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Showing posts with label ICU. Show all posts
Showing posts with label ICU. Show all posts

Friday, July 8, 2016

Cardiac Intensive Care Unit (ICU) Tips

B'SD

2 Tamuz, 5776

You've read Ira's comments before, when he reviewed my home cooking. He ate well, despite the hospital menu, when he was being treated for a suspected (then confirmed and corrected) heart problem.

Here's an update on Ira's vastly improved condition. it holds "coping with cardiac intensive care" lessons for the public AND medical professionals!

Cardiac ICU tips
Heaven forfend that you or anyone you know should need these, but in case you do, or in case this is your business, I wanted to pass on a few tips of my own.
Although we were extensively briefed by a social worker on what to expect in the ICU, I feel some important points were lacking:
1) You are unconscious or minimally conscious, there's a breathing tube in your throat, a respirator is breathing for you and you can't talk.
It's worse than that. You can't make a sound. none. Zero. Not a squeal, squelch or scream. You are completely mute. This surprised me. I thought I'd be able to communicate some way vocally. No way.
Because people with tubes in their throat don't like that they try to pull them out and have to be restrained. Guess what, this means you cannot communicate with your hands or body. In other words, you are completely locked in.
2) What's there to communicate about?
I didn't even think to ask because you are getting drips but I had a raging thirst caused by the irritating tube in my throat. But I had no way to communicate that. I finally stuck my tongue in and out in the hopes that Pam would figure it out and she did. You might want to arrange two signals: tongue in and out for water. Tongue back and forth for pain/discomfort. I was never thirstier in my life and will never forget the water I got from the tongue depressor wrapped with gauze and swabbed in my mouth. That was the best drink of water ever!
3) The tube in your throat
Yes, it's uncomfortable but they don't mention the worst part - the way it rubs the side of your lips like a hack saw. This is clearly a medical device defect. This remains one of the worst pains and I still have it.
How to handle this: bring a tube of MEDICATED lip balm and make sure it is liberally spread on the lips, especially the side where the tube hangs out. Don't use the regular petroleum jelly the hospital has. It's useless.
4) Time dilation
In the ICU minutes seem like hours or longer. Pam would come in and I'd feel furious she'd been gone for a week. You have to continually remind the patient what time it is and how much time has past. "I just went out and was gone five minutes." "Hi, I'm still here and the last time I talked to you was 15 minutes ago. " literally that kind of thing.
5) orientation
If you wear glasses make sure they are on! I was literally in a fog the whole time I was in the ICU because no one put my glasses on
6) Treats
My nurse made a treat of frozen ice pops using tongue depressors and water. I would have done anything to get one of those and they were used to help wean me off the respirator. I remember Pam saying Nurse says you can have another ice pop if you breathe on your own. I wanted to negotiate for one immediately but I was in no position to argue.
That's all for now.

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Gizelle Gill Good advice nothing like self experience
LikeReply11 hr
Yocheved Golani May I post this tohttp://itsmycrisisandillcryifineedto.blogspot.co.il/ Ira?


You need to know how to meet your medical and/or mental health needs NOW. You're struggling to survive…
ITSMYCRISISANDILLCRYIFINEEDTO.BLOGSPOT.COM|BY YOCHEVED GOLANI
LikeReplyRemove Preview11 hr
Ira Machefsky Sure. I'll make it public.
LikeReply21 mins




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Monday, April 13, 2009

How to Avoid Depression When You're Hospitalized

B'SD



19 Nisan 5769


I'm interrrupting my vacation time again to let you know about serious health care issues you can and should address with your medical team.



I read the
IN THE ICU, USE OF BENZODIAZEPINES, OTHER FACTORS MAY PREDICT SEVERITY OF POST-STAY DEPRESSION report and responded to the researchers as follows:


A serious component of relevant
research seems to be missing
in this doctor-oriented program:
A multi-pronged study
from the patient's point of view!

This study should include
mental health experts
or specially designated
actors/actresses acting as
ICU patients who experience
the factors leading to post-ICU
depression first-hand
(the "Walk a mile in my shoes"
approach).


(I suggest that you copy down
or print out the suggestions below,
then share them with the
head nurse on your unit or
post them above your hospital bed)


1. Some patients are verbally
and/or physically abused by
medical staff being unnecessarily
harsh with patients in their care.
As staffing becomes scarcer and
patient load mounts, it's more
difficult for nursing staff to
give tender loving care
(TLC) in the massive doses
that ICU patients need.

And, nurses weaken in strength
as they move patients without
sufficient support from colleagues.
The result? Bumps, drops,
pain, bruising, etc.

Better planning is a necessity.

2. Some visitors upset ICU patients
with scarey stories and
negative speculation.
Patients are not in a postiton
to shoo them away.

Researchers should

A) Determine if patients prefer
that specific visitors
not be allowed on the floor
in their rooms, access to doctors
nor allowed to call the patient.

AND B) Medical staff should take
appropriate action to preserve
the patient's mental health.

Nasty patients can also
intimidate fellow patients.
They need to be quarantined
to the greatest extent possible.

Abusive patient behavior must be
addressed and ended by
ICU or social work support staff.

Incessant, intrusive, noisy 24/7
cell phone calls worsen matters:
ICU patients can't sleep, relax
focus on positive aspects
(e.g., improved test results)
or on getting better.

Sleep deprivation is a huge
precursor to depression for anyone!

Medical and social work staff
should forbid after-hours
cell phone calls.

3. Lack of sunlight, sounds and flavors of normal life
can depress patient function.

People crave their
favorite foods
(or anything other than
hospital fare),
social interaction without tubes,
blue pads, pain and weakness.

Researchers need to factor in the loss of normal activities
to post-ICU depression:
missed events such as family weddings, reunions,
job responsibilities, promotions,
holiday celebrations, etc.


4. Some patients have a knack for
coping with adversity.
It serves them well post-ICU.

Researchers should learn
what those techniques are,
and guarantee that these techniques are taught
within the community
AND within the ICU.

Lessons are especially appropriate
for patients and their visitors.

5. ALI (Acute Lung Infection) and
Benzodiazepine use are not
the only factors worth considering
to evaluate why patients
become depressed post-ICU.

Patients (including infants and children) with other
diagnoses and medications
also become adversely
affected by ICU care.

Hospitalization is an
infantilizing experience.
Patients are desperate
for personal power
let alone better health.

Patient preferences are often ignored, rudely dismissed
and lost in the shuffle of
documentation, bed transfers, pressured medical
staff scheduling etc.

That leads to
worsening depression.



A woman who wrote a highly
acclaimed book about how to survive medical crises, I know that the proper mindset for everyone is crucial before, during, and after medical care.

I teach that mindset to clients and to my readers.



Click on
Coax Your Medical Team Members to BUY "It's MY Crisis! And I'll Cry if I Need To" so they'll Learn to Appreciate Hospital Life from the Patient's Point of View.


To your good health,

Yojeved Golani
Coping with a Medical Crisis?
Make the Changes You Need in Your Life