Psychological and Cognitive Impact of Critical Illness

by O. Joseph Bienvenu, Ramona O. Hopkins, Christina Jones

Overview

Neuropsychiatric problems after critical illness are receiving increasing attention, particularly in the critical care medicine literature, but mental health and primary care clinicians should also be interested in these common problems, given the growing number of critical illness survivors who need care. Patients frequently come out of the intensive care unit (ICU) with horrifying distorted memories and don't understand what has happened to them. Not only are patients debilitated with ICU-acquired weakness and cognitive impairment, they are traumatized by actual experiences (e.g., shortness of breath and pain) and distorted memories (of being tortured, raped, assaulted, or imprisoned) shaped by delirium. Patients' family members are also frequently quite distressed, and children surviving critical illnesses appear to have similar experiences to adults. This book provides an overview of the nature and epidemiology of cognitive and other psychiatric problems in this growing population, and it addresses the small but growing literature on prevention and early intervention efforts. Addressing these problems successfully will require collaborative interventions, both in-ICU and post-ICU.

Product Details

ISBN-13:	9780199398690
Publisher:	Oxford University Press
Publication date:	06/13/2017
Pages:	240
Product dimensions:	6.10(w) x 9.10(h) x 0.60(d)

About the Author

O. Joseph Bienvenu, MD, PhD
Associate Professor, Psychiatry and Behavioral Sciences
Director, General Hospital Psychiatry Inpatient Consultation Service
Johns Hopkins Hospital
Co-Director, Johns Hopkins Anxiety Disorders Clinic and Residents' Outpatient Continuity Clinic
Johns Hopkins University School of Medicine

Christina Jones, RN, PhD
Nurse Consultant
Critical Care Rehabilitation
Whiston Hospital

Ramona O. Hopkins, PhD
Professor, Psychology and Neuroscience
Director, Neuroscience Center
Brigham Young University
Clinical Research Investigator, Pulmonary and Critical Care Division
Department of Medicine
Intermountain Medical Center
Center for Humanizing Critical Care
Intermountain Healthcare

Table of Contents

Overview: Psychological and Cognitive Impact of Critical Illness
O. Joseph Bienvenu, Christina Jones, and Ramona O. Hopkins
1. Personal journeys through understanding the psychological and cognitive problems faced by critical illness survivors
Christina Jones, Peter Gibb, and Ramona O. Hopkins
2. Delirium in critically ill patients
Mark van den Boogaard and Paul Rood
3. Critical Illness and Long-term Cognitive Impairment
Ramona O. Hopkins, PhD, Maria E. Carlo, MD, James C. Jackson, PsyD
4. Psychological impact of critical illness
O. Joseph Bienvenu and Christina Jones
5. Rehabilitation psychology insights for the treatment of critical illness survivors
Jennifer E. Jutte, James C. Jackson, and Ramona O. Hopkins
6. Prevention and treatment of posttraumatic stress and depressive phenomena in critical illness survivors
Christina Jones and O. Joseph Bienvenu
7. Supporting pediatric patients and their families during and after intensive care treatment
Gillian Coville
8. Family Response to Critical Illness
Judy E. Davidson and Giroa Netzer

Editorial Reviews

Reviewer: Aaron John Plattner, MD (Network180 )
Description: Patients who spend time in the intensive care unit (ICU) often develop unrecognized psychiatric sequelae that are not appropriately addressed. This book discusses these psychiatric issues, based on the limited literature available.
Purpose: It is the authors' desire to illuminate this often-neglected condition in the hopes that psychiatric symptoms can be minimized or prevented by intervention. Given the magnitude of the psychiatric conditions of ICU patients experience, this book is necessary and the authors meet their objectives to the best of their ability given the paucity of data.
Audience: The authors do not specify an audience, but given the minimal technical information, the book could benefit a broad audience, including patients and patients' families. Mental health providers such as psychologists, chaplains, and social workers, as well as ICU staff, would also benefit from this book, but mental health providers offering support to patients with mental illness would likely get the most benefit.
Features: The book begins with a historical overview of the relationship of mental illness and patients in the ICU. It then reviews delirium and the impact of the ICU on cognitive and emotional states. Chapters then examine the limited data available on prevention and early intervention efforts to reduce psychological trauma from a stay in the ICU. The final chapters focus on children in the ICU and families of loved ones in the ICU. Each chapter concludes with references, and many chapters contain graphics to help comprehension.
Assessment: I have not come across a book that reviews the impact of an ICU stay on the psychological and cognitive status of a patient, and this book is informative on a topic that I have overlooked in my own practice. However, because it is a new topic, the practicality of this book is limited. It is my hope that it catalyzes further research into this area, resulting in more practical information.

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