Skip to content
Research Article Open access CC BY 4.0

Mitigating Challenges to Effective Management of Post-Intensive Care Syndrome (PICS)

Nkiruka Lauretta Nwangene

Asian Journal of Medicine and Health · pp. 198–206 · Published 15 May 2024

10.9734/ajmah/2024/v22i61037

Abstract

Introduction: Post-Intensive Care Syndrome (PICS) refers to the collective effects of prolonged physical and cognitive impairments and mental health problems during or after the stay in intensive care unit (ICU). PICS significantly affect patients’ quality of life and ability to return to their normal routines. The challenges of PICS have become more pervasive since the Covid-19 pandemic. The aim of this study is to examine the challenges to effective management of PICS and suggest tangible ways of addressing them so as to reduce the prevalence of PICS, and improve on patients’ wellbeing, quality of life and satisfaction with care services. Methods: The descriptive survey is employed to make a brief systematic review of selected 2019—2024 literatures on PICS, the challenges, and the measures for managing the challenges effectively. Results: There is a consensus on lack of awareness and inability to recognize the condition among healthcare professionals; the difficulty of predicting and managing the long-term effects of PICS; the significant emotional toll of PICS on patients and their families; and the fragmentation of healthcare systems, which together constrain effective management of PICS. Conclusion: To attain effective management of PICS, a comprehensive multidisciplinary approach, which can address cognitive, physical, and psychological aspects of the condition, has to be adopted. Resorting to a meaningful interdisciplinary collaboration among healthcare professionals, widespread awareness about PICS, the symptoms, and the need for early interventions would guarantee patients’ attainment of maximal outcomes and improved quality of life.

Challenges effectiveness management post-intensive care syndrome prevalence

References (14)

  1. 1 Global, regional, and national sepsis incidence and mortality, 1990–2017: analysis for the Global Burden of Disease Study [DOI]
  2. 2 Improving long-term outcomes after discharge from intensive care unit [DOI]
  3. 3 Risk factors for post–intensive care syndrome: A systematic review and meta-analysis [DOI]
  4. 4 New Physical, Mental, and Cognitive Problems 1 Year after ICU Admission: A Prospective Multicenter Study [DOI]
  5. 5 Post-intensive care syndrome (PICS): recent updates [DOI]
  6. 6 Approaches to Addressing Post–Intensive Care Syndrome among Intensive Care Unit Survivors. A Narrative Review [DOI]
  7. 7 Guideline on multimodal rehabilitation for patients with post-intensive care syndrome [DOI]
  8. 8 Review: Post-Intensive Care Syndrome: Unique Challenges in the Neurointensive Care Unit [DOI]
  9. 9 Post-Intensive Care Syndrome and Its New Challenges in Coronavirus Disease 2019 (COVID-19) Pandemic: A Review of Recent Advances and Perspectives [DOI]
  10. 10 Minimizing Post–Intensive Care Syndrome to Improve Outcomes for Intensive Care Unit Survivors [DOI]
  11. 11 ‘Can you hear me?’ Barriers to and facilitators of communication in the presence of noise in the operating room [DOI]
  12. 12 Mitigating Postintensive Care Syndrome Among Patients And Caregivers via a Dyadic Intervention [DOI]
  13. 13 Experience of Post-ICU Syndrome in Critical Disease Survivors [DOI]
  14. 14 Improve Communication in the Peri-Anesthesia Division in An Escape Room Setting [DOI]

Cited by 2

A Critical Analysis and Appraisal of the World Bank Project of Healthcare System in Montenegro: An International Project Management Perspective

Ebere Florence Adoromike, Nadege Zeshung, Kenneth O. Ogirri · Asian Journal of Advanced Research and Reports · 2024

Showing 1 of 2 known citations — external sources report more than can currently be individually listed.

Article metrics

Real usage data collected on this platform.

59

Page views

0

PDF downloads

17

Outbound clicks

2

Citations

Views over time

Views by country

Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".

Traffic sources

Referring site, by host.

Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.