Table 4

Summary of findings

During critical careStudy
Information at different stages of illness and recovery. The elements of information needs included:
  • basic information on the illness, the treatments and what had happened
  • information on weakness and muscle loss
  • information on likely hospital length of stay and recovery
  • having all the above information repeated again and again
  • information on equipment used
  • involvement of family/carers in sharing the information.
Before critical care discharge and during ward-based care
1. Information on and a discussion from healthcare professionals about what happened in ICU and all possible related ICU syndromes. The elements of information and support needs included information on and reassurance about dreams and hallucination, and other elements, for example:(DIPEx), (Strahan et al. 05)
 • digestion – feelings of sickness, nausea, lack of appetite, bowel complications(Strahan et al. 05)
 • mobility – lack of mobility(Strahan et al. 05)
 • reassurance on possible negative feeling such as anxiety, loneliness, depression and exhaustion(Strahan et al. 05)
 • pain.(McKinney et al. 02)
2. Information and discussion on the patient’s care pathway.(DIPEx)
 • Information and support on setting goals for physical recovery. The elements of information and support needs included the patients’ own critical illness and explanation on recovery.(DIPEx) (Strahan et al. 05)
3. Discuss details of transfer (from critical care to ward-based care) with patients and their family/carers.(Paul et al. 04)
5. Briefing or information on the differences between ICU and the ward (before transfer). The elements of the briefing included differences in:(McKinney et al. 02)
 • the physical environment(McKinney et al. 02), (Paul et al. 04)
 • staffing levels(McKinney et al. 02), (Paul et al. 04)
 • monitoring levels.(McKinney et al. 02)
Before discharge to home/community care
1. Information and discussion on discharge plan before hospital discharge. The elements of information and support needs included:(DIPEx)
 • information on who decided the discharge and on what basis(DIPEx)
 • information on the trajectory projection of the recovery(DIPEx)
 • basic information on diet, exercise and drug treatment if applicable(DIPEx)
 • all the above information to be shared with family/carers(DIPEx)
 • information for family/carers on what to expect when a person returns home after being critically ill in ICU(DIPEx)
 • to be given the ICU diaries at hospital discharge, if they have not been given one at ICU discharge.(DIPEx)
2. Support to prepare patients to go home. Elements of support needs included:(Paul et al. 04)
 • discussion on available support services(Paul et al. 04)
 • discussion on rehabilitation(Paul et al. 04), (DIPEx)
 • sources of further help.(Paul et al. 04), (DIPEx)
Home or community care (recovering at home)
1. Information on physical recovery and the impact on daily living(DIPEx)
2. Information on and discussion of the emotional aspects of recovery: the elements of information discussed included:(DIPEx)
 • discussion on any non-physical morbidity(DIPEx)
 • information on referrals or other voluntary support group.(DIPEx)

From: 2, Evidence review and recommendations

Cover of Rehabilitation After Critical Illness
Rehabilitation After Critical Illness [Internet].
NICE Clinical Guidelines, No. 83.
Centre for Clinical Practice at NICE (UK).
Copyright © 2009, National Institute for Health and Clinical Excellence.

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