This slides present information regarding the updated Guidelines for family centered care in 4 sections:
First, the guideline development process focusing on changes and novel approaches taken. Next, the recommendations, sorted not in the order you would find them in the manuscript, but instead by which recommendations are retained from the 2007 Guidelines, and then new recommendations. Tools that were simultaneously developed by a combined team of guidelines writing members and members of a task force from the SCCM Patient/Education Committee,
Finally topics for future research in family centered care: What we know we do not know.

Expanding elderly populations are a major social challenge in advanced countries worldwide and have led to a rapid increase in the number of elderly patients in intensive care units (ICUs). Innovative advances in medical technology have enabled lifesaving of patients in ICUs, but there remain various problems to improve their long‐term prognoses. Post‐intensive care syndrome (PICS) refers to physical, cognition, and mental impairments that occur during ICU stay, after ICU discharge or hospital discharge, as well as the long‐term prognosis of ICU patients. Its concept also applies to pediatric patients (PICS‐p) and the mental status of their family (PICS‐F). Intensive care unit‐acquired weakness, a syndrome characterized by acute symmetrical limb muscle weakness after ICU admission, belongs to physical impairments in three domains of PICS. Prevention of PICS requires performance of the ABCDEFGH bundle, which incorporates the prevention of delirium, early rehabilitation, family intervention, and follow‐up from the time of ICU admission to the time of discharge. Diary, nutrition, nursing care, and environmental management for healing are also important in the prevention of PICS. This review outlines the pathophysiology, prevention, and future directions of PICS.

Each year, millions of patients throughout the world survive a hospitalization that included a stay in an intensive care unit (ICU). ICU survivors can experience a variety of physical, cognitive, and emotional sequelae. In particular, mental health disorders associated with an ICU stay include anxiety, depression symptoms, post traumatic stress disorder (PTSD) symptoms, and complicated grief for families.

It is possible that impaired recall of the ICU stay, potentially accompanied by hallucinations or delusions, contributes to the post traumatic stress. Thus, use of an ICU diary given to the patient at discharge to consult at will could offer benefit. By providing objective information to patients, which could help fill in memory gaps, ICU diaries have allowed them to abandon unrealistic experiences, reconstruct their experience, gain a sense of reality, and resolve differences in experience with their families. However, studies exploring the usefulness of ICU diaries in preventing psychological post–intensive care syndrome were often conducted with small numbers of patients or select samples or with various design characteristics, outcome measures, and length of follow-up that compromised comparision.
This multicenter study was designed to assess the effect of an ICU diary on the occurrence of mental health consequences in patients and their families in the ICU setting.