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Being in limbo
Being in limbo













Criticalillness survivors are leftinĪ stateof limbo characterised bya struggletoreclaim Lastingconditions arising fromthecritical illnessand theICU therapies. Temporal and biographical disruption, imprisonmentīythe ICUand itstherapiesandbeing trappedinanĪlien body that is plaguedby uncertaintyandlong InICU andinthemonthsafter discharge.Thefinding Likefortwelvepeopleto experience critical illness Phenomenological study describes what it was The main purpose of this study was to explore the experience of critically ill patients inICU andbeyond. Impact onthe person, their embodied sense of self and their ability to move on with their lifeĪfter they leave hospital. MedicalisedĪccounts critical illness fail torecognisethe significant Illnessand ICU hospitalisation, with inadequate Physiological andpsychological sequelae from critical

being in limbo being in limbo

Units (ICU)1 with numerous life changing ongoing Published Online September 2012 in SciRes. Hence,ġICU-Abbreviation for Intensive Care Unit. Evidence suggests that the burden of critical illness after ICU is greater. It is also clear that in many instances patients and their families face major challenging, difficult and often life changing experiences during and after a critical illness in ICU. However, the cost and burden is difficult to quan- tify because the number of critical illness ICU survivors requiring ongoing care is annually increasing at a rate of 8.8%. Nevertheless this high sur- vival rate has led to a burden on the patients, their fami- lies, communities and most of all the health care system. So far only one study has examined the long term impact of DSI on the lived experiences of pa- tients who have undergone the same.Īpproximately 130,000 adults are admitted to Austra- lian ICUs each year. However, the benefits of these innovations particularly DSI have not been exam- ined through the eyes of the critically ill patients nor has the meaning of surviving such an experience been fully explored. These innova- tions and technological advances have led to increasing numbers of ICU survivors. In addition sedation practices like DSI are associated with short ventilator and ICU stay. These ef- forts have mostly been directed at reducing ventilator time and ICU length of stay (LOS), promoting comfort, wakefulness and the ability of patients to inter- act, prevention of complications associated with con- tinuous deep sedation such as prolonged mechanical ventilation and ventilator acquired pneumonia. This is evi- denced by the major technological advances in mechani- cal ventilation like early tracheostomy and innovations in ICU practices particularly sedation practices.

being in limbo

Attempts to make the experience of critical illness better in ICU have also been made. Anecdotal evidence suggests that the experiences of patients have been consistent over time despite advances in technology and changes in ICU practice. Numerous studies have examined the experience of critical illness. Keywords: Critical Illness Intensive Care Mechanical Ventilation Daily Sedation Interruption There is an increasing number of critical illness survivors in intensive care Critically ill patients emerging from unconsciousness often suffer from confusion that could be momentary or lasting. Critical illness is a sudden traumatising lived experi- ence that affects the sufferer and their family throw- ing them into a crisis situation.















Being in limbo