British journal of nursing (Mark Allen Publishing)
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Significant psychological impacts, including post-traumatic stress disorder (PTSD), have been associated with patients under sedation in intensive care units (ICUs). However, it remains unknown if and how sedation is related to post-ICU psychological outcomes. This literature review explores the relationships between sedation, the depth of sedation and psychological disorders. ⋯ To ensure subject relevance pre-2006, non-English and paediatric-based research was excluded. Findings highlighted that reduced sedation levels did not significantly reduce the outcome of PTSD, yet reduced ICU length of stay and length of mechanical ventilation (MV) were both associated with lighter sedation. Further research is recommended into more specific factual and delusional memories post ICU in relation to the level of sedation and to psychological distress.
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Spirituality is a complex and subjective concept. However, spiritual wellness is an important component in a person's overall well-being and the spiritual support of patients is central to nursing care. ⋯ Spiritual care for people with dementia involves reflective practice and meaningful engagement with the person with dementia, so as to facilitate shared understanding. Furthermore, the support of the spiritual and religious beliefs of the person need to be facilitated within an individualised or person centred approach to care and delivered within a multi-disciplinary collaborative context.