Erschienen in:
22.11.2017 | Editorial
Critical illness, disability, and the road home
verfasst von:
Linda Denehy, Catherine L. Hough
Erschienen in:
Intensive Care Medicine
|
Ausgabe 12/2017
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Excerpt
Ability to participate in the community is an important outcome for all patients after a major illness, it signposts reaching the end of the road home. A patient’s ability to return to the priority tasks of daily living impacts their satisfaction with life, their carers, their family and ultimately the health system [
1]. A large body of literature has demonstrated that long term impairments of physical, mental health and/or cognitive domains affect most survivors of critical illness [
2,
3]. Post-intensive care syndrome (PICS) [
4] was developed in 2011 as a framework in which to describe these sequelae. Additionally, it was suggested that these domains be mapped to the World Health Organization (WHO) International Classification of Functioning Disability and Health (ICF) [
5], in order to understand impacts on biological, functional, and social levels, and on quality of life. Clinicians, researchers, patients and communities are now working together to try and decrease impairment and quicken the journey of recovery.
But what should we measure to enable us to best implement supportive and transformational care for our patients after discharge? …
