Provision of secure two way messaging and video consultation between clinical team and relatives of patients

在正常情况下，重症监护病房(ICU)的工作人员不仅是为了照顾病人，也是为了为亲属提供护理和支持。重要的讨论包括他们来访时能看到什么，以及他们所爱的人发生了什么。这包括关于诊断、他们的亲属病情如何以及他们活下来的可能性的艰难讨论。这引发了关于护理上限的讨论，也就是说，为了挽救患者，到底会有多大的强度和侵入性尝试。这些会议是个别患者及其家人日常护理的一部分，并被记录下来，以确保更广泛的临床团队提供和提供一致的信息。当然，ICU护士在床边照顾病人的角色包括比临床团队的其他成员花更多的时间与家人在一起。这给了亲属宝贵的时间来提问和寻求安慰。目前的危机提出了一个非常重要的问题--面对医院内正在上演的人类悲剧，我们如何保持这种人情味，以及重症监护的关爱方面，因为医院要处理越来越多的需要通风的重病患者，更重要的是，由于他们的感染性，他们需要隔离。在许多情况下，医院现在不得不拒绝与他们一起去医院的亲属；不幸的是，当他们的亲属被送进ICU时，这种情况的心碎程度会上升。Refero希望帮助亲属与临床团队建立联系。提供一个安全的系统，将家人与患者联系起来，并允许进行简单的通信，如消息传递和视频咨询。我们的愿景是，亲属可以提供有关患者生活的信息，或许可以通过一份简单的问卷和上传患者健康时的照片来鼓励他们。这将允许亲属为患者描绘一幅画像，这是加强患者作为一个人的身份的关键一步，而不仅仅是一个诊断。临床团队可以定期发送消息更新，亲属可以发送消息询问他们所爱的人，重要的是，该软件允许用户在需要时轻松地转移到视频会诊。

In normal times staff in Intensive Care Units (ICU) are not just there for the care of the patient, but also to provide care and support for relatives. Important discussions take place about what they can expect to see when they visit, and what is happening to their loved one.This includes difficult discussions about the diagnosis, how ill their relative is and how likely it is they will survive. This leads to discussions about ceilings of care i.e. just how intensive and invasive attempts will be to save the patient. These meetings form part of the daily care of the individual patient and their family and are documented to ensure the wider clinical team deliver and provide a consistent message. Naturally, the ICU nurse's bedside role caring for the patient includes spending more time with the family than other members of the clinical team. This gives relatives valuable time to ask questions and seek reassurance. The end point is that relatives are helped along a difficult pathway which can include the demise of their loved one.The current crisis now raises a very important question - how do we maintain this human touch, and the caring side of Intensive Care, in the face of the human tragedy which is unfolding within our hospitals, as they deal with ever increasing numbers of seriously ill patients who require ventilation, and more importantly isolation, due to their infective nature.In many cases hospitals are now having to turn away relatives, that travel with them to hospital; unfortunately, the heartbreak of this situation is elevated when their relative is admitted to ICU.Refero wants to help connect relatives to the clinical team. Providing a system that is secure, that links the family to the patient and allows simple communications such as messaging and video consultations. Our vision is that relatives can provide information about the life of the patient, perhaps encouraged by a simple questionnaire and the ability to upload a picture of the patient when well. This will allow the relatives to 'paint a picture' of the patient which is a vital step in reinforcing the identity of the patient as a person, not just a diagnosis.The clinical team can send regular message updates, the relatives can send messages enquiring about their loved one and importantly the software allows users to easily move to video consultation when needed.