Critical Care Recovery Center: Can a Geriatric Model of Care Guide Recovery of ICU Survivors?
Post-intensive-care syndrome (PICS) is defined as cognitive, psychiatric, and/or physical decline after an intensive care unit (ICU) stay. Even in younger ICU survivors, PICS can have a degree of cognitive impairment similar to that in dementia. Therefore, ICU survivors may benefit from a geriatric care model. The Critical Care Recovery Center (CCRC) is an innovative outpatient collaborative care clinic for ICU survivors modeled after the Healthy Aging Brain Center (HABC). The HABC is a geriatric care model for dementia that was implemented utilizing concepts of complex adaptive systems and the reflective adaptive process. Preliminary findings for the initial fifty-one CCRC patients indicated that 88.2 percent had cognitive impairment and 58.8 percent had depression. Our findings suggest that ICU survivors often experience impairments usually seen in the geriatric population. Future studies are needed to determine whether geriatric care models for ICU survivors can improve cognitive, psychiatric, and physical functioning.
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