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| EDITORIAL |
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| Year : 2017 | Volume
: 14
| Issue : 1 | Page : 0 |
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Editorial
| Date of Web Publication | 9-Jul-2019 |
Correspondence Address:
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/2231-1505.262427
How to cite this article:
. Editorial. Indian J Psy Nsg 2017;14:0 |
Greetings to all Dear Readers,
Although critical care nurses are doing more than ever to ensure optimal outcomes for ICU-patients, sometimes patients develop additional problems. Post-intensive care syndrome(PICS) is a frequent consequence of time spent in ICUs.
Formally defined about four years ago, PICS can present new or worsening physical, cognitive or mental health issues after critical illness, including depression, cognitive decline and prolonged muscle weakness that persist beyond hospitalization.
Mental health is an essential part of wellbeing, and there’s a lot that a nurses can do to prevent and manage PICS, counsel all HCWs and the family, visiting the patients in ICUs, and promote mental health for the patient admitted in intensive care units.
There are few research studies which give evidence that the PICS can be prevented and nurses have a great role in it, the main responsibility of nurse involves the information to be given to the patient about all the procedures, personnel, and machines before or during transporting of patient to ICUs.
Here the importance of communication lies in the manner and the technique used by nurses and other HCWs for patients who may partially oriented and semiconscious and unconscious.
Besides communication, reduction in noise levels, periodic re-orientation, sensory stimulation, proper lighting, adequate hydration, and early ambulation could reduce the possibility of PICS. In addition prescription of prophylactic use of antipsychotic medication in patients undergoing surgery reduced the severity and duration of psychotic changes among patients in the ICU.
Currently available data suggest that the best outcomes are possible to prevent PICS with the use of a frameworks that facilitate the aforementioned approaches. These include the attention to the choice of sedation management of pain, agitation, delirium monitoring, and early ambulation. These guidelines emphasize improving communication in HCW-team in the ICU, standardizing care processes, and prioritizing methods facilitate early extubation, to lighten sedation, each guideline recognizes to a comprehensive approach to monitoring and managing.
At least a third of ICU patients experience it and the risk rises to 50 percent if the patient has had sepsis, acute respiratory distress syndrome or delirium. In this perspective advanced practice mental health nurse can play important role in providing consultation to nurses and other HCWs working in ICUs.
Dear readers, continuous efforts are done by authors, reviewers and the editorial team to bring out this 14th issue of ISPN journal, which is presented to you, to enhance evidence based practice of psychiatric-mental health nursing.
Enjoy reading it.
Dr Sandhya Gupta
Chief Editor
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