The success of critical care medicine has historically been gauged by short-term mortality outcome. With technological advances, many patients now survive what were previously fatal critical illnesses, generating an expanding population of critical care survivors. Many survivors suffer with new or worsening impairments in physical, cognitive, or mental health status arising after a critical illness and persisting beyond acute care hospitalization, which has been termed post–intensive care syndrome (PICS).1 This term can be applied to a survivor or to a family member who often experiences significant social and psychiatric burdens caring for a survivor of critical illness.1,2 It is estimated that PICS develops in more than 2.4 million Americans who survive critical illness each year, including approximately two-thirds of Medicare beneficiaries who survive critical illness.3 As a consequence of both an aging population and the dramatic improvement in mortality rates in those with critical illness,...
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1 November 2019
Commentary|
November 01 2019
Caring for Survivors of Critical Illness: Current Practices and the Role of the Nurse in Intensive Care Unit Aftercare
Tammy L. Eaton, MSN, RN, FNP-BC, ACHPN;
Tammy L. Eaton is cofounder and lead advanced practice provider for the Critical Illness Recovery Center (CIRC) post-ICU clinic and codirector of the ICU Survivor and Family Peer Support and ICU journal programs at UPMC Mercy, a PhD student at the University of Pittsburgh School of Nursing, and an inpatient palliative care nurse practitioner, Palliative and Supportive Institute, UPMC Mercy, Pittsburgh, Pennsylvania. Joanne McPeake is a nurse consultant in clinical research and innovation in NHS Greater Glasgow and Clyde and a senior clinical lecturer in the School of Medicine, Dentistry and Nursing, University of Glasgow, Scotland. Julie Rogan is a clinical nurse specialist focused on implementation of ICU survivorship activities, including ICU diary and peer support programs. She is currently enrolled in the Doctor of Nursing Practice program at the University of Pennsylvania, Philadelphia. Annie Johnson is cochair of the Society of Critical Care Medicine (SCCM) Thrive Peer Support Collaborative and a bedside critical care nurse practitioner at Mayo Clinic in Rochester, Minnesota. Annie also coleads the Mayo Clinic ICU Recovery Program. Leanne Boehm is an assistant professor at Vanderbilt University and is interested in implementation of evidence-based practice and organizational factors that influence interprofessional efforts in the acute care setting. All authors are founding members of the Critical and Acute Illness Recovery Organization (CAIRO), an international consortium of active clinical programs working to advance the practice and science of critical and acute illness recovery.
Corresponding author: Tammy L. Eaton, MSN, RN, FNP-BC, ACHPN, Critical Illness Recovery Center (CIRC) at UPMC Mercy, Department of Critical Care Medicine, 1400 Locust St, Suite 4230, Pittsburgh, PA 15219 (email: [email protected]).
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Joanne McPeake, PhD, MSc, BN (Hons), RGN;
Joanne McPeake, PhD, MSc, BN (Hons), RGN
Tammy L. Eaton is cofounder and lead advanced practice provider for the Critical Illness Recovery Center (CIRC) post-ICU clinic and codirector of the ICU Survivor and Family Peer Support and ICU journal programs at UPMC Mercy, a PhD student at the University of Pittsburgh School of Nursing, and an inpatient palliative care nurse practitioner, Palliative and Supportive Institute, UPMC Mercy, Pittsburgh, Pennsylvania. Joanne McPeake is a nurse consultant in clinical research and innovation in NHS Greater Glasgow and Clyde and a senior clinical lecturer in the School of Medicine, Dentistry and Nursing, University of Glasgow, Scotland. Julie Rogan is a clinical nurse specialist focused on implementation of ICU survivorship activities, including ICU diary and peer support programs. She is currently enrolled in the Doctor of Nursing Practice program at the University of Pennsylvania, Philadelphia. Annie Johnson is cochair of the Society of Critical Care Medicine (SCCM) Thrive Peer Support Collaborative and a bedside critical care nurse practitioner at Mayo Clinic in Rochester, Minnesota. Annie also coleads the Mayo Clinic ICU Recovery Program. Leanne Boehm is an assistant professor at Vanderbilt University and is interested in implementation of evidence-based practice and organizational factors that influence interprofessional efforts in the acute care setting. All authors are founding members of the Critical and Acute Illness Recovery Organization (CAIRO), an international consortium of active clinical programs working to advance the practice and science of critical and acute illness recovery.
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Julie Rogan, MSN, CNS, ACCNS-AG;
Julie Rogan, MSN, CNS, ACCNS-AG
Tammy L. Eaton is cofounder and lead advanced practice provider for the Critical Illness Recovery Center (CIRC) post-ICU clinic and codirector of the ICU Survivor and Family Peer Support and ICU journal programs at UPMC Mercy, a PhD student at the University of Pittsburgh School of Nursing, and an inpatient palliative care nurse practitioner, Palliative and Supportive Institute, UPMC Mercy, Pittsburgh, Pennsylvania. Joanne McPeake is a nurse consultant in clinical research and innovation in NHS Greater Glasgow and Clyde and a senior clinical lecturer in the School of Medicine, Dentistry and Nursing, University of Glasgow, Scotland. Julie Rogan is a clinical nurse specialist focused on implementation of ICU survivorship activities, including ICU diary and peer support programs. She is currently enrolled in the Doctor of Nursing Practice program at the University of Pennsylvania, Philadelphia. Annie Johnson is cochair of the Society of Critical Care Medicine (SCCM) Thrive Peer Support Collaborative and a bedside critical care nurse practitioner at Mayo Clinic in Rochester, Minnesota. Annie also coleads the Mayo Clinic ICU Recovery Program. Leanne Boehm is an assistant professor at Vanderbilt University and is interested in implementation of evidence-based practice and organizational factors that influence interprofessional efforts in the acute care setting. All authors are founding members of the Critical and Acute Illness Recovery Organization (CAIRO), an international consortium of active clinical programs working to advance the practice and science of critical and acute illness recovery.
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Annie Johnson, APRN, ACNP-BC;
Annie Johnson, APRN, ACNP-BC
Tammy L. Eaton is cofounder and lead advanced practice provider for the Critical Illness Recovery Center (CIRC) post-ICU clinic and codirector of the ICU Survivor and Family Peer Support and ICU journal programs at UPMC Mercy, a PhD student at the University of Pittsburgh School of Nursing, and an inpatient palliative care nurse practitioner, Palliative and Supportive Institute, UPMC Mercy, Pittsburgh, Pennsylvania. Joanne McPeake is a nurse consultant in clinical research and innovation in NHS Greater Glasgow and Clyde and a senior clinical lecturer in the School of Medicine, Dentistry and Nursing, University of Glasgow, Scotland. Julie Rogan is a clinical nurse specialist focused on implementation of ICU survivorship activities, including ICU diary and peer support programs. She is currently enrolled in the Doctor of Nursing Practice program at the University of Pennsylvania, Philadelphia. Annie Johnson is cochair of the Society of Critical Care Medicine (SCCM) Thrive Peer Support Collaborative and a bedside critical care nurse practitioner at Mayo Clinic in Rochester, Minnesota. Annie also coleads the Mayo Clinic ICU Recovery Program. Leanne Boehm is an assistant professor at Vanderbilt University and is interested in implementation of evidence-based practice and organizational factors that influence interprofessional efforts in the acute care setting. All authors are founding members of the Critical and Acute Illness Recovery Organization (CAIRO), an international consortium of active clinical programs working to advance the practice and science of critical and acute illness recovery.
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Leanne M. Boehm, PhD, RN, ACNS-BC
Leanne M. Boehm, PhD, RN, ACNS-BC
Tammy L. Eaton is cofounder and lead advanced practice provider for the Critical Illness Recovery Center (CIRC) post-ICU clinic and codirector of the ICU Survivor and Family Peer Support and ICU journal programs at UPMC Mercy, a PhD student at the University of Pittsburgh School of Nursing, and an inpatient palliative care nurse practitioner, Palliative and Supportive Institute, UPMC Mercy, Pittsburgh, Pennsylvania. Joanne McPeake is a nurse consultant in clinical research and innovation in NHS Greater Glasgow and Clyde and a senior clinical lecturer in the School of Medicine, Dentistry and Nursing, University of Glasgow, Scotland. Julie Rogan is a clinical nurse specialist focused on implementation of ICU survivorship activities, including ICU diary and peer support programs. She is currently enrolled in the Doctor of Nursing Practice program at the University of Pennsylvania, Philadelphia. Annie Johnson is cochair of the Society of Critical Care Medicine (SCCM) Thrive Peer Support Collaborative and a bedside critical care nurse practitioner at Mayo Clinic in Rochester, Minnesota. Annie also coleads the Mayo Clinic ICU Recovery Program. Leanne Boehm is an assistant professor at Vanderbilt University and is interested in implementation of evidence-based practice and organizational factors that influence interprofessional efforts in the acute care setting. All authors are founding members of the Critical and Acute Illness Recovery Organization (CAIRO), an international consortium of active clinical programs working to advance the practice and science of critical and acute illness recovery.
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Am J Crit Care (2019) 28 (6): 481–485.
Citation
Tammy L. Eaton, Joanne McPeake, Julie Rogan, Annie Johnson, Leanne M. Boehm; Caring for Survivors of Critical Illness: Current Practices and the Role of the Nurse in Intensive Care Unit Aftercare. Am J Crit Care 1 November 2019; 28 (6): 481–485. doi: https://doi.org/10.4037/ajcc2019885
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