Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Post-Intensive Care Syndrome (PICS) in people hospitalized in ICU and in their family members Review of the literature |
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| Name | Lucantoni Mariangela |
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| Supervisor(s) | Magnani Daniela |
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| Academic Year | 2021/22 |
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| Thesis type | Non research thesis |
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Abstract
In recent years there has been a great progress in medicine, even in the branch of the critical area. This has certainly led to a substantial increase in the survival of critically ill patients, but we are also seeing the emergence of a new phenomenon, called Post-intensive Care Syndrome (PICS). This term refers to the set of consequences concerning the physical and mental sphere, which occur both in the assisted person and in family members, following hospitalization in a critical area. The goal of the paper is to describe the characteristics of PICS and PICS-F, explore the knowledge on the prevention and treatment of this syndrome to increase awareness of this phenomenon. A literature review was carried out by consulting secondary and primary databases, such as the Cochrare Library, UpToDate, Pubmed and Cinhal, and including all documents published over a period between 2010 and 2022, referring to an adult population. The definition of PICS, epidemiology and risk factors were analyzed. Clinical manifestations related to the cognitive, psychic and physical spheres, diagnostic evaluation, PICS exclusion criteria and the exclusion of other causes were also investigated. The evidence relating to prevention and treatment was then summarized, with particular attention to the interventions that are part of the autonomy and responsibility of the nurse. Finally, follow-up and outcomes were examined. In the second chapter, the topic of Post-Intensive Care Syndrome-Family (PICS-F), the post-intensive care syndrome in family members, was analyzed by the risk factors, the main symptoms and preventive measures. In the third chapter, the main NANDA-I diagnoses and related NIC interventions appropriate for a patient with PICS and family members with PICS-F were identified.
