From the Guidelines
A comprehensive treatment plan for post-intensive care unit syndrome (PICS) should include early mobilization, motor training, nutrition/dysphagia management, delirium prophylaxis, and psychological support, as these interventions have been shown to improve outcomes in patients with PICS. According to the guideline on multimodal rehabilitation for patients with PICS 1, the treatment plan should prioritize the following key components:
- Early mobilization and motor training to address physical impairments
- Nutrition and dysphagia management to ensure adequate nutrition and prevent complications
- Delirium prophylaxis using behavioral interventions to reduce the risk of delirium
- Psychological support, including ICU diaries, to prevent and treat anxiety and post-traumatic stress disorders
- Regular and repeated assessments of physical, cognitive, and psychological health to inform treatment decisions and monitor progress. The treatment plan should also consider long-term access to specialized rehabilitation centers and additional physical rehabilitation interventions as needed 1. By prioritizing these evidence-based interventions, healthcare providers can improve outcomes and reduce morbidity, mortality, and quality of life impairments in patients with PICS.
From the Research
Treatment Plan for Post Intensive Care Unit Syndrome
The treatment plan for post intensive care unit syndrome (PICS) includes a multifaceted approach, incorporating both pharmacological and non-pharmacological management strategies. Some of the key components of the treatment plan are:
- Pharmacological management using analgesia 2
- Non-pharmacological management using early mobilization and exercise therapy 2, 3
- Cognitive behavioral therapy (CBT) for addressing psychological symptoms such as anxiety, depression, and post-traumatic stress disorder (PTSD) 4
- Family involvement and support, including CBT for family members 4
- Multidisciplinary management, involving a team of healthcare professionals, including primary care practitioners, to provide comprehensive care 5, 6, 2
- Patient follow-up and monitoring, to ensure timely identification and management of any complications or worsening of symptoms 2, 3
Key Considerations
Some key considerations in the treatment plan for PICS include:
- The need for early diagnosis and intervention, to prevent long-term complications and improve outcomes 5, 6
- The importance of addressing the physical, cognitive, and psychological aspects of PICS, to provide comprehensive care 5, 6, 2, 3
- The role of technology, such as mobile health apps, in delivering CBT and supporting family members 4
- The need for further research, to improve our understanding of PICS and develop effective treatment strategies 6, 2, 3