TY  - CHAP
M1  - Book, Section
TI  - Pet Therapy
A1  - Holland, Sara
A1  - Jablonski, Juliane
A2  - Lane-Fall, Meghan B
A2  - Shapiro, David S.
A2  - Kaplan, Lewis J.
Y1  - 2024
N1  - 
T2  - After the ICU: Multidisciplinary Perspectives on Supporting Critical Illness Survivors
AB  - Patient  Care  VignetteJK  was  a  65-year-old  man  initially  admitted  to  the  hospital  with  acute  cholecystitis  for  which  he  would  need  a  cholecystectomy.  His  course  was  complicated  by  delirium,  sepsis,  and  the  inability  to  breathe  well  on  his  own,  requiring  a  long-term  breathing  tube.  After  2  weeks  of  hospitalization,  JK  remained  in  the  intensive  care  unit.  He  had  undergone  tracheostomy  placement  to  support  ventilator  weaning  and  feeding  tube  placement  for  nutritional  support.  JK’s  mental  clarity  slowly  improved  but  he  became  increasingly  depressed,  communicated  feelings  of  hopelessness,  had  limited  eye  contact  with  his  family  or  healthcare  team,  and  did  not  want  to  participate  in  physical  therapy.  Psychiatry  was  consulted  and  JK’s  family  was  present  at  the  bedside  every  day  trying  their  best  to  support  him.On  day  21  of  JK’s  hospitalization,  the  nurses  lifted  him  out  of  bed  to  a  bedside  lounge  chair.  His  wife  and  daughter  were  sitting  next  to  him.  They  were  surprised  to  see  JK  opening  his  eyes  to  look  outside  of  his  ICU  room.  There  stood  a  hospital  therapy  dog,  a  brown  Labrador  retriever  named  Tugger.  JK  lifted  his  arm  to  wave  at  Tugger.  Glenn,  Tugger’s  handler,  asked  the  bedside  nurse  if  it  was  okay  to  visit  JK  and  his  family.  The  clinical  team  and  JK’s  family  were  encouraged  by  JK’s  engagement  since  little  else  had  captured  his  attention.  Tugger  and  Glenn  entered  the  room.  Glenn  placed  a  towel  on  a  chair  for  Tugger  to  jump  up  and  sit  face-to-face  next  to  JK.  Within  seconds,  the  first  smile  anyone  had  seen  on  JK’s  face  since  his  admission  appeared;  his  wife  and  daughter  began  to  cry.  Tugger  and  Glenn  spent  an  hour  with  JK.  Two  days  later,  Tugger  and  Glenn  came  by  for  a  second  visit.  During  this  second  visit,  the  physical  therapist  was  doing  routine  patient  care  rounds  and  session  scheduling.  Previously,  JK  would  not  engage  in  sessions  beyond  getting  out  of  bed  to  the  chair.  Today  was  different.  With  Tugger  at  his  side,  JK  wrote  to  the  physical  therapist,  “Can  I  try  to  stand  and  take  a  few  steps  with  Tugger?”  That  moment  was  a  turning  point  in  JK’s  care.  He  found  the  strength  and  the  drive  to  participate  in  his  recovery.  JK  later  described  his  experience  by  saying,  “Tugger  ignited  in  me  a  good  feeling  for  the  simple  joys  of  life  that  I  truly  missed  and  want  to  experience  once  again.”  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/09/14
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1204537639
ER  -