Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Post-Intensive Care Syndrome: Recognizing the Critical Need for Psychiatric Care Author(s): Sophia Wang, MD , You Na P. Kheir, MD , Duane Allen, MD , Babar Khan, MD, MPH Publisher or Source: Psychiatric Times Type of Media: Medical Journal, Newspaper Article Media Originally for: General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Post-intensive care syndrome (PICS) is a rapidly growing phenomenon in older adults. As survival rates from ICU hospitalizations have increased over the past few decades, the long-term cognitive, psychological, and physical sequelae of the illness have become a major challenge in critical care medicine. More than half of all ICU survivors suffer from at least one PICS-related impairment, and these effects can persist as long as 5 or more years. PICS has become an increasingly important phenomenon in older adults for several reasons. First, the number of older adults with critical illness is rapidly increasing as the population ages and now accounts for about 50% of ICU admissions. Second, more than 70% of older adults hospitalized in the ICU develop delirium, which is a major risk factor for ICU-acquired cognitive impairments. Third, cognitive and functional impairment before an ICU hospitalization increases the likelihood of cognitive and functional decline afterward. 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: Evaluating clinical pharmacist involvement in a COVID-19 intensive care recovery clinic Author(s): Stephen Ward, Rosalind O'Reilly, and Paula Crawford Publisher or Source: The Pharmaceutical Journal Type of Media: Medical Journal Media Originally for: Critical Care Physicians,General Medical Professionals,Nurses and/or Other Critical Care Medical Professionals 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: Introduction: Post-intensive care syndrome (PICS) is associated with an increased risk of mortality. Critical illness recovery clinics have been recommended by the Faculty of Intensive Care Medicine (FICM) as an approach to manage the complexity of PICS. The COVID-19 pandemic has provided many healthcare challenges, not least how to support those who have survived critical illness related to the virus. Recent guidance from the FICM also recommends pharmacist involvement in rehabilitation and recovery clinics for patients discharged from hospital following COVID-19 critical illness. This evaluation was undertaken to determine the impact of the inclusion of a clinical pharmacist in this setting. Method: All patients discharged following a COVID-19-related intensive care unit (ICU) admission in the Belfast Health and Social Care Trust, Northern Ireland, from 26 March 2020 to 15 May 2020 were offered enrolment in a rehabilitation and recovery programme. This involved an initial 6-week remote review, followed by a multidisciplinary face-to-face assessment at 12 weeks post-discharge. Each healthcare professional at the clinic contributed to an overall treatment plan, which was communicated to the patient’s GP. The clinical pharmacist carried out a structured medicines optimisation review and identified medication-related interventions, which were recorded and graded according to the Eadon criteria. Cost savings resulting from these interventions were estimated using the model described by the University of Sheffield School of Health and Related Research (ScHARR), a type of economic modelling that uses literature-based values of the costs of medication errors and compares this with the benefits of different medication-related interventions. Results: A total of 42 patients were discharged during this period following COVID-19 ICU admission, with 93% (n=39) agreeing to enrolment in the follow-up clinic. Medication-related interventions were identified in 82% (n=32) of the 39 patients. The most common medication-related intervention was patient education, accounting for 38% (n=24) of all interventions. Discussion: Analgesics were the class of medications most associated with requiring an intervention and 65% of interventions were graded as significant, resulting in improved care standards (i.e. Eadon ≥grade 4). Clinical pharmacist interventions yielded potential savings of £4.20–£8.59 per £1 invested, based on total potential savings in the range of £6,204–£12,699, with a total pharmacist investment of £1,478. Conclusion: Clinical pharmacists have a role in medicines optimisation for patients recovering from COVID-19-related critical illness. Most interventions by a clinical pharmacist in a post-ICU recovery clinic were related to symptom management and patient education. Their role in this setting can help rationalise medicines and improve patients’ understanding, resulting in potential healthcare-related cost-savings and safer patient-centred care. Keywords: Clinical pharmacy, COVID-19, critical care, integrated care, intensive care, interventions, medicines optimisation, outpatient clinic. 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: Long Covid: New report outlines scale of challenge for NHS Author(s): Gemma Mitchell Publisher or Source: Nursing Times Type of Media: Newspaper Article Media Originally for: 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: Health professionals urgently need more information and training to respond to the rising numbers of people in the UK living with so-called 'long Covid', which may not be one condition but several different syndromes, according to researchers. 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: Three common cognitive impairments among older adults: delirium, dementia, and depression. Author(s): Shigeaki Inoue, Junji Hatakeyama, Yutaka Kondo, Toru Hifumi, Hideaki Sakuramoto, Tatsuya Kawasaki, Shunsuke Taito, Kensuke Nakamura, Takeshi Unoki, Yusuke Kawai, Yuji Kenmotsu, Masafumi Saito, Kazuma Yamakawa, Osamu Nishida Publisher or Source: Acute Medicine & Surgery Type of Media: Diagram Media Originally for: Critical Care Physicians, Nurses and/or Other Critical Care Medical Professionals Country of Origin: Japan Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Three common cognitive impairments among older adults: delirium, dementia, and depression. 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: AHA News: Hospice Candidate at 2, She's Now 13 and Thriving Author(s): Suzanne Marta Publisher or Source: HealthDay Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: United States of America (the) Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: MONDAY, Jan. 25, 2021 (American Heart Association News) -- Rosemary "Rosie" Veltz was "medically maxed out." That was the term the doctors used six months after a third surgery to correct a heart defect that left her struggling to breathe while her lungs continued to fill with fluid. 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-ICU Clinic Directory Author(s): Post-ICU Publisher or Source: Post-ICU 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 States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: ICUs have historically focused on survival as the single most important outcome of critical illness. Recent research has shown that most patient who survive their ICU stay develop a combination of cognitive impairment; emotional problems, including depression, anxiety, and posttraumatic stress disorder; physical weakness; and significant social and financial hardships. Together, this constellation of symptoms has been termed post-intensive care syndrome (PICS). The physical, psychological, and financial burden of caring for patients with PICS has common and predictable effects, including anxiety and depression, on family members of ICU survivors. These effects have been termed PICS-F, for the PICS effect on families. As understanding has improved of the impact that PICS and PICS-F have on quality of life, critical care providers have started to open specialized clinics to provide and coordinate care for ICU survivors and their families. These clinics are composed of an interdisciplinary team of professionals, including critical care and mental health physicians, nurses, physical and occupational therapists, and social workers. Their ultimate goal is to improve patients’ quality of life, ease caregiver burden on families, and work to restore patients to their prior level of functioning. 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: Breaking it Down: Post Intensive Care Syndrome and Prevention - Part II Author(s): Annie Johnson Publisher or Source: Mayo Clinic Type of Media: Magazine Article Media Originally for: Former ICU Patients or Their Caregivers, General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: We are going to discuss Post Intensive Care Syndrome and Prevention Part II - what loved ones can do to help prevent PICS. It is not uncommon for loved ones to feel overwhelmed when in the intensive care unit. The ICU is a very unfamiliar and scary environment for most people, and caring for your critically ill loved one can seem like too much at times. However, the physical presence through voice and touch that a loved one can provide can be as therapeutically beneficial as many of the interventions provided by the medical team. 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: Study Finds ICU Patients Who Survive Respiratory Condition May Suffer from Prolonged Post-Intensive Care Syndrome Author(s): Jess Gomez Publisher or Source: Intermountain Healthcare Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: Now, a new study of 645 ARDS survivors by researchers at Intermountain Medical Center, Johns Hopkins University, and the University of Utah, has identified subgroups of ARDS survivors who suffer what’s been called post-intensive care syndrome, a collection of symptoms that can linger for years. “A lot of work has been done around post-intensive care syndrome. We’re realizing the people who are surviving are often terribly wounded, and they have emotional and psychological distress as severe as combat veterans returning from war,” said Samuel M. Brown, MD, lead author of the study and director of the Center for Humanizing Critical Care at Intermountain Medical Center. “They may have profound weakness or shortness of breath or other important limitations to their quality of life after they survive.” Results of the new study, which was funded by the National Heart Lung and Blood Institute, are published inThorax, one of the world’s leading journals for specialists in respiratory and critical care medicine. 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-Intensive Care Syndrome (PICS) Poster Author(s): Comagine Health Publisher or Source: Comagine Health Type of Media: One-Pager Media Originally for: Former ICU Patients Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: In collaboration with its Nevada Patient and Family Advisory Council, Comagine Health has created this 8.5"x14" infographic poster or handout that describes Post-Intensive Care Syndrome (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.

Click to Return to Search Page VIEW SELECTED LIBRARY MEDIA Name of Media: Online communities provide support for COVID-19 survivors with lingering, possibly-permanent symptoms Author(s): Christina Lorey Publisher or Source: Channel3000.com Type of Media: Newspaper Article Media Originally for: General Public Country of Origin: United States of America (the) Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: Yes Description: COVID-19 survivors are now turning to each other to help validate their experiences. New support groups are popping up online to allow people living with or recovering from the coronavirus to discuss lesser-known symptoms and crowd-source best practices from health experts around the world. 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: Recovering from critical COVID-19: A secondary analysis of a UK study Author(s): Marzia Khan Publisher or Source: News Medical Type of Media: Newspaper Article Media Originally for: General Public,General Medical Professionals 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: Many coronavirus 2019 (COVID-19) recovering patients who have been affected by the severe acute respiratory coronavirus 2 (SARS-CoV-2) infection can experience persistent symptoms which can last beyond 4 weeks. This can be known as ‘long COVID’ and can include a broad range of symptoms, such as breathlessness and fatigue and this can overlap with post-intensive care syndrome (PICS). PICS can include a wide variety of physical, psychological, and cognitive symptoms which can affect 25% of critically ill survivors, who experience fatigue, post-traumatic stress, and muscle weakness. This syndrome can last up to 5 years and can affect the readmission rates of patients who are struggling to recover from fatigue-related illnesses such as COVID-19. 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: Long-Term Outcomes after Critical Illness. The Best Predictor of the Future Is the Past Author(s): Brian H. Cuthbertson, and Hannah Wunsch Publisher or Source: American Thoracic Society Type of Media: Medical Journal Media Originally for: Critical Care Physicians, General Public Country of Origin: United States Primary Focus of Media: Post Intensive Care Syndrome (PICS) COVID-19 Related: No Description: or many years, we believed that a good outcome for critically ill patients was for them to leave the intensive care unit (ICU) alive. Sadly, we now know from substantial research, including in-depth follow-up of individual patients, that this is not the case. Many cohort studies of critically ill patients that prospectively followed people after hospital discharge raised concerns regarding long-term outcomes (1–4). Despite the importance of this work, such prospective cohort studies are limited in the type and amount of information they can provide because of small sample size or number of outcome events, uncertain generalizability, and a lack of information on prehospital trajectories. Perhaps most important, many of these exploratory studies lacked comparison with appropriate controls. Therefore, the burden of morbidity and mortality after critical illness was quantified, but with uncertainty regarding the level of attribution to the critical illness and its associated treatments and the contribution of either underlying comorbidity or hospitalization of any kind. In effect, these studies identified that “we have a problem,” but their limitations did not allow us to more fully understand the severity, duration, causation, and trajectory of these problems from the perspectives of our patients and our health systems. 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.