Inevitably all of us will suffer from serious health setbacksrequiring an invasive and prolonged therapy. The recovery may not be complete. Somatic and psychological experiences of critical care illness (CCI) will affect the life of the survivors long-term after the discharge from the Intensive Care Unit (ICU).
The course will explore the epidemiological, somatic and psychological of CCIs. For the purpose of the class, a CCIs will be defined as a disease with high probability of dying and requiring an admission to the ICU (sepsis, stroke, acute coronary event, and others). A student will review the state of art in knowledge (not personal experiences) in the psychology of health pertinent to post-ICU syndrome. The outline of the lecture is a framework that may be modified to some extent depending on the participants interest and findings.
This is a class for highly motivated students with significant self-discipline. Participants will be expected to explore the EBSCO, Pubmed and other sources beyond attached references. A total of 15 students will be admitted for the class.
The course is divided into two parts – on-line (units 1-10) and series of interactive lectures (unit 11-15).
1. How are the health and illness defined?
a. „Classical” understanding of health and disease
b. „Alternative” definitions of health
2. Uniqueness of the critical care illness
a. Definition of critical care illness
b. Acute and chronic consequences of critical care illness
3. Homeostasis – the basic overview of the regulatory system of human body
a. What are the sources of stress during CCI?
b. How to measure stress? (acute vs. chronic).
6. Adaptation to the CCI and its consequences
a. What are the „optimal” ways of coping with CCI?
b. Post-ICU syndrome.
7. Posttraumatic stress disorder, delirium, and disability as the consequences of CCI?
8. ICU design and its relationship to post-ICU stress reduction
9. Design of the healthcare delivery for the ICU patient
a. How is the healthcare delivered during acute illness?
b. How is the healthcare delivered during recovery from the ICU?
a. Interakcja pacjenta z lekarzem i ze środowiskiem szpitalnym?
10. Lecture – medical aspect of critical care illness
11. Lecture – psychological aspect of critical care illness
12. Lecture – social aspect of critical care illness
13. Lecture – presentation of an assignment „How to change the ICU environment to reduce the stress and psychological consequences of critical care illness.”
14. Lecture – presentation of assignment „A design of the system to support survivors of CCI – how a patient, medical staff, and the insurance company can be motivated by a common goal.”
15. Lecture – presentation of assignment „When harm of the ICU admission exceeds benefits and how to convey this news to the patient?”
16. Paper presentation, final exam, feedback, and conclusion.