Dorothy Wade works as a chartered health psychologist in the Critical Care Unit at UCH. She is registered as a practitioner psychologist with the Health and Care Professions Council, and has a PhD in psychology and health care evaluation from University College London. She is available to support patients, families and staff in Critical Care.

PTSD

Post traumatic stress disorder is defined as a condition of:

• persistent mental and emotional stress
• occurring as a result of injury or severe psychological shock
• typically involving disturbance of sleep and constant vivid recall of the experience
• with dulled responses to others and to the outside world.

and its something the critical care patient can experience after discharge from the department. Dorothy and I discuss many of the issues involved and some of the things we can do to help minimise this problem.

ICONStudy

Intrusive memories of hallucinations and delusions in traumatized intensive care patients: An interview study.

What explains the prevalence of post traumatic stress disorder, depression, anxiety and poor quality of life after intensive care?

Investigating risk factors for psychological morbidity three months after intensive care: a prospective cohort study

Identifying clinical and acute psychological risk factors for PTSD after critical care: a systematic review.

This episode features a chat with Fiona Moffat who is a lecturer in Physiotherapy and practising physiotherapist. She was involved in some LEAN thinking and is now interested in early mobilisation in the critical care world. As a social scientist she is also interested in how we get to normalise new technologies or interventions in health care and what are the barriers to those interventions.

She is presenting at the ICS State of the Art conference 2015 and so it was interesting to get to chat to her about some of the issues.

Demystifying theory and its use in improvement Davidoff et al.

Barriers and facilitators to early mobilisation in Intensive Care: A qualitative study. Carol Hodgson et al

Normalisation Process Theory- Carl May

Motomed- physical training in bed!

TEAM is a program of research to evaluate the effect of early mobilisation to assess functional recovery and patient-centered outcomes of ICU survivors. Carol Hodgson is one of the lead clinicians in this project, She will be presenting at the 2015 Intensive Care Society State of the Art conference, so this is an opportunity to hear some of the areas she is concerned with.

Early mobilization and recovery in mechanically ventilated patients in the ICU: a bi-national, multi-centre, prospective cohort study.

TEAM Studies Website

Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Schweickert, W. et al The Lancet. Vol. 373, No. 9678, p1874–1882, 30 May 2009

Physiotherapy in the Intensive Care Unit Netherlands Journal of Critical Care 2011

Cycle Ergometry

Early rehabilitation in critical care (eRiCC): functional electrical stimulation with cycling protocol for a randomised controlled trial.  Parry, S. et al. BMJ 2012

Early Physical Rehabilitation in the ICU: A Review for the Neurohospitalist Mendez-Tellez et al,  Neurohospitalist. 2012.

Characterization of the use of a cycle ergometer to assist in the physical therapy treatment of critically ill patients Pires-Neto et al. Rev Bras Ter Intensiva. 2013