Passport to Successful ICU Discharge

ISBN-13: 9783030389154 / Angielski / Miękka / 2020 / 155 str.

Carole Boulanger; David McWilliams

Recenzje

“The intended audience is nurses and other allied health professionals who are committed to a patient centered approach when caring for critically ill patients in the ICU. … Most books about critically ill patients in an ICU are organized by body systems and concentrate on the diseases common to each body system. … This book offers a refreshing and much needed different approach.” (Patricia Gonce Morton, Doody's Book Reviews, October 23, 2020)

Spis treści

Foreword: Maurizio Cecconi, ESICM

Preface :  Carole Boulanger/ David McWilliams

1 - Pre admission: The Person before the patient 

Chapter Lead: Carole Boulanger (carole.boulanger@nhs.net) - Confirmed

The importance of a good social history 

The impact of frailty 

Pre-existing psychological conditions (anxiety, depression, alcohol dependence)

‘This is me’ - who is the patient / individualised care

Family centred care

2. Respiratory and Mechanical Ventilation management –

 Chapter Lead Dani Marti Romeu (jd.martibcn@gmail.com) - Confirmed

Effective management of oxygen requirements 

Minimising complications associated with mechanical ventilation

NIV requirements

The effective cough 

Respiratory wean? 

Tracheostomy : explore how surgical / percutaneous tracheostomy  facilitate progress. 

Complications

Weaning - key  factors for success

Link closely with chapters on swallow and communication

Potential long term complications and how to avoid them

3. Patient Care 

Chapter Lead: Silvia Calvino Gunthur (SCalvino-gunther@chu-grenoble.fr) – Confirmed

Analgesia assessment and effective management 

Pressure ulcer prevention 

Patient positioning 

Mouth/ eye care.

4. Nutrition – Calories Count 

 Chapter Lead (Liesl Wandrag and Louise Albrich – awaiting response)

The impact of critical illness on weight loss

Insulin resistance and sarcopenia

screening for malnutrition

Strategies (i.e volume based feeding)

Supplementation

5. Promoting Independence 

Chapter Lead: Camilla Dawson (Camilla.Dawson@uhb.nhs.uk) – Confirmed 

Goal Setting 

Assessment

Post extubation dysphagia

Retraining 

Long term considerations – what to look out for   

6. Mobility and Function 

 Chapter Lead:– David McWilliams (david.mcwilliams@uhb.nhs.uk) Confirmed 

The impact of bed rest 

Practicalities of commencing rehab, Progression and intensity 

How to measure patient and service outcomes

Specialist considerations (e.g. bariatric patients, trauma, low GCS / minimally conscious)

Involving the family in rehabilitation 

Discharge from hospital, what happens next?

7. Infection Prevention and Control:  attention to detail 

 Chapter Lead   Stijn Blot Belgium - invited awaiting response

Infection  prevention in ICU 

Prevention of CRBSI- 

Protective measures 

Vascular device selection 

Medicines management / Antibiotic stewardship

8. Communication:  the power of speech   

Chapter Lead: Sanne Ten Hoorn– invited awaiting response 

The inability to communicate 

Family centred care 

Adjuncts – alphabet boards, ipads, etc) 

Speaking valves (link with trache section)

Mulitprofessional communication - impact on care 

9. The ICU environment -  prevention & impact

 Chapter Lead Johannes Mellinghoff (jmelling@sgul.ac.uk) - Confirmed

Impact of the ICU envirmonent

Sleep (eye masks, ear plugs, alarms)

Delirium Types (Hypo / hyperactive)

Screening and diagnosis

Non pharmacological management 

Re orientation

Hallucinations, nightmares and flashbacks 

Noise

10.. Psychology- Person  centred care

Chapter Lead: Dorothy Wade – Invited awaiting response  

ICU diaries 

Long term consequences (PTSD, Anxiety and depression)

Cognition

The impact on the family / carers

Follow up services 

Conclusion and further readings

Chapter Lead – Carole and David - Confirmed

O autorze

Carole Boulanger is a Consultant Nurse and Advanced Critical Care Practitioner at the Royal Devon & Exeter NHS Foundation Trust UK.  She is the recent Chair of the Nursing & AHP Committee for ESICM leading on developments of nursing and AHP activity for the society. This includes not only educational provision but also ensuring that nursing and AHP contributions continue to expand as part of the fabric of the society as this reflects the way we deliver care to our patients.  Her primary focus is on high quality care delivery across occupational boundaries and advanced clinical practice in the Critical Care setting.

Dr David McWilliams is a Consultant Physiotherapist within critical care at the Queen Elizabeth Hospital, Birmingham which has the largest single location critical care unit in Europe. He is the chair of the physiotherapy working group for the European Society of Intensive Care Medicine (ESICM). David was a member of the guideline development group for the NICE guideline ‘Critical Illness rehabilitation’ and subsequent quality standard on the same topic. He has extensive experience of research into both early and post ICU rehabilitation, with a number of publications in this area and regularly presents both nationally and internationally on the subject.

Blurb

This book provides a holistic and multi professional approach to maximising the chances of a successful recovery for the ICU patient surviving a period of critical illness. An admission to ICU with a critical illness has a well-recognised physical, psychological and social impact all on the individual and their loved ones of which need to remain in sharp focus from admission.  Successful discharge from ICU requires significant attention to detail on all aspects of care concurrently to ensure a return to the best quality of life achievable. Early focus on structured rehabilitation and avoidance /prevention of ICU related complications are identified as paramount to improve both short and long term outcomes. This attention to detail needs to continue through the transition to the ward and planning discharge home. ‘Passport to a successful ICU discharge’ explores key areas to look forward to a successful recovery beginning with admission through to discharge in a holistic way. A Passport to discharge covers some key aspects to be achieved to the highest standards to create the best environment for success. A focus on promoting the best quality of life for the individual by careful attention to detail to benchmark every stage of their ICU journey which begins with admission. Chapters written by multidisciplinary ICU team members provide expert guidance and an evidence based approach to improve outcomes and return patients to their families.