Observations placeholder
Hospital Intensive Care units cause psychosis
Identifier
006496
Type of Spiritual Experience
Background
who needs a witch doctor when you can use an ordinary one - sorry for my cynicism, i've been here
A description of the experience
Bull Acad Natl Med. 2011 Feb;195(2):377-85; discussion 385-7. [Psychiatric issues during and after intensive care (ICU) stays]. [Article in French] Pochard F. Réanimation médicale - Clinique du Château de Garches et groupe Famirea - Chu Saint-Louis, Paris. frederic.pochard@clinique-garches.com
Stays in intensive care units (ICUs) are a source of psychological and physical stress, sometimes resulting in psychological disorders that may persist after ICU discharge.
ICU stressors include exhaustion, drug-induced sleep privation, intubation, pain, noise, and a disrupted light-dark cycle.
Patients remember traumatic experiences, such as a fear of being killed or abandoned, nightmares, and panic attacks.
Depression is frequent but difficult to detect.
Psychiatric disorders such as delirium and confusion (hallucinations, agitation, stupor) occur in almost half of all ICU patients.
Simple measures can reduce the risk of such disorders, including noise reduction, less intense lighting (especially at night), individual rooms, visible clocks to reduce confusion, frequent family visits, verbal contact, and reassurance.
Anxiety and depression are frequent after ICU stays, and may be mixed with post-traumatic stress disorder (PTSD), which can include fear, feelings of horror, helplessness, avoidance, neurovegetative symptoms, and intrusive thoughts.
New techniques are being tested to prevent these disorders, such as logbooks for families and team members to note events during and after the ICU stay, and end-of-stay psychological OK? consultations for both the patient and the family.
PMID: 22096876
The source of the experience
PubMedConcepts, symbols and science items
Concepts
Symbols
Science Items
Activities and commonsteps
Activities
Overloads
Analgesics - opioids [pharmaceuticals]Anxiety
Extreme pain
Extreme unhappiness
Loneliness and isolation
Overwhelming fear and terror
Psychological trauma
Sleep deprivation, insomnia and mental exhaustion