This practical book offers in-depth explorations of the pathophysiology of post-intensive care syndrome (PICS), risk factors for its development, strategies for prevention, approaches to diagnosis and management, and general principles of ICU survivorship and aftercare, accompanied by case studies and personal perspectives from survivors of critical illness and their loved ones. An international, interprofessional group of experts covers key topics, including delirium, ICU-acquired weakness, and other hazards of hospitalization; the ABCDEF bundle, ICU diaries, and family-centred care; ICU follow-up clinics and peer support programs; and comprehensive rehabilitation strategies and therapeutic interventions both in and after the hospital. Special populations, including older adults, children, those with long-COVID syndrome, and survivors of neurological injury and cardiac arrest are also discussed. The book is essential reading for physicians, nurses, and allied health professionals caring for this patient population and serves as a detailed reference to help patients with PICS better understand the condition.
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Produkt-Hinweis
Illustrationen
Worked examples or Exercises
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ISBN-13
978-1-009-50148-4 (9781009501484)
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Schweitzer Klassifikation
Brad W. Butcher is Associate Professor in the Department of Critical Care Medicine at the University of Pittsburgh School of Medicine in Pittsburgh, Pennsylvania. He is a fellow of the American College of Critical Care Medicine and the founder and Director of the Critical Illness Recovery Center at UPMC Mercy, a preeminent ICU follow-up clinic. He is a recognized clinical expert on the care of patients with post-intensive care syndrome and a leader in survivorship research.
Herausgeber*in
University of Pittsburgh School of Medicine, Pennsylvania
Foreword; Part I. Introduction: 1. Developing the concept of the Post-Intensive Care Syndrome (PICS): a historical narrative; 2. Fundamentals of PICS; 3. The pathophysiology of PICS; Part II. The Hazards of Hospitalization: 4. Immobility ICU-acquired weakness; 5. Frailty in the critically ill; 6. Dysphagia in the critically ill; 7. Nutritional impairments in the critically ill; 8. Delirium in the critically ill; 9. Sleep impairments in the critically ill; 10. The psychological impacts of hospitalization; Part III. Strategies to Prevent PICS: 11. Bundles checklists; 12. Physical rehabilitation in the ICU hospital; 13. Cognitive rehabilitation in ICU hospital; 14. Psychological care in the ICU hospital; 15. The role of spirituality throughout the continuum of care; 16. Humanisation of the ICU; 17. Family-centered Care in the ICU hospital; 18. ICU diaries; 19. Music as therapy in the ICU; 20. Animal assisted interventions in the ICU; 21. The importance of fresh air in intensive care; 22. Transitioning from the ICU to home; Part IV. General Principles of Critical illness Survivorship Follow-up Care: 23. A holistic approach to care; 24. Health E=equity the social model of disability; 25. Social determinants of health their relationship with critical illness; 26. What matters most to patients families; 27. A brief history of ICU follow-up clinics; 28. Fundamentals of ICU follow-up clinics; 29. Telemedicine-based ICU follow-up clinics digital health; 30. Financial considerations for ICU follow-up clinics; 31. Best practices for interprofessional teams; Part V. Diagnosis Management of PICS: 32. Medication management across the continuum of care; 33. Mortality, chronic disease, healthcare utilization in survivors of critical illness; 34. Quality of life in survivors of critical illness; 35. Pulmonary diaphragmatic complications in survivors of critical illness; 36. Common somatic concerns in survivors of critical illness; 37. Sleep impairments in survivors of critical illness; 38. Persistent dysphagia in survivors of critical illness; 39. Laryngeal disorders in survivors of critical illness; 40. Nutrition Impairments in Survivors of Critical; 41. Physical Impairments in Survivors of Critical illness; 42. Functional Impairments in Survivors of Critical illness; 43. Cognitive Impairments in Survivors of Critical illness; 44. Resuming Employment Driving ; 45. The Role of Physiatry Consultation in PICS; 46. Psychological Outcomes in Survivors of Critical illness; 47. Palliative Care Needs in Survivors of Critical illness; 48. Post-intensive care syndrome - family; 49. Peer support for survivors of critical illness their loved ones; Part VI. PICS in Specific Populations: 50. PICS in older survivors of critical illness; 51. PICS in survivors of cardiac arrest; 52. PICS in survivors of neurological Insult; 53. The long-COVID syndrome; 54. PICS in pediatric survivors of critical illness; Part VII. Conclusions: 55. PICS advocacy; 56. A case study of PICS; 57. In their own words: Perspectives from survivors their loved ones; Afterword.
