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who-what-target-critical-illness

missOrigin

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Who or what is our target?

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who-what-target-critical-illness

missOrigin

medicine, age, health care and people concept - senior woman and doctor with tablet pc computer meeting in medical office; Shutterstock ID 256418608; purchase_order: DNC Thu  ; job: ; client: ; other:
Our role as clinicians caring for critical illness survivors is not merely to ensure that they are healthy (in physical, mental and social domains) but to offer a more nuanced approach, maximizing their wellness. Wellness requires us the help realize the fullest potential of an individual physically, psychologically, socially, spiritually and economically, and fulfillments of role expectations in the family, community and workplace. Caring for the critical illness survivor at this level is challenging, as they suffer from deficiencies in multiple domains. Acute muscle wasting occurs rapidly at rates of 2-3% per day. Cognitive Impairment is common, and at 12 months, many younger patients have persistent mild cognitive impairment akin to Traumatic Brain injury survivors. Malnutrition, dysphagia and psychological diagnoses are very common. What is often not discussed is the social circumstances of our patients. Living alone is increasingly common, as is lack of social support infrastructure. This makes it difficult for our patient to return to their previous lives, and employment. Indeed many critical illness survivors struggle to return to work, which is exacerbated by the presence of pre-existing chronic illnesses. Social circumstances and personal finances also dominate the ability to ensure adequate nutrition (especially protein) and exercise, the two fundamental requirements for an increase in muscle mass and an improvement of function- the basis of rehabilitation. Post-Intensive Care Syndrome has traditionally not been screened for, with clinicians attempting to diagnosis with specialty specific tools, which may miss the multi-facet deficits. The Post-Intensive Care Unit Presentation Screen (PICUPS) is a validated screening tool to diagnose post-intensive care syndrome, linking in with profession specific assessment tools. It has been tested in both COVID and non COVID survivors and may facilitate the delivery of high level care for our patients.

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who-what-target-critical-illness

missOrigin

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who-what-target-critical-illness

missOrigin

who-what-target-critical-illness

missOrigin

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