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Intensive care
Intensive care: Patients' experiences
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Reasons for admission :
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Coming round and regaining consciousness
Sleep, dreams and hallucinations
Intensive care treatments
Physiotherapy
Emotional experiences in ICU
Nursing care in ICU
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Experiences in the general ward :
The general ward: care and environment
Physical and emotional experiences
Physiotherapy on the ward
Discharge and moving on
Recovering at home :
Physical recovery
Emotional aspects of recovery
Making sense of what happened
ICU follow-up care
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Intensive care: Patients' experiences
Subject index
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Intensive care
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Intensive care: Patients' experiences
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Aged 61-70
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Interview 18
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She had to clean up after her husband because nurses took so long to attend to him.
Was diagnosed with cancer of the oesophagus in 2004. 2-day stay in ICU was planned, following surgery. Transferred to general ward in private hospital. Had to have a second operation and, because of complications, was admitted to ICU in NHS hospital. Spent 18 days in ICU. Had several more operations. In hospital for 5 weeks.
Intensive care
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Intensive care: Patients' experiences
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Aged 30 and under
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Interview 17
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He needed support to sit in a chair and had crutches to help him walk.
Has sickle cell anaemia and was experiencing chest pain, which turned out to be pneumonia. Breathing difficulties led to ICU admission and, because of multiple organ failure, spent about 12 days in ICU. Following ICU, spent 2 weeks in general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 71 plus
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Interview 10
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She was disappointed when she didn't receive some of the things she'd asked for or was expecting.
Was diagnosed with pancreatitis in 2004. Spent over a week in intensive care and 1 week in a general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 30 and under
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Interview 17
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Because of his pneumonia and chest pains, he was admitted to intensive care where doctors could keep a close eye on his progress.
Has sickle cell anaemia and was experiencing chest pain, which turned out to be pneumonia. Breathing difficulties led to ICU admission and, because of multiple organ failure, spent about 12 days in ICU. Following ICU, spent 2 weeks in general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 71 plus
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Interview 22
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He praised the care and treatment he had and felt he was very well looked after.
Was admitted to ICU in 2004 because of a rare infection caused by slight dog bite. Had finger and toes amputated. Was in intensive care for 17 days and was discharged after a short stay in a general ward. Later attended another hospital for skin grafts.
Intensive care
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Intensive care: Patients' experiences
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Aged 41-50
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Interview 04
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She was discharged because she could walk and her partner could look after her at home.
Had bowel complications and septicaemia. Was in intensive care for nearly 5 weeks. Spent 1 week in a High Dependency Unit and was then discharged.
Intensive care
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Intensive care: Patients' experiences
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Aged 61-70
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Interview 27
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He was moved back to HDU on several occasions because of a recurring infection.
Was admitted to intensive care in 2005 because of pancreatitis and septicaemia. Spent 2 weeks in intensive care, 2 weeks in a High Dependency Unit; 6 weeks in a general ward, and 2 weeks in a rehabilitation hospital.
Intensive care
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Intensive care: Patients' experiences
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Aged 61-70
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Interview 18
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He felt that being in HDU could have prevented mistakes made on the ward because of poor communication.
Was diagnosed with cancer of the oesophagus in 2004. 2-day stay in ICU was planned, following surgery. Transferred to general ward in private hospital. Had to have a second operation and, because of complications, was admitted to ICU in NHS hospital. Spent 18 days in ICU. Had several more operations. In hospital for 5 weeks.
Intensive care
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Intensive care: Patients' experiences
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Aged 51-60
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Interview 39
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HDU would have been better for her husband who was still very confused and weak after being in ICU.
Was admitted to intensive care in 2005 after having an accident in the home. Spent about 4 days in intensive care and 3 days in a trauma ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 31-40
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Interview 06
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She recalled talking to an outreach nurse about transferring to a ward and valued her support during this transition.
Was admitted to intensive care in 2003 because of pneumonia, and developed septicaemia. Spent 3 weeks in ICU, 36 hours in a High Dependency Unit and 5 weeks on a general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 61-70
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Interview 03
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He felt safe, protected and cared for in ICU but isolated on the ward and was still very weak.
In 2002 had throat surgery and knew he would go to High Dependency Unit afterwards. Overnight, however, had Acute Respiratory Distress Syndrome and needed emergency bronchoscopy. Was in intensive care for 5 weeks and in ward for 5 weeks.
Intensive care
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Intensive care: Patients' experiences
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Aged 41-50
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Interview 08
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He was concerned about the experience of nurses on the ward and said mistakes were made with his medication.
Was admitted to ICU four times between 1994 and 2004 because of heart attack, angina, pneumonia and heart failure. In 2004, heart failure and chest infection led to a stay in ICU of about 10 days. Sadly, he died in February 2006.
Intensive care
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Intensive care: Patients' experiences
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Aged 61-70
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Interview 27
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He adored some of the nurses but felt others were very busy and uncaring and, on one occasion, left him in his chair for twelve hours.
Was admitted to intensive care in 2005 because of pancreatitis and septicaemia. Spent 2 weeks in intensive care, 2 weeks in a High Dependency Unit; 6 weeks in a general ward, and 2 weeks in a rehabilitation hospital.
Intensive care
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Intensive care: Patients' experiences
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Aged 51-60
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Interview 07
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He praised all the hospital staff but felt that nurses in ICU could give much more care and attention than those on the ward, who were much busier.
Was diagnosed with Guillain-Barre Syndrome, a rare disorder of the peripheral nerves, those outside the brain and spinal chord. Was in intensive care for 7 months and on a ward for 1 month. Was preparing to have rehabilitation at time of interview.
Intensive care
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Intensive care: Patients' experiences
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Aged 61-70
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Interview 03
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He felt there was a lack of continuity and co-ordination in the ward and never saw a counsellor even though this had been discussed.
In 2002 had throat surgery and knew he would go to High Dependency Unit afterwards. Overnight, however, had Acute Respiratory Distress Syndrome and needed emergency bronchoscopy. Was in intensive care for 5 weeks and in ward for 5 weeks.
Intensive care
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Intensive care: Patients' experiences
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Aged 31-40
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Interview 35
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He was still too weak to move or lift things when he was transferred to a ward and would have liked a HDU in his hospital.
Was admitted to intensive care in 2004 because of Guillain-Barre Syndrome. This is a rare disorder of the peripheral nerves, those outside the brain and the spinal chord. Spent 17 days in intensive care and about 1 week in general ward. Was then transferred to rehabilitation ward in another hospital, and spent about 3 months there.
Intensive care
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Intensive care: Patients' experiences
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Aged 30 and under
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Interview 17
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His family wondered how he'd got pneumonia and MRSA when he was in hospital, and was surprised to overhear medical staff discussing him privately.
Has sickle cell anaemia and was experiencing chest pain, which turned out to be pneumonia. Breathing difficulties led to ICU admission and, because of multiple organ failure, spent about 12 days in ICU. Following ICU, spent 2 weeks in general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 71 plus
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Interview 10
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Some of the nurses couldn't understand what she was saying because English was their second language and she found this difficult when she was extreme
Was diagnosed with pancreatitis in 2004. Spent over a week in intensive care and 1 week in a general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 71 plus
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Interview 10
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She was glad to get back home because she found the noise from other patients, their visitors and nursing staff distressing.
Was diagnosed with pancreatitis in 2004. Spent over a week in intensive care and 1 week in a general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 41-50
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Interview 25
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His partner noticed that nurses often didn't wash their hands or wear gloves when they attended to different patients.
Was admitted to intensive care in 2003 because of severe pneumonia, septicaemia, liver abcess and kidney failure. Spent about 4 weeks in intensive care and 2 weeks in a general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 41-50
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Interview 01
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She found the care on the ward excellent and felt like she needed to do more for herself once she was there.
Was admitted to intensive care in 1998 because of a complication during pregnancy, leading to septic shock. Was in ICU for 11 days and in general ward for 2 weeks. Recovered well and has had no further problems related to that illness.
Intensive care
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Intensive care: Patients' experiences
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Aged 30 and under
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Interview 12
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She still felt confused after being transferred and had to keep asking questions to understand what was happening.
Was diagnosed with ulcerative colitis. Had to have surgery to remove colon. Had kidney failure and was in intensive care for about 21 days, High Dependency Unit for about 2 weeks and a general ward for 2 weeks.
Intensive care
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Intensive care: Patients' experiences
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Aged 41-50
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Interview 01
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She was extremely weak and her family worried that if she needed anything during the night, no one would be around to help.
Was admitted to intensive care in 1998 because of a complication during pregnancy, leading to septic shock. Was in ICU for 11 days and in general ward for 2 weeks. Recovered well and has had no further problems related to that illness.
Intensive care
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Intensive care: Patients' experiences
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Aged 31-40
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Interview 06
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She was anxious about moving to a general ward because she was too weak to do anything for herself and had no energy to press the buzzer.
Was admitted to intensive care in 2003 because of pneumonia, and developed septicaemia. Spent 3 weeks in ICU, 36 hours in a High Dependency Unit and 5 weeks on a general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 61-70
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Interview 27
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He had to balance his dependence on nurses with his own dignity as a person, and was pleased when he became less dependent for his personal care.
Was admitted to intensive care in 2005 because of pancreatitis and septicaemia. Spent 2 weeks in intensive care, 2 weeks in a High Dependency Unit; 6 weeks in a general ward, and 2 weeks in a rehabilitation hospital.
Intensive care
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Intensive care: Patients' experiences
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Aged 41-50
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Interview 29
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Nurses expected her to be able to wash herself but became aware of her weakness and needs with time.
Had a planned hysterectomy in 2004. Complications led to a second operation. Was admitted to intensive care because of Acute Respiratory Distress Syndrome. Spent 2 weeks in intensive care, 1 day in High Dependence Unit and 1 week in a general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 31-40
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Interview 34
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He was looking forward to going home but was transferred to another hospital for an operation.
Was admitted to intensive care in 2001 because of acute pancreatitis. Spent 46 days in intensive care and 1 month in general ward. Needed to have surgery and was transferred to another hospital. Spent 4 weeks in hospital before surgery, 30 days in intensive care and 3 months in general ward. Overall length of stay in 2 hospitals was 7 ½ months.
Intensive care
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Intensive care: Patients' experiences
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Aged 41-50
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Interview 13
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She felt weepy having had surgery but knew these feelings would pass because she'd had them before.
Had planned surgery in 1998 to remove kidney because of ongoing problems with kidney stones and infections. ICU stay after surgery was also planned. Stayed in intensive care for 2 days. Spent about five weeks in hospital after surgery.
Intensive care
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Intensive care: Patients' experiences
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Aged 31-40
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Interview 06
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She had to rebuild her strength to do normal daily activities and missed her new baby.
Was admitted to intensive care in 2003 because of pneumonia, and developed septicaemia. Spent 3 weeks in ICU, 36 hours in a High Dependency Unit and 5 weeks on a general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 71 plus
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Interview 22
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He usually enjoyed reading but couldn't concentrate and felt bored.
Was admitted to ICU in 2004 because of a rare infection caused by slight dog bite. Had finger and toes amputated. Was in intensive care for 17 days and was discharged after a short stay in a general ward. Later attended another hospital for skin grafts.
Intensive care
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Intensive care: Patients' experiences
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Aged 61-70
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Interview 20
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The physiotherapists 'saved his life' because they helped him with breathing difficulties he had.
Was diagnosed with colorectal cancer in 2004. Because of complication (idiopathic thrombocytopenia, diagnosed in 2000), short stay in intensive care was planned, following surgery. Spent 8 days in intensive care and 18 days in general ward.
Intensive care
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Intensive care: Patients' experiences
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Aged 31-40
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Interview 34
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Going from ICU to a ward was a shock, but was glad to be recovering.
Was admitted to intensive care in 2001 because of acute pancreatitis. Spent 46 days in intensive care and 1 month in general ward. Needed to have surgery and was transferred to another hospital. Spent 4 weeks in hospital before surgery, 30 days in intensive care and 3 months in general ward. Overall length of stay in 2 hospitals was 7 ½ months.
Intensive care
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Intensive care: Patients' experiences
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Aged 61-70
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Interview 18
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She was very concerned about the nursing care on the ward and about her husband's wound, which had become infected.
Was diagnosed with cancer of the oesophagus in 2004. 2-day stay in ICU was planned, following surgery. Transferred to general ward in private hospital. Had to have a second operation and, because of complications, was admitted to ICU in NHS hospital. Spent 18 days in ICU. Had several more operations. In hospital for 5 weeks.
Topic
Intensive care
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Intensive care: Patients' experiences
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The general ward: care and environment
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The general ward: care and environment
The general ward: care and environment
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