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ICU Hospitalization Tied To PTSD [PsychCentral.com]

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New research discovers post-traumatic stress disorder can occur after a stay in an intensive care unit.

 

PTSD is often associated with warfare, major catastrophes and assault, not hospitalization. However, in a new study Johns Hopkins researchers found the disorder is present in almost one-quarter of patients who survive a critical illness and stay in the intensive care unit (ICU).

 

Investigators also identified possible triggers for PTSD and indicated a potential preventive strategy: having patients keep ICU diaries. The findings will be published in a forthcoming issue of Critical Care Medicine.

 

“PTSD can drastically impact a person’s ability to communicate and connect with others, truly interrupting their lives and preventing experiences of joy,” said Joe Bienvenu, M.D., associate professor of psychiatry and behavioral sciences at the Johns Hopkins University School of Medicine.

 

“This is why our findings are important and why it’s so critical that we continue to research ways to prevent PTSD.”

 

Researchers say that similar research was done in years past, but there was much less data at that time.

 

“We now have a larger data set to review and learn from,” said Ann Parker, M.D., a fellow in the Johns Hopkins Medicine Division of Pulmonary and Critical Care Medicine. “These data could help us develop better prevention methods for ICU-induced PTSD.”

 

[For more of this story, written by Rick Nauert, go to http://psychcentral.com/news/2...d-to-ptsd/83748.html]

 

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I followed the links to the original article in (Johns-Hopkins) "Eureka", which had the researchers e-mail addresses at the bottom of it, and advised them that they could peruse my response here. If anyone wishes to comment privately or directly with them, that should work....

I already had PTSD before I had my open heart surgery. Before the surgery, I asked the Anesthesiologist to write an Advance Directive, that when the CICU nurse came in to slap me in the back-to clear fluid from my lungs, that s/he first speak audibly into my ear, calling me by name [even while I was still under the influence of anesthesia], saying what s/he was going to do-BEFORE s/he did it... To the best of my knowledge, I was not considered by those nurses as a "management problem". However, after leaving the CICU, and going on the Cardiac Recovery Ward, I had some PTSD reactions, and consulted with a psychiatrist, who prescribed low-dose Mellaril. Unfortunately, it wasn't apparently known then, that Mellaril prolongs the Qt Heart rhythm. Many other positive accommodations were made by the University Hospital staff, at that time, such as accompanying me outdoors to walk, the first day after I was discharged from CICU, with my wheeled IV rack; not putting me in a room near the nurses station where I could hear the beeping of all the cardiac monitors on the ward; etc.         I hope the researchers at Johns Hopkins will review the responses here in ACEsConnection.

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