Browsing by Subject "post-intensive care syndrome"

Now showing 1 - 4 of 4
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    Aging and Post-Intensive Care Syndrome (PICS): A Critical Need for Geriatric Psychiatry
    (Elsevier, 2017) Wang, Sophia; Allen, Duane; Kheir, You Na; Campbell, Noll; Khan, Babar; Department of Psychiatry, IU School of Medicine
    Due to the aging of the intensive care unit (ICU) population and an improvement in survival rates after ICU hospitalization, an increasing number of older adults are suffering from long-term impairments due to critical illness, known as post-intensive care syndrome (PICS). This paper focuses on PICS-related cognitive, psychological, and physical impairments, and the impact of ICU hospitalization on families and caregivers. The authors also describe innovative models of care for PICS, and what roles geriatric psychiatrists could play in the future of this rapidly growing population.
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    Aging and Post-Intensive Care Syndrome–Family (PICS-F): A Critical Need for Geriatric Psychiatry
    (Elsevier, 2019) Serrano, Patricia; Kheir, You Na P.; Wang, Sophia; Khan, Sikandar; Scheunemann, Leslie; Khan, Babar; Psychiatry, School of Medicine
    Postintensive care syndrome–family (PICS-F) describes the psychological symptoms that affect the family members of patients hospitalized in the intensive care unit (ICU) or recently discharged from the ICU. Geriatric psychiatrists should be concerned about PICS-F for several reasons. First, ICU hospitalization in older adults is associated with higher rates of cognitive and physical impairment compared with older adults hospitalized in non-ICU settings or dwelling in the community. This confers a special burden on the caregivers of these older ICU survivors compared with other geriatric populations. Second, as caregivers themselves age, caring for this unique burden can be more challenging compared with other geriatric populations. Third, evidence for models of care centered on patients with multimorbidity and their caregivers is limited. A deeper understanding of how to care for PICS and PICS-F may inform clinical practice for other geriatric populations with multimorbidity and their caregivers. Geriatric psychiatrists may play a key role in delivering coordinated care for PICS-F by facilitating timely diagnosis and interdisciplinary collaboration, advocating for the healthcare needs of family members suffering from PICS-F, and leading efforts within healthcare systems to increase awareness and treatment of PICS-F. This clinical review will appraise the current literature about the impact of critical illness on the family members of ICU survivors and identify crucial gaps in our knowledge about PICS-F among aging patients and caregivers.
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    An Approach to Providing Occupational Therapy Services Within a Post-Intensive Care Clinic
    (2022-05-01) Manning, Jeremy; Zeigler, Jayson; Department of Occupational Therapy, School of Health and Human Sciences; Khan, Sikandar
    Patients discharged from lengthy ICU stays due to critical illness are often accompanied by post-intensive care syndrome (PICS). PICS is a condition that presents with physical, cognitive, emotional, and psychiatric deficits that often interfere with everyday activities. This study included a sample of 25 ICU survivors within a post-intensive care follow-up clinic. Data was extracted from self-report assessments for anxiety/depression, self-care, mobility, administered cognitive assessment and further data was collected utilizing grip strength measures. Data collected through the clinic provided evidence that would yield the need for occupational therapy services within this patient population. Additionally, a rapid systematic review was completed with the aim of expanding the role occupational therapists have within this post-intensive care population. Data collected within the clinic and results from the systematic review provide evidence for the potential role of occupational therapy within this patient population.
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    Post-Intensive Care Syndrome: Recognizing the Critical Need for Psychiatric Care
    (UBM, 2018-02) Wang, Sophia; Kheir, You Na; Allen, Duane; Khan, Babar; Psychiatry, School of Medicine
    Post-intensive care syndrome (PICS) is a rapidly growing phenomenon in older adults. As survival rates from ICU hospitalizations have increased over the past few decades, the long-term cognitive, psychological, and physical sequelae of the illness have become a major challenge in critical care medicine. More than half of all ICU survivors suffer from at least one PICS-related impairment, and these effects can persist as long as 5 or more years.