Intensive care: Experiences of family & friends
Lack of support and information
Many people felt there was a lack of support for ICU patients when they were discharged from hospital and recovering at home. Some said they were shocked and disappointed when the ill person had come back home but hadn't received any physiotherapy or other treatment, even though they'd still been extremely weak and immobile. One man said he had to pay for his wife to have physiotherapy privately and felt that they'd only started receiving the emotional support they needed when they joined a local support group.
He felt there was a lack of medical support after ICU and that his wife's recovery depended very much on the care given to her by him, his daughter and private physiotherapists.
He felt there was a lack of medical support after ICU and that his wife's recovery depended very much on the care given to her by him, his daughter and private physiotherapists.
The main problems started when we got home. She [wife] went from 24 hours being looked after to nothing, to be looked after by me and my daughter. My daughter was, has been absolutely wonderful, the whole, the last two, two and a half years now I think it would be.
Does she live here with you?
No, no, she lives with her partner. I can't fault her at all for what she's done for me and my wife. Well we were so grateful that we treated them all to a cruise on the QEII for a Christmas present to say thank you for them last year. Yeah it was last year. That's right. And that went down well [laughs].
But my main concern is the lack of support from the medical side when we came home. Alright she came home, she was given a hospital bed. We had one delivered here so she could sleep downstairs because of her injuries. Her injuries were a broken back. She broke her back in two places. All her ribs on her left hand side and both lungs collapsed. She had to lie flat on her back for the best part of eight weeks. And my wife does not like sleeping on her back because she already had a back problem before all this happened. That's the worst thing that could have done. But apart from having the bed we had no help whatsoever when she came home.
District nurse came in a couple of times. We asked for physio. She had physiotherapy every day while she was in hospital. When she came home she had nothing. To get physio we've had to go private. And that's the bad thing about it all.
The physio, the local physio came once, saw that she could just about manage to get about. Because when she first came home she had to wear this brace around her so she could stand up. And the physio saw that, saw she could just about get around and we never saw her again. That was, I couldn't believe it.
Some people said they'd worried about a lack of support for ICU patients during recovery, which meant they failed to discover whether the ill person was being adequately cared for when they got home.
His partner's mother should have stayed in hospital longer so she could get the support she needed from people who were medically trained.
His partner's mother should have stayed in hospital longer so she could get the support she needed from people who were medically trained.
So anyway as I say, you know, [my partner's mother] came on leaps and bounds. Still no one came. You know, we were expecting nurses, physios, stuff like that. No one came. I think in the end [my partner's mother] eventually saw her own doctor. And he said she was, you know, getting on well, she still had to take it easy, you know, everything was developing. She ended up going to physio, but a private physio that she paid for. Which is another thing I can't understand. Surely the hospital should provide someone? And I thought there would be somebody on a daily basis giving her exercises and everything. But there wasn't. So ended up paying for that. And we basically moved on to this day.
But [my partner's mother] still suffers. I still think, you know, in my eyes there should have been regular visits to the hospital, you know, X-rays, stuff like that. Because how does anyone know what's going on? And she's on a lot of medication. Which concerns me, because it's long-time medication. And, you know, you read about it, you know, if you take something for a long time it can damage your insides. I just feel that there's not enough checking-up from the hospital. You know, they don't follow up. They go to this group, which I think is a cracking idea, which I believe was started by one of the Intensive Care nurses, which I think that's very good for the pair of them. But apart from that, you know, the hospital discharged her and that was that in their mind. Which, it's wrong to send someone home in the condition [my partner's mother] was in, was wrong. You know, yes, we're family, yes, we're friends, yes, we will care, but we're not medical people. We, we didn't have a clue.
You know, every day we learned something. But if something had happened to [my partner's mother] you know, when she was flat on her back, you know, if she'd had breathing difficulties or something, we wouldn't know what to do. And I think out of the whole thing, that gets to me. And, you know, we all pay National Insurance and stuff like that and I just don't think you get what you're paying for. And I'm not blaming the staff, not the nurses. I think they're tremendous. To me, the whole system's wrong. It's all about, 'Get the person in. Get the person out.' And I think that made circumstances ten times worse. I think if [my partner's mother] had spent a couple more months in hospital, and had physio, it would have been so much easier on everyone, and [my partner's mother]. You know, the fact that she came home and she was dependent on us lot. As I say she's a proud woman. She didn't like that, you know, she really didn't like that. And I didn't like seeing her like that, because she'd always done everything for everyone, and suddenly she could do nothing. And so I just think it's wrong. As I say, she still suffers today.
Some felt that, had it not been for the care of relatives, the ill person might not have recovered and they were concerned about what they felt was a gap in health care provision. A few stressed the importance of ICU follow-up clinics in getting information and support.
He felt strongly about there being more support for ICU patients, including ICU follow-up clinics, physiotherapy and psychological support.
He felt strongly about there being more support for ICU patients, including ICU follow-up clinics, physiotherapy and psychological support.
On her return home she was still physically weak, psychologically she was getting better but physically still very weak. The general practitioners that we have are extremely good but of course they are out of their depths because GPs see very few of these cases and their usual reply is 'you have been very ill, what do you expect to be like?' So although he tried to be supportive he didn't have the knowledge and experience to be supportive and I wanted a 'disabled' car parking sticker so I could take her shopping. Can't get one. Because she is not disabled, she has not been disabled for 12 months with a permanent disability, so she can't get one. The rules don't allow it. The rules don't allow for temporary adaptations to your home. So I had to take her upstairs, morning, noon and night, to get her in and out of the bath, to go to the loo, help her go to bed etc. etc. There was no means of getting any support, albeit temporary, from Social Services to help in that area. So these are problems that most people have.
The NHS isn't really up to dealing with these issues, it isn't up to dealing with patients coming out of Intensive Care and those were the major issues that I found were the problems facing me when she came home. And I think what is lost in the whole exercise here is that patient recovery following critical care depends very much on the care they are given by their relatives at home. Because there isn't the infrastructure in place by the NHS to help in that area at all. So we carry that burden and we carry it out willingly. And we want to do it because we believe in it and we love the person involved, so we are prepared to do it.
But nothing can prepare you for the effect of what it is like when they come out. And there is no support at all. You have a physical and mental wreck, to be very crude about it, on your hands and a home that isn't suited for it. And there is no support there at all. And that is the biggest hardship and problem.
I mean the biggest problem that we all face is the life after critical care and that is one or two years after, it is not just a matter of a few days or a few weeks, it is one or two years after critical care. And that is the problem we all face once we get over critical care.
One man said he'd become his wife's full-time carer and they'd had no other support. He would have liked some practical help but felt there was none available.
One woman was angry and disappointed when her husband had been sent home with medication that caused him further problems. Like a few other people we spoke to, she was surprised when she contacted her GP and he hadn't known that her husband had been in hospital. Several felt that there was a lack of communication between hospital staff and GPs.
Some people felt that there was very little support not only for ICU patients once they'd left hospital but also for their relatives. One woman said she would have liked emotional support after her mother's critical illness because she'd felt angry and 'forgotten'.
Some people had been disappointed in the lack of support or concern shown by their families. One man said that none of his siblings asked about or came to visit his wife while she'd been in hospital or when she was recovering at home, and this had been upsetting and disappointing. Another said very few of his wife's family had visited her in ICU or offered support.
Last reviewed August 2018.
Last updated February 2013.
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