Skip to main navigation menu Skip to main content Skip to site footer

Case Study

Vol. 2 No. 3 (2023): September 2023

Family-centered care for a patient with multiple organ dysfunction syndrome in the intensive care unit: A case report

July 3, 2023


Background: Patients with multiple organ dysfunction syndrome (MODS) require complex intensive care, and family involvement plays an essential role in achieving patient recovery. Family-centered care in the intensive care unit (ICU) benefits patients, families, and healthcare workers.

Objective: This case study aimed to evaluate the family-centered care approach for patients with MODS in the ICU.

Case: A 46-year-old male patient with MODS presented various problems, including the risk of respiratory infections, impaired renal perfusion, and pressure sores. An interview with the patient’s family revealed that they felt guilty, worried, and lacked sufficient information about the patient’s condition. The interventions provided to the family included giving them information about the patient’s condition, care plans, and evaluation results after procedures, providing spiritual guidance, offering family support, and involving them in the patient’s required procedures. 

Conclusion: After the patient had been admitted for two days, there was an improvement in the patient’s outcomes. Simultaneously, the patient’s family experienced a sense of calmness and increased satisfaction with the provided health services. To facilitate the implementation of family-centered care in the ICU, it is crucial to further develop hospital policies. Moreover, achieving successful family-centered care necessitates the support and cooperation of the medical staff.


  1. Hamzah, A., Sukarni, S., &. Husni, A. (2017) Family care centre model could decrease anxiety level among family members of patients who have been undergoing in the intensive care unit (ICU). Open Journal of Nursing, 7(1), 58–67.
  2. Asim, M., Amin, F., & El-Menyar, A. (2020). Multiple organ dysfunction syndrome: Contemporary insights on the clinicopathological spectrum. Qatar medical journal, 2020(1), 22.
  3. Babaei, S., & Abolhasani, S. (2020). Family’s supportive behaviors in the care of the patient admitted to the cardiac care unit: A qualitative study. Journal of caring sciences, 9(2), 80–86.
  4. Beesley, S. J., & Brown, S. M. (2020). Family involvement in ICU. Evidence-Based Critical Care: A Case Study Approach, 805–812.
  5. Cody, S. E., Sullivan-Bolyai, S., & Reid-Ponte, P. (2018). Making a connection: Family experiences with bedside rounds in the intensive care unit. Critical Care Nurse, 38(3), 18–26.
  6. Davidson, J. E., Aslakson, R. A., Long, A. C., Puntillo, K. A., Kross, E. K., Hart, J., Cox, C. E., Wunsch, H., Wickline, M. A., & Nunnally, M. E. (2017). Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Critical Care Medicine, 45(1), 103–128.
  7. De Nicola, L., Minutolo, R., Chiodini, P., Borrelli, S., Zoccali, C., Postorino, M., Iodice, C., Nappi, F., Fuiano, G., Gallo, C., Conte, G., & Italian Society of Nephrology Study Group Target Blood pressure Levels (TABLE) in CKD (2012). The effect of increasing age on the prognosis of non-dialysis patients with chronic kidney disease receiving stable nephrology care. Kidney international, 82(4), 482–488.
  8. Emaliyawati, E., Widiasih, R., Sutini, T., Ermiati, E., & Rahayu, U. (2020). Nurses reflections on challenges and barriers of communication in the intensive care unit: A phenomenology study. Jurnal Keperawatan Padjadjaran, 8(1), 65–73.
  9. Ervin, J. N., Kahn, J. M., Cohen, T. R., & Weingart, L. R. (2018). Teamwork in the intensive care unit. (Vol. 73, Issue 4). American Psychological Association.
  10. Ghiyasvandian, S., Zakerimoghadam, M., & Peyravi, H. (2014). Nurse as a facilitator to professional communication: a qualitative study. Global journal of health science, 7(2), 294–303.
  11. Hu, F., Wang, W., Dou, H., Ling, L., Wang, D., Wang, Y., & Liu, F. (2018). Summary of the diagnosis and treatment of diabetic ketoacidosis complicated by multiple organ dysfunction syndrome in 21 patients. International Journal Of Clinical And Experimental Medicine, 11(5), 5305–5309.
  12. Ippolito, M., Cortegiani, A., Biancofiore, G., Caiffa, S., Corcione, A., Giusti, G. D., Iozzo, P., Lucchini, A., Pelosi, P., & Tomasoni, G. (2022). The prevention of pressure injuries in the positioning and mobilization of patients in the ICU: a good clinical practice document by the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI). Journal of Anesthesia, Analgesia and Critical Care, 2(1), 1–13.
  13. Jacob, M., Horton, C., Rance-Ashley, S., Field, T., Patterson, R., Johnson, C., Saunders, H., Shelton, T., Miller, J., & Frobos, C. (2016). Needs of patients’ family members in an intensive care unit with continuous visitation. American Journal of Critical Care, 25(2), 118–125.
  14. Klimasi?ski M. W. (2021). Spiritual care in the intensive care unit. Anaesthesiology intensive therapy, 53(4), 350–357.
  15. Liu, V., Read, J. L., Scruth, E., & Cheng, E. (2013). Visitation policies and practices in US ICUs. Critical care (London, England), 17(2), R71.
  16. Naef, R., von Felten, S., Petry, H., Ernst, J., & Massarotto, P. (2021). Impact of a nurse-led family support intervention on family members’ satisfaction with intensive care and psychological wellbeing: A mixed-methods evaluation. Australian critical care : official journal of the Confederation of Australian Critical Care Nurses, 34(6), 594–603.
  17. Poovazhagi V. (2014). Risk factors for mortality in children with diabetic keto acidosis from developing countries. World journal of diabetes, 5(6), 932–938.
  18. Schwartz, A. C., Dunn, S. E., Simon, H. F. M., Velasquez, A., Garner, D., Tran, D. Q., Jr, & Kaslow, N. J. (2022). Making family-centered care for adults in the ICU a reality. Frontiers in psychiatry, 13, 837708.
  19. Sevransky, J. E., Nicholl, B., Nicholl, J. B., & Buchman, T. G. (2017). Patient- and Family-centered care: First steps on a long journey. Critical care medicine, 45(5), 757–758.
  20. Wyskiel, R. M., Weeks, K., & Marsteller, J. A. (2015). Inviting families to participate in care: a family involvement menu. Joint Commission journal on quality and patient safety, 41(1), 43–46.


Download data is not yet available.


Metrics Loading ...