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Intensive Care

Why are some patients admitted to Intensive Care with COVID-19?

COVID-19 can cause respiratory or breathing difficulties. Some patients will need specialist support with their breathing e.g. using a tight-fitting face mask (called CPAP) or a ventilator (breathing machine or life support machine). The virus affects many other organs, however, and some patients will need support with their blood pressure (with drugs or specialist equipment) or their kidneys (with a kidney machine). Some patients will be admitted to Intensive Care as a precaution, as we know that some patients can deteriorate quite quickly. The Intensive Care Unit is the safest place to look after these patients, as it has high numbers of highly skilled and staff who are very experienced in the use of specialist support. 

Visits from family members may not be allowed at this time

This is to protect family members from picking up COVID-19. We know that this will be very upsetting to patients and families.The staff will work very hard to make sure that families are kept up to date by phone. Many Intensive Care Units are using online or "virtual" visiting, which means that family members can see their loved ones, using mobile phones or tablets, and speak to them if they are awake. In this section, we’ve provided some general information on common equipment and treatments, including how and why they’re used. We’ve also provided some information on routine care, the staff who work in Intensive Care and the sorts of things they will have done to help you or your family member.

 

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External Video: Louise and her recovery from Swine flu

Video length: 22:33 (Watch now or tap the button above to add this resource to your personal library to watch later) In this video clip, Louise talks about her experiences of being critically ill with Swine flu. Five years on, she talks about the processes of getting better and getting on with her life. You can read interviews,listen to voice recordings and watch clips of other patients' experiences of Intensive Care by using the link to Healthtalkonline.

Web Link: Managing someone else's affairs (Citizens Advice)

When someone is ill in Intensive Care, they may need someone to help with or take over their affairs, including making decisions around their health, legal and financial welfare.This link will take you to the Citizens Advice website. It provides simple, easily understandable information about different ways of managing someone else's affairs, including different types of Power of Attorney. 

Web Link: Medicines explained

This link will take you to an NHS page explaining how 100s of different medications work, what they're for, how to take them and possible side-effects. It's not exhaustive, but we hope you find it helpful. 

Web Link: Miles & his recovery from Avian Flu

In this brief clip, shown on ITV News during the COVID outbreak, Miles talks about his experiences of recovering from avian flu. He talks about the physical and emotional impact of Intensive Care, the impact on his family, and his determination to recover his life. He also talks about his work with ICUsteps, a patient-led charity, and how important it is that patients and families are aware of the support that's out there, from other people who've been in Intensive Care.

Article: Money issues

What if I can't pay the bills? It can be stressful enough, worrying about a family member in Intensive Care, without the added stress of worrying about money and how you're going to pay the bills. This is especially true if your loved usually dealt with money issues, if either of you are self employed or you need to take a lot of time off work in order to visit him or her or to look after children. Can I get access to his or her bank account? You may need access to...

Web Link: Money issues & COVID-19: the Money Advice Service

This link will take you to the UK Money Advice Service website and their advice on a range of money issues during the pandemic.There's a wealth of information to help you find out wht kind of financial support you're entitled to, the furlough scheme, managing debt, managing your bills (include rent and mortgage payments), borrowing and bereavement support. There are also some helpful tools to help you manage your budget, and you can contact one of their trained financial advisers...

Article: Monitors

Every bed in the ICU has a monitor that will display what we call the patient's “vital signs”. These typically include the heart rate and rhythm (or ECG), blood pressure, oxygen levels (or “saturation”), respiratory (or breathing) pattern and fluid status (CVP or “central venous pressure”).The nurses will keep a constant eye on the monitor and will carefully record the vital signs in the patient's charts.The monitor has in built alarms that will...

Document: My epic journey: a poem by a former patient

This is a touching, insightful and inspiring poem written by Rose about her time in Intensive Care and beyond.She has very kindly given permission for us to include it here. My epic journey; a poem by Rose Fraser Edinburgh Time stood still 27 March 2013 At the Royal Infirmary Another world was dark Not knowing was sad Voices, voices repeated Time will test your desire How much do you want to live? Noises, echoes, echoes Ice-cream, Ice-cream Chocolate,...

Web Link: NHS Videos: Intensive Care and recovery

This link will take you to the NHS video library on Intensive Care. There is a range of short videos on many aspects of ICU and recovery. Topics include: The Critical (or Intensive) Care Unit Children, families & Critical (or Intensive) Care Step down to the ward Physical recovery Common psychological problems Hallucinations Nightmares, dreams & poor sleep Stress & anxiety PTSD (Post Traumatic Stress Disorder) Memory loss Going home Research

Article: Nutritional support

Why is nutrition so important in Intensive Care? Being very ill can increase the rate at which the body uses up energy, which means that patients can lose a lot of weight while they're in Intensive Care.Another common effect of very severe illness is muscle wasting,which can affect things like mobility and result in patients becoming tired very easily. Putting weight back on and regaining muscle can often take some time. It is therefore very important that patients are well fed...