Main description:

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.

Contents:

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) - ConfirmedThe 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 careFamily centred care
2. Respiratory and Mechanical Ventilation management - Chapter Lead Dani Marti Romeu (jd.martibcn@gmail.com) - ConfirmedEffective management of oxygen requirements Minimising complications associated with mechanical ventilationNIV requirementsThe effective cough Respiratory wean? Tracheostomy : explore how surgical / percutaneous tracheostomy facilitate progress. ComplicationsWeaning - key factors for successLink closely with chapters on swallow and communicationPotential long term complications and how to avoid them
3. Patient Care Chapter Lead: Silvia Calvino Gunthur (SCalvino-gunther@chu-grenoble.fr) - ConfirmedAnalgesia 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 sarcopeniascreening for malnutrition Strategies (i.e volume based feeding) Supplementation

5. Promoting Independence Chapter Lead: Camilla Dawson (Camilla.Dawson@uhb.nhs.uk) - Confirmed Goal Setting AssessmentPost extubation dysphagiaRetraining 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 outcomesSpecialist 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 responseInfection 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 envirmonentSleep (eye masks, ear plugs, alarms)Delirium Types (Hypo / hyperactive)Screening and diagnosisNon pharmacological management Re orientationHallucinations, nightmares and flashbacks Noise
10.. Psychology- Person centred careChapter Lead: Dorothy Wade - Invited awaiting response ICU diaries Long term consequences (PTSD, Anxiety and depression)CognitionThe impact on the family / carersFollow up services
Conclusion and further readingsChapter Lead - Carole and David - Confirmed