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Intensive care unit

from Medical topics

Published online by Cambridge University Press:  18 December 2014

By
Christina Jones  and
Richard D. Griffiths
Edited by
Susan Ayers ,
Andrew Baum ,
Chris McManus ,
Stanton Newman ,
Kenneth Wallston ,
John Weinman  and
Robert West
Christina Jones
Affiliation:
University of Liverpool
Richard D. Griffiths
Affiliation:
University of Liverpool
Susan Ayers
Affiliation:
University of Sussex
Andrew Baum
Affiliation:
University of Pittsburgh
Chris McManus
Affiliation:
St Mary's Hospital Medical School
Stanton Newman
Affiliation:
University College and Middlesex School of Medicine
Kenneth Wallston
Affiliation:
Vanderbilt University School of Nursing
John Weinman
Affiliation:
United Medical and Dental Schools of Guy's and St Thomas's
Robert West
Affiliation:
St George's Hospital Medical School, University of London
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Summary

Overview

A critical illness is a major life event for patients and their relatives and happens within the confines of an intensive care unit (ICU). The ICU is where you will find some of the sickest patients in the hospital, with very intensive medical and nursing interventions and monitoring being undertaken around the clock. In the UK each patient has a dedicated nurse looking after them as they may require support for different failed organs, such as artificial ventilation, dialysis or drugs to raise their blood pressure.

The psychological impact of a critical illness is now recognized to go well beyond the confines of the ICU. The patients admitted to an ICU vary in age, illness type and severity and this differs considerably between hospitals depending on the population they serve. Patients undergoing major surgery who know before they go to theatre that they will be admitted to ICU afterwards may experience a strong sense of security because they have been prepared for their admission beforehand (Shi et al., 2003). However, for the many patients who develop an illness needing an admission to ICU as an emergency such preparation is simply not possible. The reasons for admission to ICU may vary greatly, from a major car crash to severe pneumonia. However the majority of these patients will be so ill that they will need a ventilator to do their breathing for them for varying periods of time, from hours to months.

Type
Chapter
Information
Cambridge Handbook of Psychology, Health and Medicine , pp. 760 - 763
Publisher: Cambridge University Press
Print publication year: 2007

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References

Ambrosino, N., Bruletti, G., Scala, V., Porta, R. & Vitacca, M. (2002). Cognitive and perceived health status in patients with chronic obstructive pulmonary disease surviving acute on chronic respiratory failure: a controlled study. Intensive Care Medicine, 28, 170–7.Google Scholar
Bäckmann, C. G. & Walther, S. M. (2001). Use of a personal diary written on the ICU during critical illness. Intensive Care Medicine, 27, 426–9.Google Scholar
Bardellini, S., Servadio, G., Chiarello, M. & Chiarello, E. (1992). Sleep disorders in patients in recovery. Preliminary results in 20 patients. Minerva Anestesiol, 58, 527–33.Google Scholar
Bergbom, I., Svensson, C., Berggren, E. & Kamsula, M. (1999). Patients' and relatives' opinions and feelings about diaries kept by nurse in an intensive care unit: pilot study. Intensive and Critical Care Nursing, 15, 185–91.Google Scholar
Chlan, L. L. (2003). Description of anxiety levels by individual differences and clinical factors in patients receiving mechanical ventilatory support. Heart Lung, 32, 275–82.Google Scholar
Dubois, M.-J., Bergeron, N., Dumont, M., Dial, S. & Skrobik, Y. (2001). Delirium in an intensive care unit: a study of risk factors. Intensive Care Medicine, 27, 1297–304.Google Scholar
Ely, E. W., Gautam, S., Margolin, R.et al. (2001a). The impact of delirium in the intensive care unit on hospital length of stay. Intensive Care Medicine, 27, 1892–900.Google Scholar
Ely, E. W., Margolin, R., Francis, J.et al. (2001b). Evaluation of delirium in critically ill patients: validation of the confusion assessment method for the intensive care unit (CAM-ICU). Critical Care Medicine, 29, 1370–9.Google Scholar
Goldman, L. S. & Kimball, C. P. (1987). Depression in intensive care units. International Journal of Psychiatry Medicine, 17, 201–12.Google Scholar
Hopkins, R. O., Weaver, L. K., Pope, D.et al. (1999). Neuropsychological sequelae and impaired health status in survivors of severe acute respiratory distress syndrome. American Journal of Respiratory and Critical Care Medicine, 160, 50–6.Google Scholar
House, A., Mayou, R. & Mallinson, C. (1995). Psychiatric aspects of physical disease. London: Royal College of Physicians and Royal College of Psychiatrists.
Jackson, J. C., Hart, R. P.Gordon, S. M.et al. (2003). Six month neuropsychological outcome from medical intensive care unit patients. Critical Care Medicine, 31, 1226–34.Google Scholar
Jacobi, J., Fraser, G. L., Coursin, D. B.et al. (2002). Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Critical Care Medicine, 30, 119–41.Google Scholar
Jones, C. & Griffiths, R. D. (2002). Physical and psychological recovery. In Griffiths, R. D. & Jones, C. (Eds.). Intensive care after care (pp. 53–6). Oxford, UK: Butterworth & Heinemann.
Jones, C., Griffiths, R. D. & Humphris, G. (2000). Disturbed memory and amnesia related to intensive care. Memory, 8, 79–94.Google Scholar
Jones, C., Griffiths, R. D., Humphris, G. H. & Skirrow, P. M. (2001). Memory, delusions, and the development of acute posttraumatic stress disorder-related symptoms after intensive care. Critical Care Medicine, 29, 573–80.Google Scholar
Jones, C., Skirrow, P., Griffiths, R. D.et al. (2003). Rehabilitation after critical illness: a randomised, controlled trial. Critical Care Medicine, 31, 2456–61.Google Scholar
Jones, C., Skirrow, P., Griffiths, R. D.et al. (2004). Post traumatic stress disorder-related symptoms in relatives of patients following intensive care. Intensive Care Medicine, 30, 456–60.Google Scholar
Kress, J. P., Gehlbach, B., Lacy, M.et al. (2003). The long-term psychological effects of daily sedative interruption on critically ill patients. American Journal of Respiratory and Critical Care Medicine, 168, 1457–61.Google Scholar
McKinley, S., Nagy, S., Stein-Parbury, J., Bramwell, M. & Hudson, J. (2002). Vulnerability and security in seriously ill patients in intensive care. Intensive and Critical Care Nursing, 18, 27–36.Google Scholar
Sharshar, T., Gray, F., Lorin de la Grandmaison, G.et al. (2003). Apoptosis of neurons in cardiovascular autonomic centres triggered by inducible nitric oxide synthase after death from septic shock. Lancet, 362, 1799–805.Google Scholar
Shi, S. F., Munjas, B. A., Wan, T. T.et al. (2003). The effects of preparatory sensory information on ICU patients. Journal of Medical Systems, 27, 191–204.Google Scholar
Tian, Z. M. & Reis Miranda, D. (1995). Quality of life after intensive care with the sickness impact profile. Intensive Care Medicine, 21, 422–8.Google Scholar

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