Psychological And Cognitive Impact Of Critical Illness

Personal journeys through understanding the psychological and cognitive problems faced by critical illness survivors / Christina Jones, Peter Gibb, and Ramona O. Hopkins -- Delirium in critically ill patients / Mark van den Boogaard and Paul Rood -- Critical illness and long-term cognitive impairment / Ramona O. Hopkins, PhD, Maria E. Carlo, MD, James C. Jackson, PsyD -- Psychological impact of critical illness / O. Joseph Bienvenu and Christina Jones -- Rehabilitation psychology insights for the treatment of critical illness survivors / Jennifer E. Jutte, James C. Jackson, and Ramona O. Hopkins -- Prevention and treatment of posttraumatic stress and depressive phenomena in critical illness survivors / Christina Jones and O. Joseph Bienvenu -- Supporting pediatric patients and their families during and after intensive care treatment / Gillian Coville -- Family response to critical illness / Judy E. Davidson and Giroa Netzer

Neuropsychiatric problems after critical illness are receiving increasing attention, particularly in the critical care medicine literature, but mental health and primary care clinicians should also be interested in these common problems, given the growing number of critical illness survivors who need care. Patients frequently come out of the intensive care unit (ICU) with horrifying distorted memories and don't understand what has happened to them. This work examines this topic

"When contemplating the broad field of critical care and all of its complexities, rehabilitation and psychology practice is not likely among the top ten services that clinicians, patients, or the public think of, and rightly so. The vast majority of patients who require intensive care arrive at death's door, and many linger in a limbo-like space somewhere between life and the afterlife. The primary focus at this juncture is often on pressing matters such as reestablishing and stabilizing basic bodily functions, optimizing life-saving machine settings, and deciding who does and does not need additional, urgent interventions. Still, just beneath the surface of this fascinating, multilayered environment, the need for psychologists and rehabilitation-oriented clinicians is everywhere, in large part because intensive care stands among the most emotionally intense and physically taxing hospital-based settings for everyone involved - patients, families, caregivers, and staff alike. Despite this, recognition that psychologists and rehabilitation-oriented professionals could and should be more integrated within the critical care team is uncommon. In fact, it can be argued that some European countries are ahead of the United States (US) in this regard (Agarwala, Ahmed, & Patil, 2011; Andreoli, Novaes, Karam, & Knobel, 2001; Jackson & Jutte, 2016; Peris et al., 2011; Sukantarat, Greer, Brett, & Williamson, 2007; Tan, Brett, & Stokes, 2009; Van den Born-van Zanten, Dongelmans, Dettling-Ihnenfeldt, Vink, & Van der Schaaf, 2016). Fortunately, there are growing integrative trends in the US. In 2010, a conference was convened by the Society of Critical Care Medicine (SCCM) with broad goals to inform stakeholders about the multiple long-term consequences of critical illness (e.g., Postintensive Care Syndrome [PICS]) and initiate"--

Surviving critical illness is not always the happy ending that we imagine for patients. Intensive care unit (ICU) teams have traditionally focused on short term goals such as stabilizing or reversing organ system dysfunction, with little understanding of what became of patients once they left the ICU. However, research conducted in recent years has demonstrated that many ICU survivors can suffer from ill health and mental health issues for months or years to follow. The Textbook of Post-ICU Medicine: The Legacy of Critical Care identifies the long term outcomes of ICU and the steps that can be taken to improve patients' health and wellbeing. Describing the major clinical syndromes affecting ICU survivors, the book delineates established or postulated biological mechanisms of the post-acute recovery process, and discusses strategies for treatment and rehabilitation to promote recovery in the ICU and in the long term. The book serves as a unique reference for general practitioners, internists and nurses caring for long term ICU survivors as well as specialists in intensive care medicine, neurology, psychiatry, and rehabilitation medicine.

The twelfth volume in the Critical Care Focus series, concentrates on the psychological consequences of critical illness. The volume comprises of transcripts of lectures delivered at The Intensive Care Society’s Focus Meeting held in February 2004. The lectures were given by internationally renowned experts and concentrate on this often neglected aspect of patient care.

This book, part of the European Society of Intensive Care Medicine textbook series, provides detailed up-to-date information on the physical, cognitive, and psychological impairments that are frequently present following a stay in an intensive care unit and examines in depth the available preventive and therapeutic strategies, including adapted rehabilitation programs. Beyond acquainting readers with the multiple facets of post-intensive care syndrome (PICS), the book aims to promote the effective follow-up of patients, thereby enhancing their ability to work and their functional autonomy, and to identify risk factors for the development of PICS as a stimulus to beneficial organizational changes in intensive care departments. The background to the book is the realization by healthcare providers that the quality of life of patients who have required a stay in an intensive care unit can be severely impaired or even become unacceptable. All too often, the diverse sequelae are overlooked by specialists of other disciplines. Moreover, families and caregivers are also at high risk of post-traumatic stress disorder and depression. The European Society of Intensive Care Medicine has developed the Lessons from the ICU series with the vision of providing focused and state-of-the-art overviews of central topics in Intensive Care and optimal resources for clinicians working in Intensive Care. This book, written by renowned experts in the field, will facilitate the transmission of key knowledge with significant clinical and financial benefits.

Neuropsychiatric problems after critical illness are receiving increasing attention, particularly in the critical care medicine literature, but mental health and primary care clinicians should also be interested in these common problems, given the growing number of critical illness survivors who need care. Patients frequently come out of the intensive care unit (ICU) with horrifying distorted memories and don't understand what has happened to them. Not only are patients debilitated with ICU-acquired weakness and cognitive impairment, they are traumatized by actual experiences (e.g., shortness of breath and pain) and distorted memories (of being tortured, raped, assaulted, or imprisoned) shaped by delirium. Patients' family members are also frequently quite distressed, and children surviving critical illnesses appear to have similar experiences to adults. This book provides an overview of the nature and epidemiology of cognitive and other psychiatric problems in this growing population, and it addresses the small but growing literature on prevention and early intervention efforts. Addressing these problems successfully will require collaborative interventions, both in-ICU and post-ICU.