Page 101 - Petelin, Ana, ur. 2024. Zdravje delovno aktivnih in starejših odraslih / Health of Working-Age and Older Adults. Zbornik povzetkov z recenzijo ▪︎ Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press

Rehabilitation after treatment in the intensive care unit

Peter Kamničar
Alma Mater Europaea - ECM, Maribor, Slovenia

Introduction and purpose: Over the past few decades, advances in critical care have con-
tributed to more successful treatment of diseases with high mortality, but the succes-
ses of such treatment also come with negative consequences. The latter is reflected
in symptoms such as disturbances in cognitive abilities, physical functions and mental
health. It is a so-called post intensive care syndrome (Post Intensive Care Syndrom -
PICS), which mostly survived in the intensive care unit have. The purpose of the pro-
fessional contribution is to highlight the importance of preventing and reducing PICS
and the importance of rehabilitation after intensive care. PICS reflects not only in long-
term physical and neuropsychological problems, but as well in mental and physical he-
alth of family members, and nevertheless the constant use of medical services also
brings certain financial costs.
Content presentation: Patients may suffer from PICS symptoms after discharge from the
intensive care unit. The two main symptoms of post-intensive care syndrome are ge-
neral physical fatigue as a result of loss of body weight and muscle mass, and anxiety
or depression. Therefore, at this point it is necessary to highlight the importance of
rehabilitation, for which there is no systemic regulation in Slovenia. The ultimate go-
al of any rehabilitation is the development of the remaining potential of the organism
to ensure the most optimal integration of the patient into everyday life and the wor-
king environment. However, there is increasing emphasis on the need to prevent PICS
early in critical illness. A number of interventions have been studied to reduce the im-
pact of the syndrome. The ABCDEF coordinated and synergistic model of care has
been shown to reduce mortality and reduce many complications of critical illness, in-
cluding ICU readmissions and discharges to nursing homes and rehabilitation facilities. preventiva in rehabilitacija ... | prevention and rehabilitation ...
These individual processes combined in a synergistic model represent the most im-
portant advances in the prevention of PICS and the consequences of critical illness in
the last two decades.
Conclusions: The importance of preventing PICS at the beginning of a critical illness, al-
so with the help of the ABCDEF synergistic care model, is still an under-exposed to-
pic today. At the same time, greater emphasis should also be placed on the importan-
ce, and consequently accessibility, of rehabilitation. At this point, it is crucial to point
out the more effective implementation of both mentioned methods for ensuring the
well-being of patients or of survivors in the intensive care unit afte ran acute illness.
Keywords: intensive care unit, critical illness, rehabilitation, PICS, ABCDEF model

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