Post Intensive Care Syndrome (PICS)

Muscle weakness, memory problems, depression, insomnia, physical pain, nightmares. These are just a few examples of the problems that patients may experience following critical illness. Symptoms such as these which affect emotional, physical, and cognitive health are now being recognized as Post Intensive Care Syndrome, or PICS. Efforts to educate health care providers, patients, and families about Post Intensive Care Syndrome are underway. Explore our site to learn more about PICS.

PUBLIC PAGE
Tue, Jul 17, 2018 4:49pm

Breaking it Down: Post Intensive Care Syndrome and Recovery - The Body

By Annie, Mayo ICU Nurse Practitioner, @andreab

shutterstock_105845495

Following critical illness, it is not uncommon for one to experience new or worsened physical limitations or difficulties. This can be due to the critical illness/injury itself, prolonged time spent in bed with limited physical activity, or preexisting physical challenges that worsen following hospitalization. Of all of the aspects of Post Intensive Care Syndrome (body, mind, and emotions), the physical changes are the most easily recognized and are therefore more readily addressed.

Physical and occupational therapists work with patients to maintain and regain physical abilities. This therapy may take place in the inpatient as well as the outpatient setting. Physical activity is one the most important keys to recovery for the critically ill/injured patient. It is increasingly common now for patients to begin working with therapy while still hospitalized - even starting in the intensive care unit!

Patients who work with therapy during their hospitalization will often be discharged with exercises to continue to work on at home and/or will have post discharge follow up appointments with therapy to continue to work on strengthening during recovery. However there may be times when therapy was not started following critical illness or perhaps was not continued following discharge from the hospital. Therefore it is important to know some of the following signs to watch for that can indicate that therapy may be needed:

  • weakness (such as difficulty getting up from a toilet, out of a chair, a car, climbing stairs)
  • instability, falling
  • great sense of tiredness or fatigue
  • inability to resume previous leisure activities
  • inability to return to work

If you recognize any of the above signs in yourself or a loved one following critical illness, you are encouraged to contact your health care provider to discuss the potential benefit of physical and/or occupational therapy.

 

 

Liked by Ruud Klerks

I was diagnosed with AL Amyloidosis in December 2016 and in the last 9 months I have started to have tremors in the hands,arms and legs that progresses into uncontrolled falling. I have fallen down aver 50 times.i have tried five different chemotherapy drugs but none of them have put the Amyloidosis in remission. In addition to falling down my kidney functions are worse than they were a year ago.
My creatinine has increased from 1.7 to 3.0. Has anyone had a similar experience?

Please login or register to post a reply.

Invite Others

Send an email to invite people you know to join the Post Intensive Care Syndrome (PICS) page.

We'll include this text in the user's invitation.