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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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Web Link: Children: how to tell them that someone is very ill or has died

It can be very difficult to know how to tell children and teenagers that a family member is very ill or has died. This link takes you to Winston's wish, a charity supporting bereaved children, teenagers and their families. They are based in England, but offer a national phoneline for support and resources that you can download (although you may have to pay for some of them).

Document: Confusion (delirium) and Intensive Care

This is a short, easy to read booklet written by ICUSteps.It explains what delirium is, why patients in Intensive Care are often confused, what it feels like for the patient and the things family members can do to help.Some patients continue to be a little confused after they are transferred to the general wards, although this is usually temporary.

Web Link: Coronavirus information (British Sign Language)

It's very, very important that you look after yourself during these worrying times.Please check with the regularly updated guidance on the homepage of this website*If you live with, or have been in close contact with the person admitted to Intensive Care with COVID-19, you'll need to follow current guidance on self-isolation and social distancing, etc.This link will take you to a YouTube video of information on coronavirus, in British Sign Language. It was produced by Public Health...

Web Link: Coronavirus: guidance for households (British Sign Language)

It's very, very important that you look after yourself during these worrying times.If you live with, or have been in close contact with the person admitted to Intensive Care with COVID-19, you'll need to follow current guidance on self-isolation and social distancing, etc. This link with take you to a YouTube video on guidance for households with (potential) coronavirus, in British Sign Language. It was produced by Public Health Wales. *Please remember that the guidance will...

Web Link: Coronavirus: your mental health & well-being

It's really important that you look after yourself during the coronavirus outbreak. This link will take you to Public Health England's webpage, offering comprehensive, practical advice on looking after your physical and emotional wellbeing, including staying connected with others, staying active, dealing with difficult feelings, money worries, getting medication and practical help, and where to get support from other government bodies.

Web Link: COVID ICU: a video of an ICU, routine and specialist care and follow-up

This link will take you to a video from East Suffolk And North Essex NHS Foundation Trust. It's about 20 minutes long. It includes an introduction to the Intensive Care Unit, and explains some of the equipment used, and the types of care you will have received. Various members of the healthcare team introduce themselves and explain the types of things they will have done to support your recovery. These include, for example, the Speech and Language Therapist, Occupational Therapist,...

Article: CPAP

What is CPAP? (pronounced see pap) CPAP stands for Continuous Positive Airway Pressure and is another way in which we can help support patients with their breathing. Many patients with COVID-19 will receive CPAP. It involves putting a tight fitting mask over the patient's nose and mouth. The mask needs to be tight so that we can deliver extra support using air and oxygen at varying pressures.A transparent hood that fits over the head (rather like a large bubble) can also sometimes be...

Web Link: Delirium (confusion, strange dreams & memories) in ICU: a video

This link will take to you a video or webinar on delirium (feeling confused or having strange dreams or memories) in ICU. The video is hosted by ICUsteps, the UK's ICU patient-led charity. You can find their website here:ICUsteps In it, the group discuss delirium, patients' experience of it, and simple things that can be done to help. They also discuss recovery from delirium after discharge home, how family members can help, and psychological support that is available. The video is...

Web Link: Delirium: a short film

This link will take you to a short YouTube video on COVID Intensive Care patients' experiences of ICU deliium. It's from colleagues in North America and it's around 10 minutes long. It includes short excerpts from patients and healthcare professionals.** Please be aware that this video contains images of people in ICU, and of their experiences of delirium. Some people may find this distressing**.

Article: Diaries in Intensive Care (family information)

What is a diary? A diary is a booklet written for patients about their time in Intensive Care. Some Intensive Care Units use patient diaries and some don’t. They’ve been used for a number of years in other countries, but are only just beginning to be used in the UK. More research is needed to find out if and how they help. Why might (some) patients find a diary helpful? Patients often can’t remember how they ended up in Intensive Care, or what happened while they were...