James Jackson – Understanding Post-Intensive Care Syndrome

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James Jackson – Understanding Post-Intensive Care Syndrome

EPIDEMIOLGY OF CRITICAL IllNESS IN NORTH AMERICA and THE WORLD

• What is Critical illness/Intensive Care?
• Who is the most vulnerable to critical illness?
• Why are ICU survivors with critical illness often overlooked?
• How often are rehabilitation professionals involved with the care of critically ill patients and their families?

INTRODUCTION – COGNITIVE AND MENTAL HEALTH PROBLEMS FOLLOWING INTENSIVE CARE

• Brain injuries/dementia
• Depressions
• Anxiety
• PTSD
• Post-Intensive Care Syndrome (PICS)
• Acute, post-Acute and long-term symptoms

POTENTIAL RISK FACTOR/CAUSES FOR PICS

• Medical illness
  • Sepsis
  • Acute respiratory distress Syndrome (ARDS).
  • Pneumonia
• Medical treatment
  • Hypoxia caused by mechanical ventilation
  • Excessive Sedation
  • Delirium

BEST PRACTICES FOR THE TREATMENT AND PREVENTION OF PICS

• Strategies for inpatient management and prevention-A multidisciplinary approach
  • Assessment
  • Early identification
  • Expectations for education-setting
• Post-discharge treatment strategies
  • Persistent problems after leaving the ICU
    • Problems with balance/muscle weakness
    • Memory and thinking problems
    • Severe anxiety
    • Depression
  • Post-Placement in acute care facility
    • Rehabilitation professional’s role
    • Regaining functional independence is the goal
    • Reduced readmission rates
  • Families and PICS
    • They can help
    • Education
    • Reorient patients
    • Items made at home
    • ICU diary
  • Impact
    • Anxiety/PTSD
    • Depression
    • Complicated grief
• PICS research is undergoing new research
• Treatment of PICS: Implications
• In addressing PICS, the role of professionals from different clinical disciplines
  • “Untapped” There are many opportunities to get involved
  • Development of a “unit” Culture responsive to PICS
  • Create a follow-Get in touch with your doctor
  • Initiating a PICS support group

BRING IT ALL TOGETHER

• Study of the Treatment of PICS
• Exemples from all clinical disciplines
• From admission to discharge

HOT TOPICS AND FUTURE DirectionS RELATED to PICS 

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Description:

In North America, more than 5 million people are treated annually in the ICU.  20% of ICU patients will die before being discharged, but those who survive often face difficulties. Many ICU survivors who have survived are shocked to discover that their lives are very different from theirs.-treatment existences.

There is evidence from dozens of investigations that suggests that nearly half of ICU survivors suffer complications. This includes cognitive impairment, depression, PTSD and physical debility.  All of these problems together form the condition known as Post-Intensive Care Syndrome These are known as PICS. They cause major problems in areas such daily functioning, functioning, overall quality of living, and so on.

Although PICS affects millions of people each year, very few professionals are aware of the condition and are familiar with effective treatment options for those who are affected. This recording will help clinicians from all disciplines identify PICS and how to use evidence. It uses current research and clinical examples.-Its treatment is based on these strategies.

Clinicians will be able to tailor their clinical approaches to meet the needs of PICS patients, as well as their families, during and after hospitalization.