Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Developing and setting up a patient and relatives intensive care support group Author(s): Maureen Peskett and Peter Gibb Publisher or Source: British Association of Critical Care Nurses Type of Media: Medical Journal Media Originally for: Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: PICS and PICS-F COVID-19 Related: No Description: Aim:The purpose of this article was to highlight the need to provide support for patients and relatives following critical illness and discharge from hospital and how this can be improved through the establishment of user support groups. Background:Critical illness predisposes patients to extended physical and psychological ill health with the potential for a reduced quality of life. The authors’ personal experience, patient feedback and current literature suggested that there was a need for further support during their recovery. Methods:Building on an existing formal follow-up service, Intensive Care Unit (ICU) Support Team for Ex-Patients established a patient-centred forum, where patients and relatives could share experiences with others who had also been through critical illness by holding drop-in sessions. Feedback from those attending these flexible and informal sessions indicates that support was needed and that patients and families have found benefit in sharing experiences with others who can empathise, having been through critical illness themselves. Conclusions:Our experience has shown there is a need that can be met simply with minimal investment of time and funding but that addresses a gap in patient support that otherwise goes unmet. Although this was a service development in one local area, it could be adapted to ICU patients and relatives more widely To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

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Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: The practice of critical care medicine. A national survey report. ACCP Council on Critical Care Author(s): P C Gay, R P Dellinger, J H Shelhamer and K Offord Publisher or Source: CHEST Type of Media: Medical Journal Media Originally for: General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Aggressive reimbursement reform has been an imposing directive for care providers of ICU medicine. Timely knowledge of actual care routines obtained from a large sample of actively practicing physicians should be mandatory when developing any guidelines or practice standards. A questionnaire was therefore designed by the steering committee of the ACCP Council on Critical Care and sent to its members. The 1,294 responses were analyzed for demographics of the individual practitioner, local aspects of ICU staffing and policies, reimbursement, and a specific practice issue, nutrition. The typical respondent was aged 41 to 50 (41 percent), was a pulmonary subspecialist (68 percent), was not critical care certified (55 percent), worked 25 to 50 percent of his or her total time in the ICU (40 percent), and would continue ICU practice despite poor reimbursement (82 percent). Physicians practiced within a group (53 percent), in a 100- to 500-bed hospital (69 percent), with house staff available (60 percent), and predominantly cared for Medicare patients (55 percent). The following data may allow better judgments to be made pertaining to the implementation of care policies in the current ICU environment. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

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Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Anaesthetic practice in the independent sector 2018 Author(s): Guy Jackson, Paul Clyburn, Mike Nathanson, Paul Barker, Ben Greatorex, Rowan Hardy, Richard Morey, John Cousins, Jason Easby, Stephen Mannion, Sally-Ann Ryder, Ravi Gill Publisher or Source: Association of Anaesthetists Type of Media: Medical Professional Education Media Originally for: Critical Care Physicians,General Medical Professionals Country of Origin: United Kingdom of Great Britain and Northern Ireland (the) Primary Focus of Media: Pre-Use of PICS Designation COVID-19 Related: No Description: AAGBI released the first ‘Independent Practice’ guideline in 2008, intending to provide advice and guidance to consultants involved in independent practice. Working in an independent hospital provides different challenges to working within an NHS hospital, regardless of the funding for the individual patient involved. Since 2008 there has been a rapid growth in NHS-funded patients within the independent sector. The term ‘private practice’ is probably better replaced by ‘independent practice’ to more accurately reflect current activity. Now many anaesthetists find themselves delivering clinical care in independent hospitals funded from a variety of sources – NHS, private medical insurance and patient self-pay. The change in demographics of patients undergoing treatment in independent hospitals, in combination with increased regulation, brings new challenges and opportunities to anaesthetic practice. Pre-operative assessment and optimisation, and the anaesthetist as ‘peri-operative physician’, are areas that are currently often poorly addressed and remunerated within independent hospitals. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Post-Traumatic Stress Disorder in ICU Survivors Author(s): Jones, C. Publisher or Source: SAGE Journals Type of Media: Medical Journal Media Originally for: General Medical Professionals Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Post-traumatic stress disorder (PTSD) may develop after exposure to a life-threatening event or serious injury. Symptoms include recurring and intrusive memories, such as flashbacks, avoidance of reminders and persistent symptoms of anxiety or physiological arousal. Many factors are associated with the development of PTSD in intensive care unit (ICU) patients, including increased length of stay, and greater levels and longer duration of sedation. Patient-related factors associated with a higher risk of PTSD include younger age, female gender, previous psychological problems and recall of delusional memories from ICU. In contrast, the formation of even fragmented factual memories may reduce the risk of PTSD. Optimum, analgesia-based sedation may help patients to form factual memories of ICU, so possibly reducing the risk of PTSD. Patient diaries, written by health professionals and family members and close friends, may also support patients in coming to terms with traumatic, delusional memories, and so reduce their emotional and psychological symptoms. Following ICU discharge, validated screening tools such as ICU Memory and Post-traumatic Stress Syndrome 14-Questions Inventory can be used as part of routine follow-up to identify patients who may need referral for more specialist assessment of possible PTSD symptoms. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

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Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: After a Stay On An Intensive Care Unit Author(s): National Health Service Publisher or Source: National Health Service Type of Media: One-Pager Media Originally for: Former ICU Patients,Former ICU Patients' Family Members, Friends or Caregivers,General Public Country of Origin: United Kingdom of Great Britain and Northern Ireland (the) Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: Most people find that it takes time to recover physically and mentally from a critical illness. Physically you may notice differences such as muscle weakness, breathlessness or difficulty swallowing. Mentally you may feel sad, worried, have memory problems or frightening nightmares. You might be told that you are experiencing Post-Intensive Care Syndrome (PICS). PICS is a term given to a group of symptoms that people may experience after a stay in intensive care. These symptoms may affect your body, your mind, or your emotions, and may also be experienced by members of your family. If this label has been used by a health professional to describe your symptoms, don’t worry they will improve, but it may take some time. It is important to be patient with yourself and not expect to get completely back to normal straight away. Most people’s recovery from critical illness takes several weeks or months. It is normal for recovery to be gradual, so you may need to pace yourself as you try to return to your daily activities. Your family may also be affected by your time in intensive care, and you may find that relationships have changed, they can access advice and support here. To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Improving Quality of Life in Patients at Risk for Post-Intensive Care Syndrome Author(s): Lisa M. Daniels, MD; Andrea B. Johnson, APRN, CNP; Patrick J. Cornelius, PT, DPT, CCS; Catherine Bowron, RN; Andrea Lehnertz, MSN, RN, CCRN; Mitch Moore, PhD, LADC; YongChun Shen, MD; Philip J. Schulte, PhD; Richard S. Pendegraft, MS; Kristin R. Hall, MS, OT, MBA; and Philippe R. Bauer, MD, PhD, FCCM, FCCP Publisher or Source: Mayo Clinic Type of Media: Medical Journal Media Originally for: Critical Care Physicians, Nurses and/or Other Critical Care Medical Professionals Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Objective:To improve quality of life (QOL) in patients at risk for post-intensive care syndrome (PICS). Patients and Methods: We conducted a mixed-method, prospective, observational, pre-post interventional study in an adult medical and mixed medical/surgical/transplant intensive care unit (ICU) at a tertiary academic hospital. Pre-intervention included patients admitted from October 1 through October31, 2016, and post-intervention included patients admitted from January 15 through February 14, 2017.First, a multidisciplinary team of stakeholders identified barriers associated with decreased QOL in patients at risk for PICS. Next, interventions were designed and implemented. The effect of interventions was assessed using a mixed-method analysis. The qualitative analysis used a modified grounded theory approach. The quantitative analysis included assessment of preexisting symptoms and risk factors associated with PICS. The 36-Item Short-Form Health Status Survey (SF-36), which surveys physical and mental composite scores, was used to assess QOL. Results:Barriers identified were lack of awareness and understanding of PICS. Interventions included educational videos, paper and online education and treatment materials, and online and in-person support groups for education and treatment. After interventions, the qualitative analysis found that patients who participated in the interventions after hospital discharge showed improved QOL, whereas education during hospitalization alone was not effective. The quantitative analysis did not find improvement in QOL,as defined by SF-36 physical or mental composite scores. Conclusion:Interventions targeted to patients after hospitalization may offer subjective improvement in QOL for those at risk for PICS To view the PDF, Article, Photo, or Chart, Click Icon: To view the attached Video media file, Click Icon: PostICU, Inc's library staff reviewed this copyrighted material contained in the library and reasonably believes that its inclusion in our library complies with the "Fair Use Doctrine" because: (1) our library's is for nonprofit and educational purposes; (2) the nature of the copyrighted work is related to our mission; (3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole is fair and reasonable; and (4) the potential market for or value of the copyrighted work will if impacted, should be enhanced, by its presence in our library.

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