PMID: 9538710Apr 16, 1998Paper

Follow-up services and the development of a clinical nurse specialist in intensive care

Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses
J Hall-SmithJ Coakley

Abstract

There is little information available regarding quality of life following critical illness. The consequences of a stay in an intensive care unit (ICU) can result in considerable psychological and physical morbidity. At the Homerton Hospital, London, UK an intensive care follow-up outpatient clinic was established to ascertain patients' experiences after discharge from the ICU. This exploratory study examines narrative data collected from 26 patients by means of unstructured client-led interviews. Themes are derived that have implications for staff, patients and relatives. The findings suggest that patients experience a variety of psychological and physical symptoms. Patients experienced vivid dreams, flashbacks, relocation and convalescent stress as well as profound tiredness and weakness. These are consistent with previous research findings. New themes were identified which suggest that mood changes, inability to cope, the need to talk about their ICU experience and indistinct memories of the ICU made recovery at home difficult for both the patients and their families. As a result of these findings, the role of a clinical nurse specialist has developed in order to improve liaison between and within departments, the hospital an...Continue Reading

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Citations

Jun 7, 2005·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Judith M Magarey, Helen H McCutcheon
Nov 26, 2003·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Colin Jones, Christina Lyons
Dec 19, 2002·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Carol Ball
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Jan 1, 2009·International Journal of Qualitative Studies on Health and Well-being·Marie HäggströmLisbeth Kristiansen
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Feb 26, 2008·Critical Care : the Official Journal of the Critical Care Forum·Kate FieldKathy Rowan
Apr 3, 2009·Critical Care : the Official Journal of the Critical Care Forum·Suman PrinjhaKathy Rowan
Dec 25, 2015·Journal of Critical Care·Wan Chin LimNicholas Mays
Mar 30, 2010·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Gillian A ColvilleSally M Kerry
Dec 17, 2009·International Journal of Nursing Studies·Suzanne Bench, Tina Day
Aug 8, 2007·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Wendy ChaboyerMichelle Foster
Apr 7, 2007·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Martin Christensen, Jaqui Hewitt-Taylor
Nov 10, 2004·Journal of Clinical Nursing·Miriam del BarrioMa Carmen Asiain
May 10, 2003·Nursing in Critical Care·Eunice StrahanGavin Lavery
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May 27, 2010·Journal of Clinical Nursing·Michelle A Kelly, Sharon McKinley
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Apr 29, 2000·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·C Ball
Apr 10, 2004·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Wendy ChaboyerElizabeth Kendall
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Dec 14, 2005·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·G A Colville, D Gracey
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