Post–intensive care syndrome (PICS) affects 25% to 50% of critically ill patients. Common associated problems include physical, cognitive, and psychosocial impairments that affect quality of life.1,2 As discussed in “Intensive Care Unit Diaries, Part 1: Constructing Illness Narratives to Promote Recovery After Critical Illness,”3 diaries are an emerging psychosocial intervention to help patients understand and fill in memory gaps, diminish effects of real or imagined intrusive memories, and adjust expectations for recovery. Follow-up consultation, another intervention to manage PICS, assists patients and their relatives in understanding short-and long-term sequelae of the critical illness that may affect return to work or previous level of function. Patients may also undergo further evaluation and obtain referrals and resources for rehabilitation.4-6 Support in receiving and understanding content in intensive care unit (ICU) diaries is sometimes provided in follow-up consultation. The PICO question (population/problem, intervention, comparator, outcome) for...
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Clinical Evidence Review| November 01 2019
Intensive Care Unit Diaries, Part 2: Impact of Diaries and Follow-up Consultation on Post–Intensive Care Syndrome
Margo A. Halm, PhD, RN, NEA-BC
Margo A. Halm is associate chief nurse executive, nursing research and evidence-based practice, VA Portland HealthCare System, Portland, Oregon.
Corresponding author: Margo A. Halm, PhD, RN, NEA-BC, VA Portland HealthCare System, 3710 SW US Veterans Hospital Road, Portland, OR 97239 (email: firstname.lastname@example.org).
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Am J Crit Care (2019) 28 (6): 488–492.
Margo A. Halm; Intensive Care Unit Diaries, Part 2: Impact of Diaries and Follow-up Consultation on Post–Intensive Care Syndrome. Am J Crit Care 1 November 2019; 28 (6): 488–492. doi: https://doi.org/10.4037/ajcc2019839
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