A Clinic Model: Post–Intensive Care Syndrome and Post–Intensive Care Syndrome-Family

Huggins, Elizabeth; Bloom, Sarah; Stollings, Joanna L.; Camp, Mildred; Sevin, Carla M.; Jackson, James C.

doi:10.4037/aacnacc2016611

Cited by 71 publications

(63 citation statements)

References 15 publications

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“…The panel proposes that the hospital physiotherapist could execute this screening. The panel emphasizes that education on awareness and the recognition of symptoms of PICS should be provided to all healthcare professionals, survivors of critical illness and their family members (Huggins et al, 2016;Needham et al, 2012). In addition, follow up clinics could play a vital role in screening for signs of PICS and PICS-F and refer to primary care physiotherapists when needed (Connolly et al, 2014;Major et al, 2016;Van Der Schaaf et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Physiotherapy treatment approaches for survivors of critical illness: a proposal from a Delphi study

Kwakman

Major

Dettling-Ihnenfeldt

et al. 2019

Physiotherapy Theory and Practice

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Purpose: The aim of this study was to develop practical recommendations for physiotherapy for survivors of critical illness after hospital discharge. Methods: A modified Delphi consensus study was performed. A scoping literature review formed the basis for three Delphi rounds. The first round was used to gather input from the panel to finalize the survey for the next two rounds in which the panel was asked to rank each of the statements on an ordinal scale with the objective to reach consensus. Consensus was defined as a SIQR of ≤ 0.5. Ten Dutch panelists participated in this study: three primary care physiotherapists, four intensive care physiotherapists, one occupational therapist, one ICU-nurse and one former ICU-patient. All involved professionals have treated survivors of critical illness. Our study was performed in parallel with an international Delphi study with hospital-based health-care professionals and researchers. Results: After three Delphi rounds, consensus was reached on 95.5% of the statements. This resulted in practical recommendations for physiotherapy for critical illness survivors in the primary care setting. The panel agreed that the handover should include information on 14 items. Physiotherapy treatment goals should be directed toward improvement of aerobic capacity, physical functioning, activities in daily living, muscle strength, respiratory and pulmonary function, fatigue, pain, and health-related quality of life. Physiotherapy measurements and interventions to improve these outcomes are suggested. Conclusion: This study adds to the knowledge on post-ICU physiotherapy with practical recommendations supporting clinical decision-making in the treatment of survivors of critical illness after hospital discharge.

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Section: Discussionmentioning

confidence: 99%

Physiotherapy treatment approaches for survivors of critical illness: a proposal from a Delphi study

Kwakman

Major

Dettling-Ihnenfeldt

et al. 2019

Physiotherapy Theory and Practice

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“…Die Hospitalisation einer Person auf einer ICU wirkt sich auf das ganze Familiensystem aus [18]. Dieses Phänomen wird bezeichnet als Post-Intensive Care Syndrome-Family (PICS-F) [19]. Mit einer Prävalenz zwischen 20 und 30 Prozent bei Familienangehörigen kritisch kranker Patienten ist dies eine bedeutsame Belastung [20].…”

Section: Auswirkungen Auf Das Umfeldunclassified

Langzeitfolgen des Intensivaufenthalts

Jeitziner¹,

Jenni-Moser²,

Pooe³

2019

intensiv

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ZusammenfassungDer Aufenthalt auf einer Intensivstation ist für viele Betroffene ein traumatisches Ereignis. Noch lange nach der Entlassung können sich diverse Einschränkungen zeigen, auch über einen langen Zeitraum hinweg. Der folgende Beitrag zeigt Ursachen, Risikofaktoren und klinische Darstellung dieses sogenannten Post-Intensive Care Syndromes.

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“…ICU discharge patients and their families are likely to experience various difficulties, challenges, and symptoms that will affect their family functioning. Follow up for the whole family is important in order to address these negative reactions …”

Section: Introductionmentioning

confidence: 99%

“…Follow up for the whole family is important in order to address these negative reactions. [10][11][12] The definition of family function is complex and focuses on the whole system rather than on the individuals and includes roles (family structure), relationships, development, well-being, and belonging. 4 McGoldrick et al 5 state that the individual development of family functioning only takes place in the context of significant emotional relationships.…”

Section: Introductionmentioning

confidence: 99%

Family Health Conversations create awareness of family functioning

Ahlberg

Frisman

Berterö

et al. 2019

Nursing in Critical Care

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Background The whole family is affected if one family member is critically ill. The Family Health Conversation Intervention may give the family tools that support healthier family functioning. Aims and objectives The aim of this study was to identify which components of family function are affected when families participate in Family Health Conversations. Design A secondary analysis was performed of existing qualitative interviews. The Family Health Conversation is an intervention where nurses ask the family reflective questions, and reflection is made possible in three conversation sessions. Methods This study included transcribed data from 13 follow‐up interviews from seven families attending Family Health Conversations after three and 12 months. Data were analysed with narrative analysis, focusing on family function. Results Three themes were identified. The families' family functioning had been supported with: improved understanding of each other—there was an understanding of being in the same situation but still having totally different experiences; more concern for each other—they talked about their different experiences and felt they had become closer to each other; and a process of working through—they had experienced working through various experiences, standing by and supporting, and then being able to move on. Conclusions The Family Health Conversation Intervention is provided to families, accompanied by nurses. The families in this study gained an awareness of their family function that brought the family closer because of improved understanding of each other and the situation. The families experienced openness, and the family members spoke more freely with each other, which facilitated the progress of working through the experience of critical illness and helped to maintain healthy family functioning. Relevance to clinical practice It is important to have an overall perspective and to recognize the patient and the family as equally important within the family for awareness of family function.

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A Clinic Model: Post–Intensive Care Syndrome and Post–Intensive Care Syndrome-Family

Cited by 71 publications

References 15 publications

Physiotherapy treatment approaches for survivors of critical illness: a proposal from a Delphi study

Physiotherapy treatment approaches for survivors of critical illness: a proposal from a Delphi study

Langzeitfolgen des Intensivaufenthalts

Family Health Conversations create awareness of family functioning

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