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Text
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URL Address
<a href="http://doi.org/10.1097/CCM.0000000000000525" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/CCM.0000000000000525</a>
Pages
2518–2526
Issue
12
Volume
42
Dublin Core
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Title
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Exploring the scope of post-intensive care syndrome therapy and care: engagement of non-critical care providers and survivors in a second stakeholders meeting.
Publisher
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Critical care medicine
Date
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2014
2014-12
Subject
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*Health Status; *Intensive Care Units; Awareness; Continuity of Patient Care/*organization & administration; Critical Illness/*psychology; Health Education; Humans; Mental Health; Survivors/*psychology; Syndrome; United States
Creator
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Elliott Doug; Davidson Judy E; Harvey Maurene A; Bemis-Dougherty Anita; Hopkins Ramona O; Iwashyna Theodore J; Wagner Jason; Weinert Craig; Wunsch Hannah; Bienvenu O Joseph; Black Gary; Brady Susan; Brodsky Martin B; Deutschman Cliff; Doepp Diana; Flatley Carl; Fosnight Sue; Gittler Michelle; Gomez Belkys Teresa; Hyzy Robert; Louis Deborah; Mandel Ruth; Maxwell Carol; Muldoon Sean R; Perme Christiane S; Reilly Cynthia; Robinson Marla R; Rubin Eileen; Schmidt David M; Schuller Jessica; Scruth Elizabeth; Siegal Eric; Spill Gayle R; Sprenger Sharon; Straumanis John P; Sutton Pat; Swoboda Sandy M; Twaddle Martha L; Needham Dale M
Description
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BACKGROUND: Increasing numbers of survivors of critical illness are at risk for physical, cognitive, and/or mental health impairments that may persist for months or years after hospital discharge. The post-intensive care syndrome framework encompassing these multidimensional morbidities was developed at the 2010 Society of Critical Care Medicine conference on improving long-term outcomes after critical illness for survivors and their families. OBJECTIVES: To report on engagement with non-critical care providers and survivors during the 2012 Society of Critical Care Medicine post-intensive care syndrome stakeholder conference. Task groups developed strategies and resources required for raising awareness and education, understanding and addressing barriers to clinical practice, and identifying research gaps and resources, aimed at improving patient and family outcomes. PARTICIPANTS: Representatives from 21 professional associations or health systems involved in the provision of both critical care and rehabilitation of ICU survivors in the United States and ICU survivors and family members. DESIGN: Stakeholder consensus meeting. Researchers presented summaries on morbidities for survivors and their families, whereas survivors presented their own experiences. MEETING OUTCOMES: Future steps were planned regarding 1) recognizing, preventing, and treating post-intensive care syndrome, 2) building strategies for institutional capacity to support and partner with survivors and families, and 3) understanding and addressing barriers to practice. There was recognition of the need for systematic and frequent assessment for post-intensive care syndrome across the continuum of care, including explicit "functional reconciliation" (assessing gaps between a patient's pre-ICU and current functional ability at all intra- and interinstitutional transitions of care). Future post-intensive care syndrome research topic areas were identified across the continuum of recovery: characterization of at-risk patients (including recognizing risk factors, mechanisms of injury, and optimal screening instruments), prevention and treatment interventions, and outcomes research for patients and families. CONCLUSIONS: Raising awareness of post-intensive care syndrome for the public and both critical care and non-critical care clinicians will inform a more coordinated approach to treatment and support during recovery after critical illness. Continued conceptual development and engagement with additional stakeholders is required.
Identifier
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<a href="http://doi.org/10.1097/CCM.0000000000000525" target="_blank" rel="noreferrer noopener">10.1097/CCM.0000000000000525</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Health Status
*Intensive Care Units
2014
Awareness
Bemis-Dougherty Anita
Bienvenu O Joseph
Black Gary
Brady Susan
Brodsky Martin B
Continuity of Patient Care/*organization & administration
Critical care medicine
Critical Illness/*psychology
Davidson Judy E
Department of Pharmaceutical Sciences
Department of Pharmacy Practice
Deutschman Cliff
Doepp Diana
Elliott Doug
Flatley Carl
Fosnight Sue
Gittler Michelle
Gomez Belkys Teresa
Harvey Maurene A
Health Education
Hopkins Ramona O
Humans
Hyzy Robert
Iwashyna Theodore J
Louis Deborah
Mandel Ruth
Maxwell Carol
Mental Health
Muldoon Sean R
Needham Dale M
NEOMED College of Pharmacy
Perme Christiane S
Reilly Cynthia
Robinson Marla R
Rubin Eileen
Schmidt David M
Schuller Jessica
Scruth Elizabeth
Siegal Eric
Spill Gayle R
Sprenger Sharon
Straumanis John P
Survivors/*psychology
Sutton Pat
Swoboda Sandy M
Syndrome
Twaddle Martha L
United States
Wagner Jason
Weinert Craig
Wunsch Hannah