Chiarchiaro and colleagues investigated the well-being and survival of intensive care unit (ICU) patients with advanced cancer, congestive heart failure, and chronic obstructive pulmonary disease. Declines in physical, functional, emotional, and social well-being scores were significant during and after ICU hospitalization, with a return to baseline at 6 months—except for social well-being, which continued to decline. The following are considerations for clinical practice:
Provide a patient screening by palliative care staff to evaluate emotional resilience, depression, and to assess for control of symptoms before discharge.
Develop a multidisciplinary plan for discharge including pain control, specified family and caregiver support, optimized physical and social activity, and a follow up appointment.
Know that a sense of well-being upon discharge may falter initially but will increase with familiar surroundings and caregivers.
Future studies of trajectories that drive well-being may help researchers devise interventions to improve quality...