The desire for families to be physically present to support their loved ones in the intensive care unit, and guidelines in favor of this open visitation approach, require that clinicians consider both patient and family sleep. This article reviews the causes of poor sleep for patients and their family members in the intensive care unit as well as the expected changes in cognition and emotion that can result from sleep deprivation. Measures are proposed to improve the intensive care unit environment to promote family sleep. A framework to educate family members and engage them in preservation of their and their loved one’s circadian rhythm is also presented. Although further research is needed, the proposed framework has the potential to improve outcomes for patients and their families in the intensive care unit.
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Summer 2017
Symposium: Family-Centered Care|
June 15 2017
Sleep in the Intensive Care Unit in a Model of Family-Centered Care
Robert L. Owens, MD;
Robert L. Owens, MD
Robert L. Owens is Assistant Professor of Medicine, University of California San Diego, Division of Pulmonary, Critical Care, and Sleep Medicine, La Jolla, CA 92037 (rowens@ucsd.edu). Truong-Giang Huynh is ICU Assistant Nurse Manager, Jacobs Medical Center, University of California, San Diego Health, La Jolla, California. Giora Netzer is Associate Professor of Medicine and Epidemiology, Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
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Truong-Giang Huynh, RN, BSN, CCRN;
Truong-Giang Huynh, RN, BSN, CCRN
Robert L. Owens is Assistant Professor of Medicine, University of California San Diego, Division of Pulmonary, Critical Care, and Sleep Medicine, La Jolla, CA 92037 (rowens@ucsd.edu). Truong-Giang Huynh is ICU Assistant Nurse Manager, Jacobs Medical Center, University of California, San Diego Health, La Jolla, California. Giora Netzer is Associate Professor of Medicine and Epidemiology, Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
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Giora Netzer, MD, MSCE
Giora Netzer, MD, MSCE
Robert L. Owens is Assistant Professor of Medicine, University of California San Diego, Division of Pulmonary, Critical Care, and Sleep Medicine, La Jolla, CA 92037 (rowens@ucsd.edu). Truong-Giang Huynh is ICU Assistant Nurse Manager, Jacobs Medical Center, University of California, San Diego Health, La Jolla, California. Giora Netzer is Associate Professor of Medicine and Epidemiology, Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
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AACN Adv Crit Care (2017) 28 (2): 171–178.
Citation
Robert L. Owens, Truong-Giang Huynh, Giora Netzer; Sleep in the Intensive Care Unit in a Model of Family-Centered Care. AACN Adv Crit Care 15 June 2017; 28 (2): 171–178. doi: https://doi.org/10.4037/aacnacc2017393
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