father. Despite our collective tendency to avoid discussing this topic, it is a reality that we all must confront. Furthermore, death can be conceptualized as a form of rebirth. Even after the physical body has departed, the positive attributes of this individual may continue to inspire those who loved him and those he loved, perpetuating his legacy and spiritual immortality. It would be valuable to engage in a discussion with your family regarding your desired epitaph. This could be an opportunity to express your desire for your legacy to live on in a positive and inspiring manner. By embracing a more open-minded approach to death and a more optimistic and positive outlook on life, we can begin to navigate these challenging subjects with greater ease. It is essential to consider your own perspective on this matter.

The underlying cause of the father's refusal to seek treatment is his fear of losing his sense of value. This is evident in his personality and professional role. He is a person who is reluctant to admit defeat or acknowledge his shortcomings. This necessitates guidance for the father to understand the nuances of modern medical technology. As long as he actively cooperates with treatment, there will be minimal adverse effects. Family support, understanding, and acceptance are crucial factors. Accepting him may result in emotional fluctuations. This is his way of seeking attention and importance from his family. He may perceive a lack of acceptance from his family as a rejection and experience distress. He needs to feel secure and use this to alleviate his internal fear and anxiety.

I am Yang Lili, the answerer. I extend my love to the world.

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Ida Ida A total of 9851 people have been helped

Hello!

I empathize with you!

I hope you can take care of yourself first and then take care of your seriously ill father. It's already a very difficult thing to do, and you also have to deal with your father's negative emotions, outbursts of anger, aggression, and self-harm. All of this will have a great impact on your mental health. To absorb your father's negative emotions, you need to be mentally stronger and more tolerant.

When you're facing challenges, having an optimistic outlook can help you find the strength to move forward in a positive way.

It'd be good to try to understand Dad as much as you can. He might have a strong sense of self-esteem, be dominant, and like to boss people around. Now he's suddenly had an accident, is in a lot of pain, and can't take care of himself. This will also be a big shock to his psychology. He was originally reluctant to have surgery and only agreed after being persuaded by his family and doctor. Unfortunately, he got a lung infection after the operation, which made him feel even more pain and remorse, and even complain or get angry.

Dad is already 63 years old. When people enter old age, they experience psychological loss, especially after losing their health. This is actually a normal part of life.

Your body and mind are connected. When you're in pain, it can affect your mental health. This is when your family's understanding and companionship can be the most helpful. Your positive attitude and warm companionship can also support them.

You can talk to his doctor, and if you think it would help, you can also look for a professional counselor to support him in building up his confidence to beat the disease.

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Comments

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Adelaide Olive Time heals almost everything. Give time, time.

We need to approach this delicately. It sounds like your father is going through immense stress and fear, which might be causing him to react in these extreme ways. Perhaps bringing in a psychologist or psychiatrist who specializes in trauma could help us understand if he's experiencing PTSD and provide the appropriate therapy.

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Blanche Daisy To forgive is to see the value in every human being, despite their mistakes.

It's crucial that we validate his feelings and fears without dismissing them outright. Maybe organizing a family meeting where everyone can calmly express their concerns and listen to your father's thoughts would create a more supportive environment for him. This could also be an opportunity to discuss his wishes with medical professionals present.

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Tallulah Dove Life is like riding a bicycle. To keep your balance, you must keep moving.

Your father has always been strongwilled and used to being in control. We should try involving him more in his treatment decisions, offering him choices when possible, so he feels he still has some control over his life and health. This might make him feel safer and more willing to cooperate with the necessary treatments.

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Declan Jackson A mind that stops learning is like a flower that stops blooming.

Considering his refusal of surgery and now medical treatment, it may be beneficial to seek a second medical opinion. Sometimes hearing from another professional can offer a fresh perspective on the situation or alternative solutions that might align better with what your father is comfortable with.

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Daisy Anderson Forgiveness is like the sun after a storm, warming and brightening our hearts.

It's important to ensure that your father feels secure and loved. If he's threatening to starve himself, it's a sign that he feels powerless and desperate. Ensuring that he has someone by his side as much as possible, even just to hold his hand or talk to him, might give him the reassurance he needs. We should also look into support groups for families dealing with similar situations; they can offer invaluable advice and emotional support.

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