Psycho-social Aspects of Critically III Patients: A Review

Abstract

Introduction: Critical care units (CCUs) is fast-based treatment, which includes highly technologically focused arrangements for invasive and non-invasive procedures with high intensity interventions. Causes of psycho-social distress: Acute distressing events, Situational-related to an external event/situation Maturational, dismemberment, accession, demoralization, alteration in selfconcept and body image, pain and excessive anxiety, depersonalization, social isolation and separation, impaired communication. Clinical Manifestations: Psychological immobility, powerlessness, loneliness, helplessness, hopelessness, avoidance and denial, hostility and anger, anxiety, depression and sadness, diminished sexual drive, insomnia, fear, withdrawn behavior. Management: The nurse is the most responsible person for the CCU patient's emotional well-being She acts as a stabilizer in an ever-changing and uncertain environment and is with the patient continuously She observes the personality, changes in physical status sees positive and negative behaviour manifestations She is the link between the patient and his family, patient and the team. She has a human compassionate aspect to her nature. Conclusion: Patient management requires the coordinated effort of multiple disciplines to define goals and strategies to achieve them in se define the profession only by tasks and data gathering, then nurses are on the endangered species list Nurses must define and perform their unique professional role in a way that emphasizes human interaction, critical thinking, problem solving.