Brice Alejandro E, Brice Roanne G
Department of Language, Literacy, Ed.D., Exceptional Education, and Physical Education (LLEEP) College of Education, University of South Florida, Tampa, FL 33620, USA.
Department of Planning and Knowledge Management, College of Community Innovation and Education, University of Central Florida, Orlando, FL 32816, USA.
Healthcare (Basel). 2024 Jul 30;12(15):1506. doi: 10.3390/healthcare12151506.
This case report focuses on what patients and family members may experience when a neurological trauma transpires and resultant intensive care (ICU) delirium occurs. It is the personal account of the patient (A.B.) and spouse's (R.G.B.) perspectives when the patient (A.B) suffered a vertebral artery aneurysm and hemorrhage and experienced intensive care unit (ICU) delirium after being in the ICU for 22 days. This case report provides the patient's and spouse's perspectives regarding delirium, i.e., A.B.'s inability to discern reality, loss of memory, paranoia and hallucinations, agency and recovery, post-ICU syndrome, and post-traumatic stress disorder (PTSD). Clinical diagnosis by the neurosurgeon indicated delirium, with treatment consisting of sleep sedation and uninterrupted sleep. A.B. was able to regain consciousness yet experienced post-traumatic stress disorder up to one year afterward. Consistent family participation in the patient's delirium care is crucial. Family member care and family-centered strategies are provided with implications for future research and health care.
本病例报告聚焦于神经创伤发生以及由此导致的重症监护病房（ICU）谵妄出现时，患者及其家属可能经历的情况。这是患者（A.B.）及其配偶（R.G.B.）的亲身叙述，讲述了患者（A.B.）患椎动脉动脉瘤并出血，在重症监护病房（ICU）待了22天后出现ICU谵妄时的情况。本病例报告呈现了患者及其配偶对谵妄的看法，即A.B.无法辨别现实、记忆丧失、偏执和幻觉、能动性与康复、ICU后综合征以及创伤后应激障碍（PTSD）。神经外科医生的临床诊断表明存在谵妄，治疗方法包括睡眠镇静和持续睡眠。A.B.能够恢复意识，但在此后长达一年的时间里都患有创伤后应激障碍。家庭成员持续参与患者的谵妄护理至关重要。文中提供了家属护理及以家庭为中心的策略，并对未来研究和医疗保健具有启示意义。
