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

在正常情况下，重症监护室（ICU）的工作人员不仅要照顾病人，还要为亲属提供护理和支持。重要的讨论是关于他们在访问时可以期待看到什么，以及他们所爱的人发生了什么。这包括关于诊断的艰难讨论，他们的亲戚病得有多严重，以及他们生存的可能性有多大。这导致了关于护理上限的讨论，即如何密集和侵入性的尝试将挽救病人。这些会议是患者及其家人日常护理的一部分，并记录在案，以确保更广泛的临床团队提供一致的信息。当然，ICU护士的床边角色照顾病人包括花更多的时间与家人比临床团队的其他成员。这给了亲属宝贵的时间来问问题和寻求安慰。最后一点是，亲属们得到了沿着一条艰难的道路的帮助，这条道路可能包括他们所爱的人的死亡。目前的危机现在提出了一个非常重要的问题--面对我们医院内正在上演的人类悲剧，我们如何保持这种人情味，以及重症监护的关怀方面，因为他们要处理越来越多的需要通气的重病患者，更重要的是，由于他们的传染性，他们被隔离。在许多情况下，医院现在不得不拒绝与他们一起前往医院的亲属;不幸的是，当他们的亲属被送进ICU时，这种情况的心碎感会增加。Refero希望帮助亲属与临床团队联系。提供一个安全的系统，将家庭与患者联系起来，并允许简单的通信，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，也许可以通过简单的问卷调查和上传患者照片的能力来鼓励。这将允许亲属“描绘"病人的形象，这是加强病人作为一个人的身份的重要一步，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咨询。

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.