000			03884nam a22006377a 4500
008			190314s20192019 xxu||||| |||| 00| 0 eng d
022			_a0090-5550
024			_a10.1037/rep0000264 [doi]
024			_a2019-09256-001 [pii]
040			_aOvid MEDLINE(R)
099			_a30802090
245			_aPsychology consultation patterns in a medical intensive care unit: A brief report.
251			_aRehabilitation Psychology. 64(3):360-365, 2019 Aug.
252			_aRehabil Psychol. 64(3):360-365, 2019 Aug.
252			_zRehabil Psychol. 2019 Feb 25
253			_aRehabilitation psychology
260			_c2019
260			_fFY2020
265			_saheadofprint
265			_sppublish
266			_d2019-03-14
268			_aRehabilitation Psychology. 2019 Feb 25
269			_fFY2019
501			_aAvailable in print through MWHC library: 1998 - 2006
520			_aCONCLUSIONS: Patients with a longer MICU stay more commonly had a rehabilitation psychology consultation request, typically to provide support for emotional distress or engagement in rehabilitation therapy. Future research should evaluate the effectiveness of psychology interventions in the ICU. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
520			_aMETHOD: Psychology consultations were prospectively tracked, with patient-related data retrospectively collected and analyzed.
520			_aPURPOSE/OBJECTIVE: Intensive care unit (ICU) survivors frequently experience long-lasting mental health, cognitive, and physiologic challenges. Psychologists have a role in providing interventions to reduce patient distress during critical illness and improve outcomes. There is limited data regarding psychology consultations in the ICU. This brief report characterizes psychology consultations in a medical intensive care unit (MICU) in an academic medical center.
520			_aRESULTS: A total of 79 consecutive psychology consultations occurred at mean of 8 +/- 6 days after MICU admission. Reasons for consultation were patient emotional distress (56%), rehabilitation therapy engagement (24%), family engagement (13%), cognitive disturbance (4%), and pain (4%). Patient characteristics were: mean age 56 +/- 15 years, 54% women, 53% White, and 34% with psychiatric comorbidity at MICU admission. Patients referred for consultation had a longer MICU length of stay than the total MICU population (12 +/- 9 days vs. 4 +/- 6 days, p < .01). For consultations for emotional distress compared with limited rehabilitation therapy engagement, patient demographic characteristics were similar, with the exception of women (vs. men) being more commonly consulted for emotional distress (64 vs. 26%, p = .01).
546			_aEnglish
650			_a*Critical Care/mt [Methods]
650			_a*Critical Care/px [Psychology]
650			_a*Critical Illness/px [Psychology]
650			_a*Critical Illness/rh [Rehabilitation]
650			_a*Referral and Consultation/sn [Statistics & Numerical Data]
650			_aAcademic Medical Centers
650			_aCognitive Dysfunction/px [Psychology]
650			_aCognitive Dysfunction/th [Therapy]
650			_aFamily/px [Psychology]
650			_aFemale
650			_aHumans
650			_aIntensive Care Units
650			_aLength of Stay/sn [Statistics & Numerical Data]
650			_aMale
650			_aMiddle Aged
650			_aPain/px [Psychology]
650			_aPatient Compliance/px [Psychology]
650			_aPsychological Distress
650			_aRetrospective Studies
650			_aSex Factors
651			_aMedStar National Rehabilitation Network
657			_aJournal Article
700			_aAli, Mana K
790			_aAlbert K, Ali MK, Hosey MM, Mantheiy EC, Needham DM, Wegener ST
856			_uhttps://dx.doi.org/10.1037/rep0000264 _zhttps://dx.doi.org/10.1037/rep0000264
942			_cART _dArticle
999			_c4073 _d4073