Environmental ICU , Interference
On the physical conditions, Milk (2000), just mentioned, highlights the fact the ICU be a strange environment where people with known links are broken. The patient is subjected to invasive and painful procedures, subject to rules that can trigger her feelings of helplessness, depression and others. It mentions that, with constant brightness, no breakage of the circadian rhythm, the patient feels the temporal change, patient comes into contact with noises and unknown machines.
On the physical and environmental conditions reported by Sebastiani (1995), have been highlighted above isolation, the devices, the climate of death, loss of sense of time and space as possible factors to interfere with the patient's emotional state. He says that environmental factors might influence the evolution of the patient and that any change in the emotional state of this reflects directly on your condition.
[...] It adds to the sensory deprivation torture techniques, the tax stimulus (light and sound), psychotropic drugs or paralyzing, immobility, isolation, forced or reduced communication and interference in the biological clock by changing routines in such techniques. Thus, he points out there are similarities between such torture techniques and what happens in the Intensive Care Unit. In this unit the patient suffer isolation. They are removed from their familiar environment, the familiar people and their routine, which can worsen if the team assume that patients are unconscious and not talk to them. People, when isolated, usually try to establish some communication. [...]
[...] Sao Paulo, E.P.U CECCARELLI, PR, "oedipal Settings of contemporaneity: thoughts on the new forms of membership," in Journal of Psychoanalysis Pulsional, Sao Paulo, year XV 88-98, mar FERRAZ, MB Quality of life: concept and a brief history. Young Physician, 1998; 219 -22. FERREIRA, V. M. Fantasies of death in patients with chronic renal failure. Interdisciplinary graduate work, Mackenzie Presbyterian University, São Paulo FOULKES SH, editor. Psychotherapy group-analytic: method and principles. Barcelona: Gedisa; 1981. FREUD S. Group psychotherapy and self analysis (1921). In: Standard Ed of the Complete Psychological Works, vol. [...]
[...] Patients who can not speak depend on the people around them to anticipate your needs. Kornfeld (1979, p.153) cites a problem cited above: "An interesting phenomenon can occur with tracheostomy patients: a tendency to react to the patient who can not speak as if it were not there. One patient told me he considered to be very important to keep writing notes while on the respirator, so that staff could 'know that I'm here.' However, the tendency is to speak of these patients as if indeed they were not present. [...]
[...] Rio de Janeiro: Imago; 1969. p. 13-192. MAURER LANE, ST, "Social psychology and a new conception of man for psychology," in social psychology: the man in motion, São Paulo, Brasiliense pp. 10-19. ROSSER R. Quality of life assessment. In: BAUM S NEWMAN, Weinman J. Cambridge handbook of psychology, health and medicine. Cambridge: Cambridge University Press; 1997. p.310-13. [...]
[...] XVIII. [Translated by Jayme Solomon]. Rio de Janeiro: Imago; 1969. p. 89-169. Freud S. (1913 {1912-1913}). Totem and Taboo. In: Standard Ed of the Complete Psychological Works, vol. XIII. [Translated by Jayme Solomon]. [...]
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