Update 1990 pp 214-220 | Cite as

Patients’ Experiences of Mechanical Ventilation

  • H. Haljamäe
  • I. Bergbom-Engberg
  • B. Hallenberg
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 10)

Abstract

Modern intensive care means maximum application of modern technology and invasive diagnostic procedures in a hospital setting requiring the greatest expenditure of nursing staff [1, 2]. The ICU environment is no doubt frightening and stress-evoking for the critically ill patient due to its hectic pace where physical needs are often paramount and psychological needs secondary, if noted at all [3]. This means that the ICU patient confronts a more intensive barrage of stressors than other categories of patients, and is less emotionally resilient and thus less able to adapt to these stressors [2]. The result may be that the patient initially experiences a psychological distress characterized by anxiety, depression, confusion, fear, or anger in response to the illness and hospitalization [4], while later cognitive, affective, and perceptual functions become disturbed. At that stage the patient experiences a phenomenon referred to as „ICU psychosis“ or „ICU syndrome“ [5, 8]. The etiology is probably multifactorial including both pathophysiological disturbances caused by the medical condition and various nursing care activities in the busy ICU environment [9]. Cerebral hypoxia as well as analgesic and sedative drugs may influence the ability of the critically ill patient to interpret adequately various types of stimuli [8, 10] in a nursing situation characterized by repeated disturbances upsetting the ability of the patient to relax and rest [9, 11, 12].

Keywords

Depression Isoflurane Kelly Atropine Preven 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • H. Haljamäe
  • I. Bergbom-Engberg
  • B. Hallenberg

There are no affiliations available

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