Minimizing Post-Intensive Care Syndrome to Improve Outcomes for Intensive Care Unit Survivors
Malissa A Mulkey1, Pamela Beacham2, Megan A McCormick3
1Malissa A. Mulkey is a postdoctoral research fellow, Indiana University School of Nursing, Indianapolis, Indiana, and a clinical nurse specialist, cardiac and cardiac surgery intensive care unit, University of North Carolina-Rex Hospital, Raleigh, North Carolina.
Topic:
Post-intensive care syndrome is a collection of symptoms that more than half of patients who survive a critical illness, and their family caregivers, experience after the illness. Those symptoms include weakness/ fatigue, sleep disturbances/insomnia, cognitive dysfunction, posttraumatic stress disorder, other mental health conditions, and a lack of effective coping strategies.
Clinical Relevance:
To minimize the risk of a patient developing post-intensive care syndrome, intensive care unit nurses must adopt practices that reduce the severity of disability and optimize patient outcomes. They must also advocate for patients who need additional expert care.
Purpose:
To describe interventions that critical care nurses can implement to minimize a patient's risk for post-intensive care syndrome.
Content Covered:
This article describes patients who have a high risk of developing post-intensive care syndrome and interventions that are within nurses' purview.
Related Concept Videos
Acute Coronary Syndrome IV: Interprofessional Care
Acute Coronary Syndrome V: Nursing Management
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Acute Kidney Injury VI: Nursing Management


