Minimizing Post–Intensive Care Syndrome to Improve Outcomes for Intensive Care Unit Survivors

Author:

Mulkey Malissa A.1,Beacham Pamela2,McCormick Megan A.3,Everhart D. Erik4,Khan Babar5

Affiliation:

1. Malissa A. Mulkey is a postdoctoral research fellow, Indiana University School of Nursing, Indianapolis, Indiana, and a clinical nurse specialist, cardiac and cardiac surgery intensive care unit, University of North Carolina–Rex Hospital, Raleigh, North Carolina.

2. Pamela Beacham is a medical-surgical and neuroscience clinical nurse specialist, University of North Carolina–Rex Hospital.

3. Megan A. McCormick is the nurse manager, cardiac surgery intensive care unit, University of North Carolina–Rex Hospital.

4. D. Erik Everhart is a professor, Department of Psychology, East Carolina University School of Medicine, and a practicing clinical neuropsychologist, Vidant Health, Greenville, North Carolina.

5. Babar Khan is an associate professor, Pulmonary Critical Care, Indiana University School of Medicine, and a pulmonary critical care physician and the Associate Director, Regenstrief Institute, Inc, and University Center for Aging Research, Indianapolis, Indiana.

Abstract

Topic Post–intensive care syndrome is a collection of symptoms that more than half of patients who survive a critical illness, and their family caregivers, experience after the illness. Those symptoms include weakness/ fatigue, sleep disturbances/insomnia, cognitive dysfunction, posttraumatic stress disorder, other mental health conditions, and a lack of effective coping strategies. Clinical Relevance To minimize the risk of a patient developing post–intensive care syndrome, intensive care unit nurses must adopt practices that reduce the severity of disability and optimize patient outcomes. They must also advocate for patients who need additional expert care. Purpose To describe interventions that critical care nurses can implement to minimize a patient’s risk for post–intensive care syndrome. Content Covered This article describes patients who have a high risk of developing post–intensive care syndrome and interventions that are within nurses’ purview.

Publisher

AACN Publishing

Subject

Critical Care Nursing,General Medicine

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