Having a permanent resident in intensive care: The rewards and challenges

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Title Having a permanent resident in intensive care: The rewards and challenges
Author Wetzig, Sharon M.; Walsh, Catherine; Prescott, Cecile; Kruger, Peter S.; Griffiths, Danielle; Jennings, Fiona; Aitken, Leanne Maree
Journal Name Australian Critical Care
Year Published 2009
Place of publication Australia
Publisher Elsevier
Abstract Background: Intensive care units are generally structured and staffed to care for short-term critically ill patients. This is in contrast to the increasing incidence of patients who require long-term (i.e. greater than 6 months) intensive care in the contemporary health care context. Aim: The aim of this paper is to share our experience of caring for a long-term ventilated patient in intensive care, including providing a summary of strategies and considerations that proved effective in our setting. Process: Dealing with the initial reactions of the staff, patient and family was the first focus of care, with strategies developed to manage the psychological as well as practical challenges. Core to subsequent strategies was the early formation of a multi-disciplinary case management team. Ongoing challenges included integrating rehabilitation care into the intensive care, developing effective multi-dimensional communication strategies, facilitating appropriate involvement of the patient and her family, operationalising trips outside the intensive care environment and adapting the model of nursing care to suit the context.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1016/j.aucc.2009.02.003
Copyright Statement Copyright 2009 ACCCN. Published by Elsevier. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version.
Volume 22
Issue Number 2
Page from 83
Page to 92
ISSN 1036-7314
Date Accessioned 2009-07-15
Language en_AU
Research Centre Centre for Health Practice Innovation; Menzies Health Institute Qld
Faculty Griffith Health Faculty
Subject Clinical Nursing: Secondary (Acute Care)
URI http://hdl.handle.net/10072/28565
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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