{"id":1087,"date":"2017-01-08T22:00:04","date_gmt":"2017-01-08T22:00:04","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebn\/?p=1087"},"modified":"2017-01-04T09:59:28","modified_gmt":"2017-01-04T09:59:28","slug":"diaries-for-critical-care-patients","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebn\/2017\/01\/08\/diaries-for-critical-care-patients\/","title":{"rendered":"Diaries for critical care patients"},"content":{"rendered":"<p><strong>Angela Teece (<\/strong><a href=\"mailto:A.M.Teece@leeds.ac.uk\"><strong>A.M.Teece@leeds.ac.uk<\/strong><\/a><strong>) \u00a0<\/strong>Trainee Lecturer in Adult Nursing,\u00a0University of Leeds<a href=\"https:\/\/blogs.bmj.com\/ebn\/files\/2016\/09\/Angela.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-1016\" src=\"https:\/\/blogs.bmj.com\/ebn\/files\/2016\/09\/Angela.jpg\" alt=\"Angela\" width=\"119\" height=\"162\" srcset=\"https:\/\/blogs.bmj.com\/ebn\/files\/2016\/09\/Angela.jpg 378w, https:\/\/blogs.bmj.com\/ebn\/files\/2016\/09\/Angela-220x300.jpg 220w, https:\/\/blogs.bmj.com\/ebn\/files\/2016\/09\/Angela-300x409.jpg 300w\" sizes=\"auto, (max-width: 119px) 100vw, 119px\" \/><\/a><\/p>\n<p>Critical care is primarily concerned with curative interventions and the use of technology, and nursing and medical care to maintain life. Patients are frequently sedated for long periods of time that can causes memory loss and unusual perceptual experiences which can make it difficult for survivors to piece together the time they spent in critical care (Samuelson and Corrigan, 2009). The presence of delirium, which occurs in 35-80% of critical care patients (Collinsworth et al., 2016) further complicates recovery. The frequently nightmare dreams are more vivid than fragmented true recollections and can prevent patients developing an illness narrative and understanding the traumatic episode (Jones et al., 2001).<\/p>\n<p>Critical care nurses have a <a href=\"https:\/\/www.nice.org.uk\/guidance\/cg83\">duty to provide rehabilitative care<\/a> (NICE, 2009). So how can nurses make a positive impact on their patients\u2019 psychological recovery? Patient diaries are increasing in popularity in the UK after originating in Scandinavia. The subject of a recent Cochrane review (Ullman et al., 2015), the evidence base for diaries and guidance for those completing them remains scanty. However, the premise is simple and low cost. Nurses complete entries throughout the patient\u2019s critical care admission, describing events and the environment in layman\u2019s terms. The diary is given to the patient after discharge, often at a follow-up clinic where further support can be accessed. The aim is, simply, to fill in memory gaps and encourage discussion.<\/p>\n<p>What do patients think of their diaries?<\/p>\n<p>\u2018It was hard&#8230; to realise that it was actually about me, and that I could have died\u2019 (Storli and Lind, 2009)<a href=\"https:\/\/blogs.bmj.com\/ebn\/files\/2017\/01\/Diary.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1086 alignright\" src=\"https:\/\/blogs.bmj.com\/ebn\/files\/2017\/01\/Diary.jpg\" alt=\"diary\" width=\"220\" height=\"150\" \/><\/a><\/p>\n<p>\u2018It is frustrating not to have all the information about one\u2019s critical illness, and much energy is expended trying to piece information together\u2019 (Engstr\u00f6m et al., 2009)<\/p>\n<p>\u2018It\u2019s fantastic that you\u2019ve gone to the trouble of doing this for me!\u2019 (Storli and Lind, 2009)<\/p>\n<p>Have you written in a patient diary?<\/p>\n<p>Reading:<\/p>\n<p>COLLINSWORTH, A. W., PRIEST, E. L., CAMPBELL, C. R., VASILEVSKIS, E. E. &amp; MASICA, A. L. 2016. A Review of Multifaceted Care Approaches for the Prevention and Mitigation of Delirium in Intensive Care Units. <em>J Intensive Care Med,<\/em> 31<strong>,<\/strong> 127-41.<\/p>\n<p>ENGSTR\u00d6M, A., GRIP, K. &amp; HAMR\u00c9N, M. 2009. Experiences of intensive care unit diaries: &#8216;touching a tender wound&#8217;. <em>Nursing in Critical Care,<\/em> 14<strong>,<\/strong> 61-67.<\/p>\n<p>JONES, C., GRIFFITHS, R. D., HUMPHRIS, G. &amp; SKIRROW, P. M. 2001. Memory, delusions, and the development of acute posttraumatic stress disorder-related symptoms after intensive care. <em>Critical Care Medicine,<\/em> 29<strong>,<\/strong> 573-580 8p.<\/p>\n<p>NICE 2009. Rehabilitation after critical illness. <em>In:<\/em> HEALTH, D. O. (ed.). London: Department of Health.<\/p>\n<p>SAMUELSON, K. A. M. &amp; CORRIGAN, I. 2009. A nurse-led intensive care after-care programme \u2013 development, experiences and preliminary evaluation. <em>Nursing in Critical Care,<\/em> 14<strong>,<\/strong> 254-263.<\/p>\n<p>STORLI, S. L. &amp; LIND, R. 2009. The meaning of follow-up in intensive care: patients\u2019 perspective. <em>Scandinavian Journal of Caring Sciences,<\/em> 23<strong>,<\/strong> 45-56.<\/p>\n<p>ULLMAN, A. J., AITKEN, L. M., RATTRAY, J., KENARDY, J., LE BROCQUE, R., MACGILLIVRAY, S. &amp; HULL, A. M. 2015. Intensive care diaries to promote recovery for patients and families after critical illness: A Cochrane Systematic Review. <em>International Journal of Nursing Studies,<\/em> 52<strong>,<\/strong> 1243-1253.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Angela Teece (A.M.Teece@leeds.ac.uk) \u00a0Trainee Lecturer in Adult Nursing,\u00a0University of Leeds Critical care is primarily concerned with curative interventions and the use of technology, and nursing and medical care to maintain life. Patients are frequently sedated for long periods of time that can causes memory loss and unusual perceptual experiences which can make it difficult for [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/ebn\/2017\/01\/08\/diaries-for-critical-care-patients\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":177,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1087","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diaries for critical care patients - Evidence-Based Nursing blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/ebn\/2017\/01\/08\/diaries-for-critical-care-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diaries for critical care patients - Evidence-Based Nursing blog\" \/>\n<meta property=\"og:description\" content=\"Angela Teece (A.M.Teece@leeds.ac.uk) \u00a0Trainee Lecturer in Adult Nursing,\u00a0University of Leeds Critical care is primarily concerned with curative interventions and the use of technology, and nursing and medical care to maintain life. 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