Passport to Successful Discharge for Patients Admitted to ICU

The second edition builds upon the previous content, exploring new and emerging evidence to enhance the structure and content of rehabilitation provided. It considers the additional impact of COVID-19 throughout each chapter. In addition, sadly not every patient survives their critical illness but good, multidisciplinary and holistic care is just as essential for these patients. In this second addition the editors have added a chapter on end of life care, focussing on the importance of personalised care and family involvement and on PICS. The 1st edition already provided a holistic and multi professional approach to maximising the chances of a successful recovery for the ICU patient surviving a period of critical illness. Since its publication in 2020, healthcare professionals have faced unprecedented challenges caused by the COVID-19 pandemic. High levels of illness severity, along with stretched critical care capacity and workforces, meant rapid development of new patient pathways were required. This has deepened our understanding of the physical, psychological and cognitive impact of critical illness, as well as the need for services to deliver multi-professional, holistic programmes of rehabilitation to maximise outcomes. An admission to ICU with a critical illness has a well-recognised physical, psychological and social impact all on the individual and their loved ones. Successful discharge from ICU requires significant attention to detail on all aspects of care concurrently to ensure a return to the best quality of life achievable. It is imperative consideration to rehabilitation needs remain in sharp focus from admission and throughout the recovery pathway.  Early focus on the provision of structured rehabilitation and avoidance /prevention of ICU related complications are paramount to improve both short and long term outcomes. This attention to detail needs to continue through the transition to the ward and planning discharge home. The new edition explores key areas to consider and ensure rehabilitation is delivered in a holistic way. It covers key aspects of care to be achieved, to the highest standards, aiming  to create the best environment for success. A focus on promoting the best quality of life for the individual by careful attention to detail, encouraging benchmarking at every stage of their ICU journey to track progress and identify those most at need. The chapters are written by a range of multidisciplinary ICU team members, providing expert guidance and an evidence based approach to improve outcomes and return patients to their families.