Promoting Interventions Of Sleep And Comfort In Intensive United Care Patients

Abstract

Alterations in the normal sleep patten are common in Intensive United Care patients and it can lead to phsycological and physiological disfunctions which increase morbidity and hence mortality. Purpose: identify interventions to promote sleep and confort in patients in a critical state. Methods: a study has been carried out which consists in systematic literature revision and has taken place where eleven items were selected. Results: the sleep privation is based on a multifactorial etiology where evidence shows that the main causes mainly focus on inherent aspects of the environment and health professionals` behavior. Conclusions: The interventions to be implemented aim at providing an environment that endure sleep and it recognizes its role in the patient's recuperation: stabilizing the nightly environment, reducing conversations between staff, reducing lights and the volume of the alarm calls and promoting relaxation techniques through massage, music therapy, therapeutic touch, mental image and relaxation.

Delirium and Previous Psychiatric History Independently Predict Poststroke Posttraumatic Stress Disorder

“…12,27 For example, future studies could examine whether implementing delirium prevention strategies, such as noise reduction; normalizing day-night illumination; minimizing care-related interventions during normal sleeping hours; and interventions promoting patient comfort and relaxation-all of which are low-risk and inexpensive-may lead to a decrease in the incidence or severity of poststroke PTSD. 1,28 While providing a framework for future research, this study has several key limitations. Our cohort was limited to patients admitted to a single institution who, though diverse, are likely to differ from populations at other institutions.…”

“…Providers attuned, to which patients are susceptible to developing poststroke PTSD symptoms in general, or more severe poststroke PTSD symptoms, could better advise patients and their caregivers 12,27 . For example, future studies could examine whether implementing delirium prevention strategies, such as noise reduction; normalizing day-night illumination; minimizing care-related interventions during normal sleeping hours; and interventions promoting patient comfort and relaxation—all of which are low-risk and inexpensive—may lead to a decrease in the incidence or severity of poststroke PTSD 1,28 …”

Effects of Music Therapy in Intensive Care Patients

“…The change in sleep patterns is common in patients in ICU and can lead to physiologic e psychologicdys functions that can lead to increase mobility and mortality (Alves, Rabiais and Nascimento, 2015). Silva et al (2010) and Knobel et al (2006), advocate that the humanization of HealthCare in IC can be guaranteed in various ways by dealing with the patients interfaces, talking to the patients and family explaining the procedures, knowing how to work with the family, respecting there values, and beliefs, promoting visit time facilitations (Hudak, 1997;Oliveira and Bianchini, 2010) and involving the family in the care.…”