Patient and Family Support
Sumera Ahmad, MBBS
Mayo Clinic
Lioudmila Karnatovskaia, MD
Mayo Clinic
The inability to speak, eat, and sleep in the ICU is traumatic and dehumanizing for patients and is tied to loss of personhood. Vulnerability to dehumanization exists in all phases of illness, recovery, and dying. For the ICU clinician, the combination of fast-paced technology, information overload, high patient volume, and ethical dilemmas can lead to exhaustion and burnout. Critical care medicine has improved survival, but the patient experience remains traumatic. Survivors often have deficits in physical function, cognition, mental health, and social relationships. Humanized care is for everyone—patients, families, and clinicians. Key aspects of humanizing critical care stem from Proyecto-HUI in Spain in 2014: a) open ICU and visiting policies, b) facilitating communication among clinicians and patients/families, c) patient well-being, d) family participation, e) caring for healthcare professionals, f) preventing and monitoring post-intensive care syndrome, g) humanized architecture, and h) end-of-life care. Speakers will discuss humanized care, including barriers, the role of the ICU Liberation Bundle (A-F), and how to create a humane ICU environment. Communication barriers in routine care for culturally diverse patient populations will be reviewed. Could ICU diaries be used in routine care?
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Learn more about ICU Liberation.
Kim Lewis (she/her/hers) – McMaster University
Amelia Barwise, MB, BCh, BAO,PhD (she/her/hers) – Mayo Clinic
Erika L. Setliff, APRN, DNP, CNS, FCCM – Atrium Health