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Psychological Factors During Acute Hospitalization: Delirium, Anxiety, and Acute Stress Disorder

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Handbook of Burns Volume 1

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Abstract

This chapter focuses on common issues during the ICU and acute phase of recovery that can impact quality of life long after discharge. The major psychological issues characteristic of this phase of recovery are delirium, anxiety, acute stress disorder, and depression. Screening for delirium, anxiety, acute stress disorder, and depression should be conducted as soon as the patient is alert enough to participate in an assessment. Early identification and intervention is key to reducing the likelihood of long-term negative effects. Knowing established risk factors for these disorders can help to identify those patients who are a high priority for screening and intervention. Even if patients do not meet DSM-V criteria for a diagnosis of these disorders, the symptoms that they do have may be so severe that they are interfering with care and quality of life and should be treated. Nonpharmacological interventions are critical adjuncts to medications in treating these symptoms. Hypnosis, meditation, progressive relaxation, imagery, mindfulness, and environmental interventions have all been shown to be effective in managing these symptoms.

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Author information

Authors and Affiliations

  1. Department of Rehabilitation Medicine, Harborview Burn Center, University of Washington, Seattle, WA, USA

    Shelley A. Wiechman

Authors
  1. Shelley A. Wiechman
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Correspondence to Shelley A. Wiechman .

Editor information

Editors and Affiliations

  1. Ross Tilley Burn Centre Sunnybrook Health Sciences Centre, Toronto, ON, Canada

    Marc G. Jeschke

  2. Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria

    Lars-Peter Kamolz

  3. Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden

    Folke Sjöberg

  4. Department of Surgery, University of Texas Health Science Center, San Antonio, TX, USA

    Steven E. Wolf

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Wiechman, S.A. (2020). Psychological Factors During Acute Hospitalization: Delirium, Anxiety, and Acute Stress Disorder. In: Jeschke, M., Kamolz, LP., Sjöberg, F., Wolf, S. (eds) Handbook of Burns Volume 1. Springer, Cham. https://doi.org/10.1007/978-3-030-18940-2_26

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  • DOI: https://doi.org/10.1007/978-3-030-18940-2_26

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  • Online ISBN: 978-3-030-18940-2

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