Walking Home from The ICU Episode 13: Loved Ones Are Survivors Too Part II
Part II of how caregivers also leave ICU with high rates of PTSD and long-term life impacts. Mike Maranhas shares his side of his wife’s ICU stay and recovery. Episode Transcription Kali Dayton Bella mentioned to me that she had terrible hallucinations and delirium during that time being so profoundly sedated. And even once she
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Walking Home from The ICU Episode 12: Loved Ones Are Survivors Too Part I
Caregivers also leave ICU with high rates of PTSD and long-term life impacts. Mike Maranhas shares his side of his wife’s ICU stay and recovery. Episode Transcription Kali Dayton Now we’ve had penetrating insight into the sufferings of ICU survivors themselves. Yet, we would be missing a big part of the picture. If we dismissed
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Walking Home from The ICU Episode 11: Rehabilitate Rehabilitation
When we send patients to LTAC or SNF to relearn how to walk, what is that like? Susi Rimkus, DNP, shares with us her experience with rehabilitating rehabilitation. Episode Transcription Kali Dayton Now that we’ve heard about the months it took for a patient like Jim, to be able to walk again, let’s look at
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As an RN in the Medical-Surgical ICU at the hospital I work at, I began my interest in ICU Liberation through an Evidence-Based Practice project.
While I was initially grabbed by what the literature has to say about over-sedation and patient outcomes, it wasn’t until I discovered Kali’s Walking Home From The ICU podcast that a culture of sedationless ICU care sounded tangible. The group I worked with on the project was both inspired, devastated, and intrigued by the stories Kali illuminates on the podcast, and we were able to bring her to our hospital for a virtual Zoom Webinar, where she presented on the practices in the Awake and Walking ICU.
This webinar was an incredible way to draw attention toward this necessary culture shift as Kali shared stories of patients awake and mobile in the ICU despite the complexity of their illness. The webinar inspired our final draft for the new practice guideline on analgesia and sedation management in the ICU, and since then we have seen intubated COVID patients playing tic tac toe on the door with staff members on the other side, taking laps around the unit, performing their own oral care using a hand mirror, and most importantly, keeping their autonomy and integrity while fighting to leave the ICU to resume the life they had before coming in.
Nora Raher, BSN, RN, MSICU
Virginia, USA
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