Long-Term Consequences of Critical Illness: A New Opportunity For High-Impact Critical Care Nurses

Harvey, Maurene A.; Davidson, Judy E.

doi:10.4037/ccn2011597

Cited by 18 publications

(13 citation statements)

References 20 publications

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“…Consequences include fatigue, cognitive impairment, post-traumatic stress disorder, caregiver burden, employment difficulties, and increased health service utilisation, particularly older people or those with significant comorbidities 1 – 4. To mitigate these risks, individualised multiprofessional rehabilitation is strongly recommended,5 , 6 with information sharing being a critical element of this process 7 , 8…”

Section: Introductionmentioning

confidence: 99%

Intensive care discharge summaries for general practice staff: a focus group study

2016

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BackgroundUnderstanding how patients and relatives can be supported after hospital discharge is a UK research priority. Intensive Care Unit (ICU) discharge summaries are a simple way of providing GPs with the information they require to coordinate ongoing care, but little evidence is available to guide best practice.AimThis study aimed at better understanding the information needs of GP staff (GPs and practice nurses) supporting former patients of ICUs and their families following discharge from hospital, and identifying the barriers/facilitators associated with ICU–primary care information transfer.Design and settingThis was a qualitative exploratory study of practices and participants throughout the UK.MethodAudiotaped focus group discussions, complemented by small-group/individual interviews, were conducted with 15 former patients of ICUs, four relatives, and 20 GP staff between June and September 2015. Demographic data were captured by questionnaire and qualitative data were thematically analysed.ResultsFindings suggest variability in discharge information experiences and blurred lines of responsibility between hospital and GP staff, and patients/relatives. Continuity of care was affected by delayed or poor communication from the hospital; GPs’ limited contact with patients from critical care; and a lack of knowledge of the effects of critical illness or resources available to ameliorate these difficulties. Time pressures and information technology were, respectively, the most commonly mentioned barrier and facilitator.ConclusionEffective rehabilitation after a critical illness requires a coordinated and comprehensive approach, incorporating the provision of well-completed, timely, and relevant ICU–primary care discharge information. Health professionals need an improved understanding of critical illness, and patients and families must be included in all aspects of the information-sharing process.

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Section: Introductionmentioning

confidence: 99%

Intensive care discharge summaries for general practice staff: a focus group study

2016

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“…4,13 In addition to facing detrimental and extended health consequences, family members may also need to adjust to a new or modified caregiver role; half of all ICU survivors require caregiving assistance 1 year postdischarge. 14 Nurses Improving Care for Healthsystem Elders supports using approaches to care which fully engage the family caregiver. 15 Facilitated sensemaking is a theory, which promotes this principle and guides families to reach a greater understanding of what has happened during the event of their loved one's critical illness and what to do at the current time.…”

Section: Family Caregivingmentioning

confidence: 99%

NICHE Recommended Care of the Critically Ill Older Adult

Giambattista

Howard

Porto

et al. 2015

Critical Care Nursing Quarterly

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Nurses Improving Care for Healthsystem Elders provides evidence-based best practices for the care of the hospitalized older adult. Older adults are a vulnerable population at greater risk of functional decline during and after hospitalization, safety concerns related to polypharmacy, ineffective pain management, and population-specific physiological responses to medications. Family members of hospitalized older adults are also vulnerable and may experience postintensive care syndrome. This manuscript explores the application of Nurses Improving Care for Healthsystem Elders standards through a case study approach to optimize patient/family-centered care of the critically ill older adult.

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“…25 PICS is associated with a reduced return to work rate and quality of life of patients, as well as mental health issues, for caregivers and family members. [26][27][28] The unique deficits of the PICS-spectrum suggest an expansion of the concept of critical illness beyond the ICU stay. 29 The public health burden of ICU survivorship is a major contributor to the total health care costs of critically-ill patients.…”

Section: Environment As a Treatment Toolmentioning

confidence: 99%

Innovative ICU Solutions to Prevent and Reduce Delirium and Post–Intensive Care Unit Syndrome

Luetz

Grunow

Mörgeli

et al. 2019

Semin Respir Crit Care Med

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Delirium, the most common form of acute brain dysfunction affecting up to 80% of intensive care unit (ICU) patients, has been shown to predict long-term cognitive impairment, one of the domains in “Post-ICU Syndrome” (PICS). The ICU environment affects several potentially modifiable risk factors for delirium, such as disorientation and disruption, of the sleep–wake cycle. Innovative solutions aim to transform standard concepts of ICU room design to limit potential stressors, and utilizing the patient care space as a treatment tool, exerting positive, therapeutic effects. The main areas affected by most architectural and interior design modifications are sound environment, light control, floor planning, and room arrangement. Implementation of corresponding solutions is challenging considering the significant medical and technical demands of ICUs. This article discusses innovative concepts and promising approaches in ICU design that may be used to prevent stress and to support the healing process of patients, potentially limiting the impact of delirium and PICS.

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Long-Term Consequences of Critical Illness: A New Opportunity For High-Impact Critical Care Nurses

Cited by 18 publications

References 20 publications

Intensive care discharge summaries for general practice staff: a focus group study

Intensive care discharge summaries for general practice staff: a focus group study

NICHE Recommended Care of the Critically Ill Older Adult

Innovative ICU Solutions to Prevent and Reduce Delirium and Post–Intensive Care Unit Syndrome

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