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Sometimes it seems like every article about the coronavirus is trying to scare you.
That’s especially true for articles about the long-term impacts of COVID-19. They tend to start the same way: introducing you to someone whose life was terrific before the virus and terrible now, due to some unexpected remaining symptom. There’s a transition sentence — “But Chad isn’t alone” — telling you that other people have this happen to them too. Doctors are interviewed about how likely this is, studies are referenced to the degree possible. Finally, the article returns to Chad, who just wishes he hadn’t gone to that get-together where he caught the virus in the first place.

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Former ICU Patients (and Their Family Members) Provide Insight into Their
Lives both In and After Discharge from ICU.

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A Typical Patient's Experience, Life In and After the ICU - Delirium, Halucinations, Pain and Finding Comfort and Resolution

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Bedside Treatments for ABCDE Protocol

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ABCDE= Caregiver
A- Advocacy
B- Burn out
C- Communication
D- Do not Disturb
E- Education & exit – schedules

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With the CAM-ICU, Inattention is evaluated with either a Letters (auditory) test or a Pictures (visual) test. Either test can be used to test for attention. The Letters test is the SAVEAHAART described in the training manual. The Pictures test uses premade picture packets. We have created a Power Point file to make it easier to reproduce the picture packet. Below is a link to the Power Point files. There are two sets of picture packets (Set A and Set B). However, only one packet is needed per assessment.

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Data on quality of life beyond 2 years after intensive care discharge are limited and we aimed to explore this area further. Our objective was to quantify quality of life and health utilities in the 5 years after intensive care discharge.

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Helping a Love One Who Has Delirium

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Health professionals have been aware of the incidence of post-intensive care syndrome (PICS) for some time. However, there has not been a clear or definitive way of administering treatment or nursing care to help patients suffering from PICS in their recovery. This paper suggests some ideas for the care of patients from the nursing point of view.

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In less than 10 years intensive care units have become an essential part of most general hospitals. They have demonstrated their value in the treatment of the critically ill. Obviously, in the initial development of such instrumentation our attention was focused on mastering the technology. A reasonable level of mastery now appears to exist. I therefore believe this is an appropriate time to examine the impact of this environment on the people who live in it-patients and staff.

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Purpose—To describe the design and initial implementation of an Intensive Care Unit Recovery Center (ICU-RC) in the United States.
Materials and Methods—A prospective, observational feasibility study was undertaken at an academic hospital between July 2012 and December 2015. Clinical criteria were used to develop the ICU-RC, identify patients at high risk for post intensive care syndrome (PICS), and offer them post-ICU care.
Results—218/307 referred patients (71%) survived to hospital discharge; 62 (28% of survivors) were seen in clinic. Median time from discharge to ICU-RC visit was 29 days. At initial evaluation, 64% of patients had clinically meaningful cognitive impairment. Anxiety and depression were present in 37% and 27% of patients, respectively. One in three patients was unable to ambulate independently; median 6 minute walk distance was 56% predicted. Of 47 previously working patients, 7 (15%) had returned to work. Case management and referral services were provided 142 times. The median number of interventions per patient was 4.
Conclusions—An ICU-RC identified a high prevalence of cognitive impairment, anxiety, depression, physical debility, lifestyle changes, and medication-related problems warranting intervention. Whether an ICU-RC can improve ICU recovery in the US should be investigated in a systematic way.

Brief description of media:

Outline:
• What is different in the intensive care unit (ICU)
• Highlight ICU nurses
• Specific ICU-related consequences on well-being
• Potential interventions
• My thoughts on future directions