The Significance of Intensive Care Unit Stays for Older People, Medellín, Colombia

Introduction: The increase in the number of older people in intensive care units (ICUs) poses a challenge for care providers, as these patients are more vulnerable and fragile, making them prone to unfavorable outcomes. Objective: To understand the significance of ICU stays for older people. Methodology: This is a descriptive qualitative study employing ethnographic tools. Following an exploratory study, ten interviews were conducted and complemented by observation in an ICU and a field diary. There was reflexivity and concurrence between data collection and analysis. The interviews were transcribed, and codes were identified through line-by-line reading, which were used to configure the emerging categories. Rigorous criteria and ethical principles were retained. Results: The meaning that participants assigned to the ICU setting was that of a respectful, enclosed, cold, special room with personalized care for complex or seriously sick patients. Interactions occurred with family, healthcare personnel, and spiritual figures, with diverse meanings, mediated by respectful, kind, special, and affectionate treatment; however, there were moments of inhumane, distant, and indifferent treatment. Care was defined as special, requested, and timely; at other times, it was defined as not received, not identified, not timely, or with some limitations when provided. Conclusion: The meaning of ICU stay for older adults is associated with being cared for and grateful, despite some unfavorable situations in the environment, interactions, and care.