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post intensive care syndrome family

Janice Gullick, Mark Krivograd, Susan Taggart, Susana Brazete, Lise Panaretto, John Wu
The aim of this study was interpret the existential construct of family caring following Acute Coronary Syndrome. Family support is known to have a positive impact on recovery and adjustment after cardiac events. Few studies provide philosophically-based, interpretative explorations of carer experience following a spouse's ischaemic event. As carer experiences, behaviours and meaning-making may impact on the quality of the support they provide to patients, further understanding could improve both patient outcomes and family experience...
March 1, 2017: Medicine, Health Care, and Philosophy
Amy Petrinec
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
Sandra Martins Pereira, Carla Margarida Teixeira, Ana Sofia Carvalho, Pablo Hernández-Marrero
INTRODUCTION: Professionals working in intensive and palliative care units, hence caring for patients at the end-of-life, are at risk of developing burnout. Workplace conditions are determinant factors to develop this syndrome among professionals providing end-of-life care. OBJECTIVES: To identify and compare burnout levels between professionals working in intensive and palliative care units; and to assess which workplace experiences are associated with burnout...
2016: PloS One
Maité Garrouste-Orgeas, Isabelle Vinatier, Alexis Tabah, Benoit Misset, Jean-François Timsit
BACKGROUND: The relatives of intensive care unit (ICU) patients must cope with both the severity of illness of their loved one and the unfamiliar and stressful ICU environment. This hardship may lead to post-intensive care syndrome. French guidelines provide recommendations on welcoming and informing families of ICU patients. We questioned whether and how they are applied 5 years after their publication. METHODS: We conducted a large survey among French ICUs to evaluate their visiting policies and how information was provided to patient's family...
December 2016: Annals of Intensive Care
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Annals of Intensive Care
B Matt, D Schwarzkopf, M Fritzenwanger, O W Witte, K Reinhart, C S Hartog
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
Nancy Hansen Merbitz, Katharine Westie, Jennifer A Dammeyer, Lester Butt, Jessica Schneider
PURPOSE/OBJECTIVE: The aftermath of treatment for critical illness and/or critical injury in the intensive care unit (ICU) often includes persisting cognitive and emotional morbidities as well as severe physical deconditioning (a constellation termed post-intensive care syndrome, or PICS), but most patients do not receive psychological services before they enter the inpatient rehabilitation facility (IRF). Although a burgeoning literature guides the efforts of critical care providers to reduce risk factors for PICS - for example, reducing the use of sedatives and enacting early mobilization, there is need for a corresponding awareness among IRF psychologists and other providers that the post-ICU patient often arrives in a state of significantly reduced capacity, with persisting cognitive impairments and acute psychological distress...
May 2016: Rehabilitation Psychology
Sascha A van den Born-van Zanten, Dave A Dongelmans, Daniela Dettling-Ihnenfeldt, Roel Vink, Marike van der Schaaf
BACKGROUND: Many intensive care unit survivors (ICU) are confronted with undesirable and long-lasting impairments in physical, cognitive, and mental health, but not only patients are at risk of developing this post-intensive care syndrome (PICS). Family members can experience symptoms of depression, anxiety, and posttraumatic stress disorder (PTSD). This cluster of complications is called PICS-family. OBJECTIVE: To describe the level of caregiver strain and posttraumatic stress-related symptoms in relatives of ICU survivors...
May 2016: Rehabilitation Psychology
James C Jackson, Jennifer E Jutte
OBJECTIVE: Rehabilitation psychologists are specifically trained to work with individuals across the spectrum of health care settings and they have only recently begun to wade into the often deep and challenging waters of the critical care environment and intensive care unit (ICU) setting. METHOD: In the commentary that follows, we will provide a brief historical perspective on the involvement of rehabilitation psychologists in medical settings and we will describe and interact with the various topics raised in this current special section, all of them pertaining to the intersection of psychology and critical illness...
May 2016: Rehabilitation Psychology
Jason H Maley, Isabel Brewster, Iris Mayoral, Renata Siruckova, Sarah Adams, Kelley A McGraw, Angela A Piech, Michael Detsky, Mark E Mikkelsen
RATIONALE: Post-intensive care syndrome (PICS), defined as new or worsening impairment in cognition, mental health, or physical function after critical illness, is an important development in survivors. Although studies to date have focused on the frequency of these impairments, fundamental questions remain unanswered regarding the survivor experience and the impact of the critical illness event on survivor resilience and recovery. OBJECTIVES: To examine the association between resilience and neuropsychological and physical function and to contextualize these findings within the survivors' recovery experience...
August 2016: Annals of the American Thoracic Society
Meaghan Locke, Sarah Eccleston, Claire N Ryan, Tiffany J Byrnes, Cristin Mount, Mary S McCarthy
A series of evidence-based interventions beginning with an intensive care unit diary and a patient/family educational pamphlet were implemented to address the long-term consequences of critical illness after discharge from the intensive care unit, bundled as post-intensive care syndrome and post-intensive care syndrome-family. An extensive literature review and nursing observations of the phenomenon highlighted the potential for this project to have a favorable impact on patients, their families, and the health care team...
April 2016: AACN Advanced Critical Care
Elizabeth L Huggins, Sarah L Bloom, Joanna L Stollings, Mildred Camp, Carla M Sevin, James C Jackson
The number of patients surviving critical illness in the United States has increased with advancements in medicine. Post-intensive care syndrome and post-intensive care syndrome-family are terms developed by the Society of Critical Care Medicine in order to address the cognitive, psychological, and physical sequelae emerging in patients and their families after discharge from the intensive care unit. In the United Kingdom and Europe, intensive care unit follow-up clinics have been used to address the complications of post-intensive care syndrome for some time...
April 2016: AACN Advanced Critical Care
Judy E Davidson, Maurene A Harvey
No abstract text is available yet for this article.
April 2016: AACN Advanced Critical Care
Margaret S Herridge, Marc Moss, Catherine L Hough, Ramona O Hopkins, Todd W Rice, O Joseph Bienvenu, Elie Azoulay
Outcomes after acute respiratory distress syndrome (ARDS) are similar to those of other survivors of critical illness and largely affect the nerve, muscle, and central nervous system but also include a constellation of varied physical devastations ranging from contractures and frozen joints to tooth loss and cosmesis. Compromised quality of life is related to a spectrum of impairment of physical, social, emotional, and neurocognitive function and to a much lesser extent discrete pulmonary disability. Intensive care unit-acquired weakness (ICUAW) is ubiquitous and includes contributions from both critical illness polyneuropathy and myopathy, and recovery from these lesions may be incomplete at 5 years after ICU discharge...
May 2016: Intensive Care Medicine
Nancy Kentish-Barnes, Sylvie Chevret, Elie Azoulay
BACKGROUND: As intensive care mortality is high, end of life is a subject of major concern for intensivists. In this context, relatives are particularly vulnerable and prone to post-ICU syndrome, in the form of high levels of anxiety, depression, post-traumatic stress, and complicated grief. Grieving families suffer from a feeling of abandonment and evoke the need to get back in touch with the team to ask questions and remove doubts, but very few actually do. Aiding families during the grieving process is an important aspect of palliative care...
February 20, 2016: Trials
Jennifer E Jutte, Christopher T Erb, James C Jackson
Critical illnesses affect millions of individuals annually in the United States. As advances in patient care continue to improve, the number of survivors is rapidly growing. Critical illness survivors endure profoundly severe illnesses and live through often frightening experiences throughout the course of ICU hospitalization, resulting in a variety of "survivorship" challenges, expressed through a condition known as post-intensive care syndrome (PICS). Questions abound regarding the ideal protocols for ensuring the best physical, cognitive, and psychological outcomes for these survivors...
December 2015: Seminars in Respiratory and Critical Care Medicine
Babar A Khan, Sue Lasiter, Malaz A Boustani
Five million Americans require admission to ICUs annually owing to life-threatening illnesses. Recent medical advances have resulted in higher survival rates for critically ill patients, who often have significant cognitive, physical, and psychological sequelae, known as postintensive care syndrome (PICS). This growing population threatens to overwhelm the current U.S. health care system, which lacks established clinical models for managing their care. Novel innovative models are urgently needed. To this end, the pulmonary/critical care and geriatrics divisions at the Indiana University School of Medicine joined forces to develop and implement a collaborative care model, the Critical Care Recovery Center (CCRC)...
March 2015: American Journal of Nursing
Mohammed Z Seidahmed, Omar B Abdelbasit, Meeralebbae M Shaheed, Khalid A Alhussein, Abeer M Miqdad, Mohamed I Khalil, Naif M Al-Enazy, Mustafa A Salih
OBJECTIVE: To find the prevalence of neural tube defects (NTDs), and compare the findings with local and international data, and highlight the important role of folic acid supplementation and flour fortification with folic acid in preventing NTDs. METHODS: This is a retrospective study of data retrieved from the medical records of live newborn infants admitted to the Neonatal Intensive Care Unit (NICU), Security Forces Hospital (SFH), Riyadh, Saudi Arabia with NTDs spanning 14 years (1996-2009)...
December 2014: Saudi Medical Journal
Doug Elliott, Judy E Davidson, Maurene A Harvey, Anita Bemis-Dougherty, Ramona O Hopkins, Theodore J Iwashyna, Jason Wagner, Craig Weinert, Hannah Wunsch, O Joseph Bienvenu, Gary Black, Susan Brady, Martin B Brodsky, Cliff Deutschman, Diana Doepp, Carl Flatley, Sue Fosnight, Michelle Gittler, Belkys Teresa Gomez, Robert Hyzy, Deborah Louis, Ruth Mandel, Carol Maxwell, Sean R Muldoon, Christiane S Perme, Cynthia Reilly, Marla R Robinson, Eileen Rubin, David M Schmidt, Jessica Schuller, Elizabeth Scruth, Eric Siegal, Gayle R Spill, Sharon Sprenger, John P Straumanis, Pat Sutton, Sandy M Swoboda, Martha L Twaddle, Dale M Needham
BACKGROUND: Increasing numbers of survivors of critical illness are at risk for physical, cognitive, and/or mental health impairments that may persist for months or years after hospital discharge. The post-intensive care syndrome framework encompassing these multidimensional morbidities was developed at the 2010 Society of Critical Care Medicine conference on improving long-term outcomes after critical illness for survivors and their families. OBJECTIVES: To report on engagement with non-critical care providers and survivors during the 2012 Society of Critical Care Medicine post-intensive care syndrome stakeholder conference...
December 2014: Critical Care Medicine
Giora Netzer, Donald R Sullivan
Most major decisions in the intensive care unit (ICU) regarding goals of care are shared by clinicians and someone other than the patient. Multicenter clinical trials focusing on improved communication between clinicians and these surrogate decision makers have not reported consistently improved outcomes. We suggest that acquired maladaptive reasoning may contribute importantly to failure of the intervention strategies tested to date. Surrogate decision makers often suffer significant psychological morbidity in the form of stress, anxiety, depression, and post-traumatic stress disorder...
March 2014: Annals of the American Thoracic Society
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