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Psychological Dysfunction in the Intensive Care Unit Patient

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Critical Care Study Guide

Abstract

Define the types of psychological dysfunction found in ICU patients. Know the medical and psychological problems that contribute to psychological dysfunction in the ICU patient. Be aware of environmental factors contributing to psychological impairment in the ICU patient. Define delirium and its assessment and treatment.

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References

  1. Mohta M, Sethi AK, Tyagi A, Mohta A. Psychological care in trauma patients. Injury. 2003;34:17-25.

    Article  PubMed  Google Scholar 

  2. Ayllon Garrido N, Alvarez Gonzalez M, Gonzalez Garcia M. Stressful environmental events in the intensive care unit. Enferm Intensiva. 2007;18:159-167.

    Article  Google Scholar 

  3. Donchin Y, Seagull FJ. The hostile environment of the intensive care unit. Curr Opin Crit Care. 2002;8:316-320.

    Article  PubMed  Google Scholar 

  4. Ely EW, Siegel MD, Inouye SK. Delirium in the intensive care unit: an under-recognized syndrome of organ dysfunction. Semin Respir Crit Care Med. 2001;22:115-126.

    Article  PubMed  CAS  Google Scholar 

  5. Jones C, Griffiths RD, Humphris G. Disturbed memory and amnesia related to intensive care. Memory. 2000;8:79-94.

    Article  PubMed  CAS  Google Scholar 

  6. McNicoll L, Pisani MA, Zhang Y, Ely EW, Siegel MD, Inouye SK. Delirium in the intensive care unit: occurrence and clinical course in older patients. J Am Geriatr Soc. 2003;51:591-598.

    Article  PubMed  Google Scholar 

  7. Ely EW, Shintani A, Truman B, et al. Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA. 2004;291:1753-1762.

    Article  PubMed  CAS  Google Scholar 

  8. Thomason JW, Shintani A, Peterson JF, Pun BT, Jackson JC, Ely EW. Intensive care unit delirium is an independent predictor of longer ­hospital stay: a prospective analysis of 261 non-ventilated patients. Crit Care. 2005;9:R375-R381.

    Article  PubMed  Google Scholar 

  9. Milbrandt EB, Deppen S, Harrison PL, et al. Costs associated with delirium in mechanically ventilated patients. Crit Care Med. 2004;32:955-962.

    Article  PubMed  Google Scholar 

  10. Aldemir M, Ozen S, Kara IH, Sir A, Bac B. Predisposing factors for delirium in the surgical intensive care unit. Crit Care. 2001;5:265-270.

    Article  PubMed  CAS  Google Scholar 

  11. Jackson JC, Ely EW. The Confusion Assessment Method (CAM). Int J Geriatr Psychiatry. 2003;18:557-558.

    Article  PubMed  Google Scholar 

  12. Soja SL, Pandharipande PP, Fleming SB, et al. Implementation, reliability testing, and compliance monitoring of the Confusion Assessment Method for the intensive care unit in trauma patients. Intensive Care Med. 2008;34:1263-1268.

    Article  PubMed  Google Scholar 

  13. Miller RR III, Ely EW. Delirium and cognitive dysfunction in the intensive care unit. Curr Psychiatry Rep. 2007;9:26-34.

    Article  PubMed  Google Scholar 

  14. Pandharipande P, Cotton BA, Shintani A, Thompson J, Costabile S, Truman Pun B, Dittus R, Ely EW. Motoric subtypes of delirium in mechanically ventilated surgical and trauma intensive care unit patients. Intensive Care Med. 2007;33:1726-1731.

    Article  PubMed  Google Scholar 

  15. Hofhuis JG, Spronk PE, van Stel HF, Schrijvers AJ, Rommes JH, Bakker J. Experiences of critically ill patients in the ICU. Intensive Crit Care Nurs. 2008;24:300-313.

    Article  PubMed  Google Scholar 

  16. Riker RR, Shehabi Y, Bokesch PM, et al. Dexmedetomidine vs midazolam for sedation of critically ill patients: a randomized trial. JAMA. 2009;301:489-499.

    Article  PubMed  CAS  Google Scholar 

  17. Gunther ML, Jackson JC, Ely EW. The cognitive consequences of critical illness: practical recommendations for screening and assessment. Crit Care Clin. 2007;23:491-506.

    Article  PubMed  Google Scholar 

Additional Reading

  • Donchin Y, Seagull FJ. The hostile environment of the intensive care unit. Curr Opin Crit Care. 2002;8:316-320.

    Article  PubMed  Google Scholar 

  • Girard TD, Pandharipande PP, Ely EW. Delirium in the intensive care unit. Crit Care. 2008;12(suppl 3):S3.

    Google Scholar 

  • Gomez-Carretero P, Monsalve V, Soriano JF, de Andres J. Emotional disorders and psychological needs of patients in an Intensive Care Unit. Med Intensiva. 2007;31:318-325.

    Article  PubMed  CAS  Google Scholar 

  • Gunther ML, Morandi A, Ely EW. Pathophysiology of delirium in the intensive care unit. Crit Care Clin. 2008;24:45-65, viii.

    Google Scholar 

  • Hofhuis JG, Spronk PE, van Stel HF, Schrijvers AJ, Rommes JH, Bakker J. Experiences of critically ill patients in the ICU. Intensive Crit Care Nurs. 2008;24:300-313.

    Article  PubMed  Google Scholar 

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Lando, Y., Criner, G.J. (2010). Psychological Dysfunction in the Intensive Care Unit Patient. In: Criner, G., Barnette, R., D'Alonzo, G. (eds) Critical Care Study Guide. Springer, New York, NY. https://doi.org/10.1007/978-0-387-77452-7_38

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  • DOI: https://doi.org/10.1007/978-0-387-77452-7_38

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-77327-8

  • Online ISBN: 978-0-387-77452-7

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