TY  - CHAP
M1  - Book, Section
TI  - Spiritual and Pastoral Care Perspective
A1  - Toevs, Christine C.
A2  - Lane-Fall, Meghan B
A2  - Shapiro, David S.
A2  - Kaplan, Lewis J.
PY  - 2024
T2  - After the ICU: Multidisciplinary Perspectives on Supporting Critical Illness Survivors
AB  - Patient  Care  VignetteMr.  Jordan,  a  64-year-old  male  with  underlying  lung  disease,  was  admitted  to  the  Intensive  Care  Unit  (ICU)  with  the  flu.  He  required  respiratory  support  from  a  mechanical  ventilator.  For  the  first  few  days  he  was  sedated  and  not  able  to  interact  with  the  ICU  care  team  or  his  family.  As  he  improved,  the  sedation  was  decreased,  and  he  became  more  awake.  Although  he  still  required  multiple  medical  interventions  and  was  still  quite  ill,  the  care  team  began  to  encourage  participation  with  physical  therapy  and  sitting  in  a  chair  every  day.  He  was  then  helped  to  walk  using  a  walker,  all  while  still  attached  to  the  ventilator.  The  care  team  provided  a  variety  of  communication  devices  for  him  to  interact  with  his  family  since  he  was  unable  to  talk.  After  several  more  days  of  intense  medical  therapy,  he  was  removed  from  the  life-support  machines  and  could  finally  talk  with  his  family.  He  was  then  transferred  to  the  inpatient  rehabilitation  ward  for  3  weeks  of  therapy  to  help  him  recover  and  return  home.During  his  time  in  the  ICU  and  in  rehab,  Mr.  Jordan’s  family  noticed  that  he  seemed  depressed  and  withdrawn.  He  seemed  anxious,  especially  when  he  was  attached  to  the  life-support  machines.  They  thought  he  was  concerned  about  possibly  dying.  The  care  team  thought  he  was  trying  to  “put  on  a  good  face”  for  the  family  when  they  visited,  but  otherwise  he  was  difficult  to  engage  in  recovery  efforts.  The  family  said  he  did  not  attend  church  but  asked  for  a  visit  from  the  hospital  chaplain.  The  chaplain  visited  regularly  and  met  with  the  patient  and  his  family,  both  in  the  ICU  and  on  the  rehabilitation  ward.  Mr.  Jordan  developed  a  supportive  relationship  with  the  chaplain,  and  thought  about  returning  to  his  church  once  he  was  discharged  home.  When  he  finally  returned  home,  Mr.  Jordan  was  encouraged  by  his  family  to  attend  church  and  include  a  spiritual  component  throughout  his  ongoing  recovery.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/09/18
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1204537366
ER  -