[Psychological Care in the Intensive Care Unit : Task Areas, Responsibilities, Requirements, and Infrastructure]

Overview

Journal Med Klin Intensivmed Notfmed

Specialties Critical Care
General Medicine

Date 2018 Oct 28

PMID 30367190

Citations 6

Authors

T Deffner

G Michels

A Nojack

I Rossler

D Stierle

M Sydlik

S Teufert

U Ullmann

V von Bassewitz

K Wicklein

Affiliations

Soon will be listed here.

Abstract

The relatively high rates of mental stress among critically ill patients and their relatives implies the necessity of conceptually and financially embedded psychological care in intensive care units (ICUs). Professional associations also recommend the involvement of psychological professionals and screening of mental symptoms in critically ill patients. Intensive care medicine psychologists and psychotherapists take this as an opportunity to describe the content and goals of psychological care. Task areas are care for patients and relatives as well as staff support. Goals of psychological support in the ICU are detection of mental symptoms in patients and their treatment, psychological first aid for relatives in crisis situations, and support of the staff in terms of communication with patients and relatives as well as regarding development and maintenance of an adaptive coping style for dealing with emotionally challenging situations. Psychological care in the ICU is offered by psychologists, psychotherapists, or physicians with a psychotherapeutic qualification. The psychologist is integrated into the ICU team and has a proactive, resource-oriented, and supportive orientation. Psychological support can be an enrichment and a relief, both in the interdisciplinary treatment of patients as well as in the care of relatives, and also represent a resource for the team.

Citing Articles

[Therapeutic healthcare professional staffing requirements in intensive care units].

Klarmann S, Hierundar A, Deffner T, Markewitz A, Waydhas C Med Klin Intensivmed Notfmed. 2024; 119(7):581-585.

PMID: 38546865 DOI: 10.1007/s00063-024-01125-z.

[Comfort Terminal Care in the intensive care unit: recommendations for practice].

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[Palliative aspects in clinical acute and emergency medicine as well as intensive care medicine : Consensus paper of the DGIIN, DGK, DGP, DGHO, DGfN, DGNI, DGG, DGAI, DGINA and DG Palliativmedizin].

Michels G, John S, Janssens U, Raake P, Schutt K, Bauersachs J Med Klin Intensivmed Notfmed. 2023; 118(Suppl 1):14-38.

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[Overtreatment in intensive care medicine-recognition, designation, and avoidance : Position paper of the Ethics Section of the DIVI and the Ethics section of the DGIIN].

Michalsen A, Neitzke G, Dutzmann J, Rogge A, Seidlein A, Jobges S Med Klin Intensivmed Notfmed. 2021; 116(4):281-294.

PMID: 33646332 PMC: 7919250. DOI: 10.1007/s00063-021-00794-4.

[Psychological care in German intensive care units : Results of a survey among the members of the German Interdisciplinary Association for Intensive Care and Emergency Medicine].

Deffner T, Schwarzkopf D, Waydhas C Med Klin Intensivmed Notfmed. 2019; 116(2):146-153.

PMID: 31781828 DOI: 10.1007/s00063-019-00638-2.

References

Davidson J, Jones C, Bienvenu O . Family response to critical illness: postintensive care syndrome-family. Crit Care Med. 2011; 40(2):618-24. DOI: 10.1097/CCM.0b013e318236ebf9. View

Wade D, Moon Z, Windgassen S, Harrison A, Morris L, Weinman J . Non-pharmacological interventions to reduce ICU-related psychological distress: a systematic review. Minerva Anestesiol. 2015; 82(4):465-78. View

Karnatovskaia L, Philbrick K, Parker A, Needham D . Early Psychological Therapy in Critical Illness. Semin Respir Crit Care Med. 2016; 37(1):136-42. DOI: 10.1055/s-0035-1570367. View

Moss M, Good V, Gozal D, Kleinpell R, Sessler C . An Official Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical Care Healthcare Professionals: A Call for Action. Crit Care Med. 2016; 44(7):1414-21. DOI: 10.1097/CCM.0000000000001885. View

Curtis J, Treece P, Nielsen E, Gold J, Ciechanowski P, Shannon S . Randomized Trial of Communication Facilitators to Reduce Family Distress and Intensity of End-of-Life Care. Am J Respir Crit Care Med. 2015; 193(2):154-62. PMC: 4731711. DOI: 10.1164/rccm.201505-0900OC. View

Niecke A, Schneider G, Hartog C, Michels G . [Traumatized relatives of intensive care patients]. Med Klin Intensivmed Notfmed. 2017; 112(7):612-617. DOI: 10.1007/s00063-017-0316-7. View

Peris A, Bonizzoli M, Iozzelli D, Migliaccio M, Zagli G, Bacchereti A . Early intra-intensive care unit psychological intervention promotes recovery from post traumatic stress disorders, anxiety and depression symptoms in critically ill patients. Crit Care. 2011; 15(1):R41. PMC: 3221970. DOI: 10.1186/cc10003. View

Rothenhausler H, Ehrentraut S, von Degenfeld G, Weis M, Tichy M, Kilger E . Treatment of depression with methylphenidate in patients difficult to wean from mechanical ventilation in the intensive care unit. J Clin Psychiatry. 2000; 61(10):750-5. DOI: 10.4088/jcp.v61n1007. View

White D, Angus D, Shields A, Buddadhumaruk P, Pidro C, Paner C . A Randomized Trial of a Family-Support Intervention in Intensive Care Units. N Engl J Med. 2018; 378(25):2365-2375. DOI: 10.1056/NEJMoa1802637. View

10.

ODonnell M, Bryant R, Creamer M, Carty J . Mental health following traumatic injury: toward a health system model of early psychological intervention. Clin Psychol Rev. 2007; 28(3):387-406. DOI: 10.1016/j.cpr.2007.07.008. View

11.

Varga K, Varga Z, Frituz G . Psychological support based on positive suggestions in the treatment of a critically ill ICU patient - A case report. Interv Med Appl Sci. 2014; 5(4):153-61. PMC: 3873593. DOI: 10.1556/IMAS.5.2013.4.2. View

12.

Wade D, Hankins M, Smyth D, Rhone E, Mythen M, Howell D . Detecting acute distress and risk of future psychological morbidity in critically ill patients: validation of the intensive care psychological assessment tool. Crit Care. 2014; 18(5):519. PMC: 4207352. DOI: 10.1186/s13054-014-0519-8. View

13.

Netzer G, Sullivan D . Recognizing, naming, and measuring a family intensive care unit syndrome. Ann Am Thorac Soc. 2014; 11(3):435-41. PMC: 4028736. DOI: 10.1513/AnnalsATS.201309-308OT. View

14.

Herbst A, Drenth C . The intensity of intensive care: a patient's narrative. Glob J Health Sci. 2012; 4(5):20-9. PMC: 4776949. DOI: 10.5539/gjhs.v4n5p20. View

15.

McAdam J, Puntillo K . Symptoms experienced by family members of patients in intensive care units. Am J Crit Care. 2009; 18(3):200-9. DOI: 10.4037/ajcc2009252. View

16.

Winters B, Eberlein M, Leung J, Needham D, Pronovost P, Sevransky J . Long-term mortality and quality of life in sepsis: a systematic review. Crit Care Med. 2010; 38(5):1276-83. DOI: 10.1097/CCM.0b013e3181d8cc1d. View

17.

Arnold R, Back A, Barnato A, Prendergast T, Emlet L, Karpov I . The Critical Care Communication project: improving fellows' communication skills. J Crit Care. 2014; 30(2):250-4. DOI: 10.1016/j.jcrc.2014.11.016. View

18.

Wade D, Hardy R, Howell D, Mythen M . Identifying clinical and acute psychological risk factors for PTSD after critical care: a systematic review. Minerva Anestesiol. 2013; 79(8):944-63. View

19.

Wolf M, Arolt V, Burian R, Diefenbacher A . [Psychiatric and psychosomatic consulation-liaison. An overview]. Nervenarzt. 2013; 84(5):639-47. DOI: 10.1007/s00115-013-3771-2. View

20.

Richards-Belle A, Mouncey P, Wade D, Brewin C, Emerson L, Grieve R . Psychological Outcomes following a nurse-led Preventative Psychological Intervention for critically ill patients (POPPI): protocol for a cluster-randomised clinical trial of a complex intervention. BMJ Open. 2018; 8(2):e020908. PMC: 5879925. DOI: 10.1136/bmjopen-2017-020908. View