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The ICU patient - psychological aspects

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documents in English
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10 pages
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  1. Introduction
  2. The patient and the changes of thought and sense-perception
  3. Psychological aspects
  4. Conclusion

The ICU sets, for their intrinsic characteristics in an environment that requires great mental and emotional adjustments of the patient. It is an unknown and threatening environment, and coincide with the disease and its likely physical discomfort, and fear the possibility of death that some people when the need for ICU admission - real factor as a possibility, and ghostly due the very stigma that UTI mean imminent death.

Still it should be considered that a critical illness in most cases can occur suddenly and unexpectedly, involving a threatening one's life structure, requiring the immediate need of upgrading to a new environment and often scary. All equipment, sounds and people may seem terrifying, in addition to the concepts that the person may have already than would a UTI, compete to increase feelings of fear, loneliness and helplessness.
The accumulation of environmental and situation factors affect all patients admitted to an intensive care unit in varying degrees depending on their personality traits, physical status, extent of interventional needs and length of stay in the ICU.

Among the most common emotional manifestations are anxiety, intense fear, denial, regression, guilt and depression. The growing dependence and paranoid state caused by the characteristics mentioned above can lead to ICU psychosis. This is characterized by intense agitation ranging from a mild confusion to a state of advanced delirium. Organic reactions of this framework as mental confusion, difficulty in attention, spatial disorientation and time, loss of memory, perception changes and effective instability occur more frequently in patients who have suffered severe trauma, prolonged surgical and anesthetic interventions, cerebral oxygenation deficit, with large metabolic changes, other entity (Wallace-Barnhill cited Shoemaker, 1992).

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