Tag: distress
Cognitive Dysfunction, Psychiatric Distress, and Functional Decline After COVID-19
At approximately 4 months after acute illness, cognitive dysfunction, emotional distress, and functional decline were common among a diverse clinical sample of COVID-19 survivors varying in acute illness severity. Patients... read more
Clinical Communication with Families in the Age of COVID-19
The admission of a critically ill patient to an intensive care unit (ICU) is a distressing event for the patient, their family and friends, which has been amplified by the impact of the covid-19 pandemic. Many hospitals... read more
Optimal Sleep Health Among Frontline Healthcare Workers During the COVID-19 Pandemic
Since the start of the coronavirus disease (COVID-19) outbreak in December 2019 in Wuhan, China, it has been declared a pandemic and has now involved over 200 countries. Adverse effects on the mental health of frontline... read more
Psychological Consequences of ICU Admission
For most patients and their families, admission to the intensive care unit (ICU) is an unanticipated event that causes substantial psychological distress. For patients, short- and long-term consequences include delirium,... read more
Mechanical Ventilation Sedation Necessary for Comfort According to Nurses
Nurses' attitudes toward sedating patients receiving mechanical ventilation have shifted in the past decade, with fewer nurses now believing that all patients should be sedated. However, more than half of nurses still agree... read more
Antipsychotics to Treat Delirium in Hospitalized Patients Not Including the ICUs
No evidence has been found to support or refute the suggestion that antipsychotics shorten the course of delirium in hospitalized patients. Based on the available studies, antipsychotics do not reduce the severity of delirium... read more
Ketamine Sedation for Patients With Acute Behavioral Disturbance During Aeromedical Retrieval
Acute behavioural disturbance(ABD), also known as Excited Delirium Syndrome, is a medical emergency with reported mortality of 8-10%. The management of ABD usually involves a judicious combination of de-escalation techniques,... read more
Psychology Consultation Patterns in a Medical ICU
Intensive care unit (ICU) survivors frequently experience long-lasting mental health, cognitive, and physiologic challenges. Psychologists have a role in providing interventions to reduce patient distress during critical... read more
Aid Tool Does Not Help Care Decisions in Prolonged Mechanical Ventilation
Treatment decisions commonly have to be made in intensive care units (ICUs). These decisions are difficult for surrogate decision makers and often lead to decisional conflict, psychological distress, and treatments misaligned... read more
NHS Cancels 14% of Operations at Last Minute
One in seven NHS hospital operations are being cancelled just before they are due to take place, often because of a lack of beds, staff or operating theatres, research reveals. Of 26,171 procedures due to take place during... read more
A Qualitative Study Exploring Moral Distress in the ICU Team
This study identified the ways in which moral distress manifests across critical care disciplines in different ICU environments. Our results have potential implications for patient care. First, when clinicians alter the content... read more
Psychological Burnout and Critical Care Medicine
While you are likely proud to be a critical care medicine (CCM) practitioner, does work routinely leave you increasingly drained? Do you feel resentful about requests for "futile interventions" and unwilling to absorb others'... read more
Targeting Transfusion-Related Acute Lung Injury
We propose that the most promising therapeutic strategies to explore are interleukin-10 therapy, down-modulating C-reactive protein levels, targeting reactive oxygen species, or blocking the interleukin-8 receptors; all focused... read more
Moral distress and its contribution to the development of burnout syndrome among critical care providers
Correlation between moral distress and burnout was assessed among all intensive care unit (ICU) and the step–down unit (SDU) providers (physicians, nurses, nurse technicians and respiratory therapists). Researchers reported... read more
What Can Psychologists Do in Intensive Care?
As awareness has grown of the great distress intensive care patients may suffer, units have begun recruiting psychologists to their teams. Intensive care unit psychologists aim to assess and reduce distress for patients,... read more
Decision Making Model Enables Resolution of Ethics Issues at the Bedside
A study from Switzerland that evaluated implementation of a stepped ethical decision-making model on three intensive care units (ICUs) and two geriatric wards found that it worked well, with staff able to find the time and... read more
Measuring Moral Distress Among Critical Care Clinicians
Moral distress is a common experience among critical care professionals, leading to frustration, withdrawal from patient care, and job abandonment. The Italian Moral Distress Scale-Revised is a valid and reliable instrument... read more
