MANAGEMENT OF THE PATIENT WITH CHRONIC CRITICAL ILLNESS – PART 1

Authors

Arkadiy Finn, Division of Hospital Medicine, Department of Medicine, Warren Alpert School of Medicine at Brown University, Providence, RI, USAFollow
Vijairam Selvaraj, Division of Hospital Medicine, Department of Medicine, Warren Alpert School of Medicine at Brown University, Providence, RI, USA
Elijah Peterson, Bryn Mawr College, Bryn Mawr, PA, USA
Debasree Banerjee, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Warren Alpert School of Medicine at Brown University, Providence, RI, USA
Amos Lal, Division of Pulmonary and Critical Care, Department of Medicine, Mayo Clinic, Rochester, MN, USA
Himmat Grewal, Division of Pulmonary and Critical Care, Department of Medicine, Tulane University School of Medicine, New Orleans, LA, USA
Edward Martin, Division of Geriatrics and Palliative Medicine, Department of Medicine, Warren Alpert School of Medicine at Brown University, Providence, RI, USA
Kwame Dapaah-Afriyie, Division of Hospital Medicine, Department of Medicine, Warren Alpert School of Medicine at Brown University, Providence, RI, USA

Abstract

Patients with chronic critical illness (CCI) represent a growing segment of the hospitalized population. Key aspects of care in CCI patients including tracheostomy, prolonged mechanical ventilation, nutritional support, wound care, and others require a comprehensive, goal-directed approach. Infectious complications of CCI including pneumonia, tracheobronchitis and urinary tract infection may be caused by nosocomial organisms requiring awareness and adjustment of treatment regimen. Finally, psychiatric, palliative, rehabilitative components of care impact heavily upon outcomes in CCI patients. As care that is typically associated with the intensive care unit is extended to the hospital ward, we aim to increase awareness among providers and outline a systematic approach to deliver high quality, patient centered care to CCI patients.

Recommended Citation

Finn, Arkadiy; Selvaraj, Vijairam; Peterson, Elijah; Banerjee, Debasree; Lal, Amos; Grewal, Himmat; Martin, Edward; and Dapaah-Afriyie, Kwame (2022) "MANAGEMENT OF THE PATIENT WITH CHRONIC CRITICAL ILLNESS – PART 1," Journal of Community Hospital Internal Medicine Perspectives: Vol. 12: Iss. 4, Article 6.
DOI: 10.55729/2000-9666.1065
Available at: https://scholarlycommons.gbmc.org/jchimp/vol12/iss4/6