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Understanding how nurses cope following the death of a patient after CPR may help identify nurses most at risk for postcode stress and posttraumatic stress disorder (PTSD) according to new research published in the American Journal of Critical Care (AJCC).

“Stress and Coping of Critical Care Nurses After Unsuccessful Cardiopulmonary Resuscitation” explores the relationship between postcode stress, PTSD symptom severity and coping behaviors after an unsuccessful attempt to resuscitate a patient.

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Henry Ford Health System has established a specialty clinic to treat COVID-19 and other patients who have lingering cognitive, emotional and mental health conditions after being hospitalized in the intensive care
unit. As an increasing number of COVID-19 patients recover and are discharged from the hospital, it is anticipated that well into the future, many will need help getting back to their normal physical and mental functioning.

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Hundreds of thousands of seriously ill coronavirus patients who survive and leave the hospital are facing a new and difficult challenge: recovery. Many are struggling to overcome a range of troubling residual symptoms, and some problems may persist for months, years or even the rest of their lives. Patients who are returning home after being hospitalized for severe respiratory failure from the virus are confronting physical, neurological, cognitive and emotional issues. And they must navigate their recovery process as the pandemic continues, with all of the stresses and stretched resources that it has brought. “It’s not just, ʻOh, I had a terrible time in hospital, but thank goodness I’m home and everything’s back to normal,’” said Dr. David Putrino, director of rehabilitation innovation at Mount Sinai Health System in New York City. “It’s, ʻI just had a terrible time in hospital and guess what? The world is still burning. I need to address that while also trying to sort of catch up to what my old life used to be.’” It is still too early to say how recovery will play out for these patients. But here is a look at what they are experiencing so far, what we can
learn from former patients with similar medical experiences, and the challenges that most likely lie ahead.

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Common symptoms experienced after sepsis include fatigue, insomnia, difficulties with concentration or memory, muscle weakness, and depression or anxiety.

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Kate Garraway has given a heartbreaking update on her husband Derek Draper's ongoing battle with Covid-19, saying 'his body has been ravaged' by the virus.

The Good Morning Britain star's husband, 53, remains in hospital after contracting coronavirus back in March 2020, and speaking on Thursday's GMB, Kate admitted she has struggled to stay positive over the past few weeks.

Kate, 53, spoke to her co-stars Piers Morgan and Susanna Reid about her upcoming book which will detail the last year of her family's life, admitting she's been feeling 'physically low and at the end of my tether' since Christmas.

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More than 4 million adults survive a stay in the intensive care unit each year, with many experiencing new or worsening physical disability, mental health problems, and/or cognitive impairments, known as post-intensive care syndrome (PICS). Given the prevalence and magnitude of physical impairments after critical illness, many survivors, including those recovering from COVID-19, could benefit from physical therapist services after hospital discharge. However, due to the relatively recent recognition and characterization of PICS, there may be limited awareness and understanding of PICS among physical therapists practicing in home health care and community-based settings. This lack of awareness may lead to inappropriate and/or inadequate rehabilitation service provision. While this perspective article provides information relevant to all physical therapists, it is aimed toward those providing rehabilitation services outside of the acute and postacute inpatient settings. This article reports the prevalence and clinical presentation of PICS and provides recommendations for physical examination and outcomes measures, plan of care, and intervention strategies. The importance of providing patient and family education, coordinating community resources including referring to other health care team members, and community-based rehabilitation service options is emphasized. Finally, this perspective article discusses current challenges for optimizing outcomes for people with PICS and suggests future directions for research and practice.

Brief description of media:

More than 4 million adults survive a stay in the intensive care unit each year, with many experiencing new or worsening physical disability, mental health problems, and/or cognitive impairments, known as post-intensive care syndrome (PICS). Given the prevalence and magnitude of physical impairments after critical illness, many survivors, including those recovering from COVID-19, could benefit from physical therapist services after hospital discharge. However, due to the relatively recent recognition and characterization of PICS, there may be limited awareness and understanding of PICS among physical therapists practicing in home health care and community-based settings. This lack of awareness may lead to inappropriate and/or inadequate rehabilitation service provision. While this perspective article provides information relevant to all physical therapists, it is aimed toward those providing rehabilitation services outside of the acute and postacute inpatient settings. This article reports the prevalence and clinical presentation of PICS and provides recommendations for physical examination and outcomes measures, plan of care, and intervention strategies. The importance of providing patient and family education, coordinating community resources including referring to other health care team members, and community-based rehabilitation service options is emphasized. Finally, this perspective article discusses current challenges for optimizing outcomes for people with PICS and suggests future directions for research and practice.

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As many as 80% of ICU survivors have some form of cognitive or brain dysfunction, according to the Society of Critical Care Medicine. While receiving intensive care, patients often are heavily sedated and connected to a ventilator. During this time, a temporary brain injury can develop that is linked to later issues with memory and thinking. At the same time, many ICU survivors experience post-traumatic stress symptoms, including depression, prolonged muscle weakness, and fatigue.
Patients who survive sepsis are particularly vulnerable to post-ICU syndrome and about 1.4 million of them suffer from long-term disabilities, according to the Sepsis Alliance. The not-for-profit advocacy group is developing pamphlets on post-sepsis issues for patients, as well as spreading the word on social media websites

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Nine months into the pandemic, it’s become clear that the effects of the disease caused by SARS-CoV-2 can last beyond the acute illness. Among COVID-19 patients 18 to 35 years old who were previously in good health, as many as 20% experience prolonged symptoms, according to the World Health Organization. Complaints among so-called long-haulers include fatigue, shortness of breath, “brain fog” and depression. For patients whose illnesses required ICU care, post-intensive care syndrome (PICS) is an ongoing concern, particularly for those who experienced acute respiratory distress syndrome (ARDS).

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It has been found that this time — in the second wave of the coronavirus infection — patients have started to present some new symptoms, which was not the case earlier. Dr Dhanashri Chonkar, consultant neurology, Fortis Hospital, Mulund has pointed out that among other things, COVID-19 seems to have a greater long-term impact on brain health, especially among those on ventilator support and the elderly.

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PICS can manifest as problems with physical function, cognition and mental health, according to a fact sheet from the American Thoracic Society. PICS is a relatively under-recognized issue, despite the fact that it affects a large number of people treated in an ICU, according to Patricia Ohtake, PT, Ph.D., an associate professor in the physical therapy program in the University at Buffalo's School of Public Health and Health Professions. Ohtake has tailored her recent research on the rehabilitation of ICU survivors to reflect working with COVID-19 patients, particularly how physical therapy can aid in their recovery at home.

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Deputy Colm Burke, Fine Gael’s Health spokesperson, said, “Concerns have been raised by medical professionals and the WHO over prevalent numbers of people of all ages who are suffering complications to their health due to their Covid diagnosis, a condition that has been referred to as ‘Long Covid’.
A clear strategy is needed to manage and support patients suffering the long-term effects of Covid-19, a Fine Gael TD has said.