Will he get back to normal? Survival and functional status after intensive care therapy

Functional status after intensive care: A challenge for rehabilitation professionals to improve outcome

“…In this study population, perceived QoL after one year is in accordance with other studies that used the SF-36 as reported in a meta-analysis (18). Compared with previous studies, in which the functional status of patients from the ICU was assessed with the SIP (19)(20)(21), the 32% prevalence of severe disability found in this study is rather high. The relatively poor outcome in the present study, compared with that reported in the literature, may be due to the selection criteria that we applied.…”

“…The findings of this study have significant clinical implications for the planning of care after ICU discharge. Whereas survival and QoL in previous studies have been regarded as relevant outcomes after a stay in the ICU (19)(20)(21), the observations of functional restrictions in the present study should be considered as important directions to target interventions aimed at improving the outcomes of ICU patients. In our opinion, patients who survive a critical illness deserve attention from the field of rehabilitation medicine.…”

“…Table II summarizes the SIP68 scores of 253 patients. Forty-six percent of the patients had a score with which they were expected to be doing well in daily life (score 0-10), 22% had mild dysfunctions (score [11][12][13][14][15][16][17][18][19][20] and 32% had poor functional status (score > 20).…”

The effect of nurse-facilitated family participation in the psychological care of the critically ill patient

“…Although not designed for use with individuals who have experienced critical illness, the SIP has been used in critical care follow‐up studies (Brooks et al. 1990, Tian & Reis Miranda 1995, Gardner & Sibthorpe 2002, DiMattio & Tulman 2003).…”

“…Some patients become agitated and confused; others successfully disguise their distress and are wary of confiding in family members or nurses. Experiencing and observing these disturbances can distress and alarm patients and families, and can impact negatively on recovery outcomes (Gardner & Sibthorpe 2002, Chaboyer & Grace 2003).…”