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American Association of Critical-Care Nurses

Official Patient and Family website of the Society of Critical Care Medicine

Outcomes and Options


Critically ill or injured patients may require ICU care for a brief or extended period of time. Patients who require ICU care for extended periods of time usually have sustained a grave illness or injury. Episodes of medical and/or surgical instability, a sea of emotions, and a series of frustrating events typically unfold during an ICU patient's course. However, most people who are admitted to an ICU (80-95% depending on the type of ICU) recover and ultimately return home.

Whether a patient has a short or prolonged ICU stay, the transition out of the ICU will be accompanied by mixed emotions. During their ICU stay, patients are intensely monitored with continuous vital signs, bedside monitoring, and constant nurse and physician attention. The transition out of the ICU usually means that the patient is improving and that the intensity of physician and nursing care will decrease: joy and concern simultaneously.

This is a challenging time for all involved, including the patient. The decision to move a patient from the ICU is one that entails careful thought and consideration of multiple factors, a team decision. Even under the best of circumstances some patients will need to return to the ICU because of unexpected or unforeseeable events. ICU patients may be moved to one of the following areas:
 
    red dot   Step Down ICU
    red dot   General Medical/Surgical Hospital Ward
    red dot   Rehabilitation Ward/Facility
    red dot   Skilled Nursing Facility
    red dot   Extended Care Facility/Nursing Home
    red dot   Home Health Care
    red dot   Hospice Care

Click on the appropriate section to learn more about unique aspects and considerations of each option for post-ICU care.

However, 5-20% of ICU patients do not recover and a greater number have a reduced life expectancy. Therefore, realistically, you may have to cope with the loss of a loved one sooner than anticipated.

To help you through that difficult time, we provide appropriate guidance and information. To learn more about this subject, click on Loss of a Loved One.

 

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