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Environmental ICU Interference

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  1. Introduction
  2. The ICU environment
  3. Moritz and Garrido
  4. Conclusion

On the physical conditions, Milk (2000), just mentioned, highlights the fact the ICU be a strange environment where people with known links are broken. The patient is subjected to invasive and painful procedures, subject to rules that can trigger her feelings of helplessness, depression and others. It mentions that, with constant brightness, no breakage of the circadian rhythm, the patient feels the temporal change, patient comes into contact with noises and unknown machines.

On the physical and environmental conditions reported by Sebastiani (1995), have been highlighted above isolation, the devices, the climate of death, loss of sense of time and space as possible factors to interfere with the patient's emotional state. He says that environmental factors might influence the evolution of the patient and that any change in the emotional state of this reflects directly on your condition.

[...] It adds to the sensory deprivation torture techniques, the tax stimulus (light and sound), psychotropic drugs or paralyzing, immobility, isolation, forced or reduced communication and interference in the biological clock by changing routines in such techniques. Thus, he points out there are similarities between such torture techniques and what happens in the Intensive Care Unit. In this unit the patient suffer isolation. They are removed from their familiar environment, the familiar people and their routine, which can worsen if the team assume that patients are unconscious and not talk to them. People, when isolated, usually try to establish some communication. [...]

[...] Sao Paulo, E.P.U CECCARELLI, PR, "oedipal Settings of contemporaneity: thoughts on the new forms of membership," in Journal of Psychoanalysis Pulsional, Sao Paulo, year XV 88-98, mar FERRAZ, MB Quality of life: concept and a brief history. Young Physician, 1998; 219 -22. FERREIRA, V. M. Fantasies of death in patients with chronic renal failure. Interdisciplinary graduate work, Mackenzie Presbyterian University, São Paulo FOULKES SH, editor. Psychotherapy group-analytic: method and principles. Barcelona: Gedisa; 1981. FREUD S. Group psychotherapy and self analysis (1921). In: Standard Ed of the Complete Psychological Works, vol. [...]

[...] For Dyer (1996) such features can be avoided. To reduce the isolation and the monopolization of perception the author suggests some changes. The team begins to talk with patients (including the theme of the conversation the explanation of the measures taken, but also involving the world outside the ICU), encouraging family members to do the same. Communication can improve with the constancy of a team for the care, with the use of television, radio and Family recordings reducing isolation and anxiety. [...]

[...] Seidler and Moritz (1998) also conducted a study conducted at the University Hospital of the Federal University of Santa Catarina and raised which the memories of the main factors that cause discomfort in patients during hospitalization in an ICU. The critical patients admitted to an Intensive Care Unit is exposed to a variety of stressful stimuli that generate important psychological and physiological effects. For this reason, the treatment and prophylaxis of stress acquire important implications for the practice of intensive care. [...]

[...] For some patients it is considered to use earplug. Dyer (1996) ends his text saying that even providing a good technical care, ICU patients do not receive good care if your psychological well-being is at risk. As can be seen, the uncomfortable experience is also associated both physical, environmental factors such as organic and psychological. All factors can be stressful for patients. Many of the devices and therapeutic approaches that promote the improvement of the patient have consequences as emotional sequelae. [...]

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