1. InS:PIRE- Initial Findings
Intensive Care Syndrome: Promoting Independence and Return to Employment
InS:PIRE- Initial Findings

2. Patient and Family Advisory Council/ Focus Groups

3. What problems did we need to address?
Physical
Psychological
Social
Carers just as important!
Social Isolation/ Empowerment – Peer Support

4. Peer Support

5. Peer Support: Cafe Area

6. Peer Support: Exercise Class

7. Five week Programme/Outcomes
Decided upon by patients
Challenge dependency/ adequate support
What was important to the patients?
10-12 participants with caregivers
6-12 weeks post hospital discharge

8. Physiotherapy (Week One- Three)
One to One Appointment
What matters to the patient?
Building on Personal Goals
Chronic Pain issues
66% of patients- new pain since ICU admission
72% of this pain in lower limbs and shoulders

9. Nurse/Dr (Week One to three)
One to One Appointment
Lay Summary- Optional
How are you getting on?
What is different?
Where do you want to be?
Personal goals are set

10. Pharmacy (Week One to Three)
One to one Appointment
Education
Empowerment
Medicine Reconciliation
The pharmacist identified pharmaceutical care issues with 18.3% of the prescribed medications
57% of these interventions increased the therapeutic benefit and potentially avoided significant side effects

11. Clinical Psychology (Week Four)
Diverse needs
Focus on coping skills
Group session
Sleep session
Patient and caregiver sessions
Significant ongoing problems for both patients and caregivers

12. Social Prescription Week (Week Five)
ALISS
Employability (including options for volunteering)
Good Moves
Carers Centres GP
CAB
Increased employment in our cohort in comparison to a previous group from GRI (88% vs. 46%)

13. Overall Results
Improved self efficacy over the five week programme and one year period. Magnitude similar to pulmonary rehabilitation.
Signal to improved quality of life compared to a historical control group.
Qualitative findings demonstrating patient satisfaction and acceptance with the intervention.

14. What about the carers? Carers are involved in all of the interventions
Can take part in the exercise class
Have undertaken volunteering roles
Qualitative findings found benefits in this approach

15. InS:PIRE- Initial Findings
Intensive Care Syndrome: Promoting Independence and Return to Employment
InS:PIRE- Initial Findings