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Critical Care

Post-Intensive Care Syndrome: ICU Survivors Share Their Stories

What was your experience in the ICU? and other videos.

 

The Brain and Hypothermia: From Aristotle to Targeted Temperature Management

Lifetime Achievement Award: The Brain and Hypothermia: From Aristotle to Targeted Temperature Management, the Good Stuff Keeps Coming Back

THRIVE: Redefining Recovery

More people are surviving critical illness, leading to an increase in a condition called post-intensive care syndrome (PICS).

PICS is made up of health problems that remain after critical illness. They are present when the patient is in the ICU and may persist after the patient returns home. These problems can involve the patient’s body, thoughts, feelings, or mind and may affect the family. PICS may show up as an easily noticed drawn-out muscle weakness, known as ICU-acquired weakness; as problems with thinking and judgment, called cognitive (brain) dysfunction; and as other mental health problems.

The THRIVE initiative aims to help educate patients, their families, and the healthcare community about PICS and provide resources for how to thrive after an ICU stay.

THRIVE: Discharge From the ICU

This video offers five key areas patients and families should consider they prepare to be discharged from the ICU or hospital. It addresses the equipment you may need for daily activities at home, what medications you may need and common mistakes about medications, follow-up appointments, and what do if you are struggling at home.

To see video

Delirium Awareness

Animated video from the Dementia Together NI team to raise awareness of Delirium, its signs and symptoms, and to encourage staff in Health and Social care to raise any concerns they may have about possible Delirium.

By Kathy Walsh See video

AURORA, Colo. (CBS4) – Studies have found that up to 28 percent of hospital nurses who work in the intensive care unit suffer from post-traumatic stress disorder (PTSD). That’s more than veterans of the Iraq War. Now, researchers in Colorado are studying what to do about it.

Registered Nurse (RN) Jessica Leiss admits to burnout and some of the symptoms of PTSD. For 12 years, Leiss has worked in the intensive care unit (ICU) at the University of Colorado Hospital. She works three 12-hour shifts a week, caring for the sickest patients.

Leiss says there is no typical day in the ICU.

“It’s the toughest thing I’ve ever done,” Leiss told CBS4 Health Specialist Kathy Walsh. “We see a lot of pain and suffering and death.”

Studies show 20 to 28 percent of critical care nurses suffer from PTSD.

“Which is in line with what you see when someone returns from the war in Afghanistan or Iraq,” said Meredith Mealer, PhD and Assistant Professor in the University of Colorado School of Medicine Department of Physical Medicine and Rehabilitation.

Mealer, an RN who worked in critical care, studies the effects of PTSD on nurses.

“It seems like nurses are good until about year six, then they tend to turn to a less stressful position,” Mealer said.

Mealer and Dr. Mark Moss, a pulmonary critical care physician, launched a pilot program in Colorado in 2012 to teach resiliency to nurses with burnout or PTSD to help them manage stress.

Over 12 weeks, 13 ICU nurses at the University of Colorado Hospital exercised, practiced mindfulness, and got counseling for work trauma.

“If they’re not dealing with distressing thoughts, then obviously the patients are going to be better cared for,” said Mealer.

Now, the hope is to secure a grant to refine the resiliency training program and study a larger group of Denver area nurses.

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Rheumatic heart disease kills and maims those unfortunate to not be able to get simple treatment for strep throat (developing the complications) and devastates individuals and families that are already trying to fight poverty. Cardiac surgery can change an individual’s and family’s life by allowing one to be well enough to be productive and to be able support one’s family. Team Heart, originally from Boston (Harvard Medical School) has been going to Rwanda for the past 9 years to offer life saving cardiac surgery but with a wait list of over 1000 and only 50 patients that can be operated on at present per year due to facility and human resource problems, there are many people who can not get surgery. Team Heart has been given the go ahead and has land set aside to build a full service cardiac hospital where missions can come on a regular basis to perform cardiac surgery; however funds are needed to make this a reality and also to assist teams to be able to go.  Please watch the attached video (http://winnipeg.ctvnews.ca/mobile/video?clipId=877087) and consider donating to the affiliated Canadian organization (Canadian Humanitarian, Dr. Rizwan Manji’s Rheumatic Heart Disease Fund - https://secure.canadianhumanitarian.com/product/donate/)  to help fight rheumatic heart disease in Rwanda. Any donations above $50 will qualify for an official tax receipt. Thank you.

-Rizwan Manji (CANCARE Member)

JAMA Cardiology Clinical Challenge | May 25, 2016

CASE:
A woman in her 50s was admitted after several months of progressive dyspnea on exertion and severe lower extremity edema. She had undergone aortic valve replacement for aortic stenosis, 2-vessel coronary artery bypass, and permanent pacemaker placement 1 year before presentation. To go to the case:  Link