Sestrinski glasnik, Vol. 27 No. 2, 2022.
Professional paper
https://doi.org/10.11608/sgnj.27.2.4
Post-intensive care syndrome – how to recognize, prevent, and treat it
Vedrana Djak
; UHC Zagreb, Intensive and post-intensive care unit, Respiratory insufficiency, lung circulation and lung transplant institute, Jordanovac 104, 10 000 Zagreb, Croatia
Slađana Režić
orcid.org/0000-0002-2360-8508
; UHC Zagreb, Department for Health care quality assurance and improvement, Kišpatićeva 12, 10 000 Zagreb, Croatia
Abstract
Post-intensive care syndrome (PICS) includes physical, cognitive, and mental impairments that occur during intensive care, after discharge from intensive care, or after discharge from the hospital, as well as long-term prognoses for patients in intensive care units.
Polyneuropathy is the most common of the physical impairments. Cognitive impairments include impaired memory and difficulties in performing various functions, including language, attention, and visual-spatial abilities. Depression, anxiety, and post-traumatic stress disorder are the most common mental illnesses making up the post-intensive care syndrome.
Prevention of PICS requires the implementation of ABCDEFGH procedures, which include prevention of delirium, early rehabilitation, family intervention, and monitoring of the patient from the moment of admission to the ICU until discharge. A monitoring diary, nutrition, nursing care, and environmental management during patient treatment are extremely important in the prevention of PICS.
Treatment of post-intensive care syndrome should start as early as possible, and a multidisciplinary team (the treating physician, neurologist, psychiatrist, physiotherapist, occupational therapist, and speech therapist) should be involved in the treatment. This paper aims to explain the importance of nursing interventions in the prevention of post-intensive care syndrome.
Keywords
post-intensive care syndrome; intensive care; cognitive impairment; prevention; treatment; nursing care
Hrčak ID:
281173
URI
Publication date:
16.8.2022.
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