What is the difference between icu and high care




















They may be unable to breathe on their own and have multiple organ failure. Patients in ICU are usually connected to intensive care equipment by tubes, wires and cables.

This can be quite frightening for patients and relatives. Some of the equipment may help the patient breathe and monitor their heart rate and how fast they breathe. Once a person is able to breathe unaided, they may no longer need to be in intensive care and canbe transferred to a different ward to continue their recovery. Depending on their condition, they will either be transferred to a high dependency unit HDU , which is one level down from intensive care, or to a general ward.

A CCU can also refer to a cardiac care unit, which is a specialized unit for patients with heart-related problems. Intensive care, critical care, and cardiac care units are all dedicated units for patients who are in need of constant care. The acronym CCU sometimes stands for a critical care unit. When used this way, critical care and intensive care have the same meaning and offer the same type of care.

In other hospitals, a CCU is a more specialized kind of unit, known as a cardiac or coronary care unit. As such, some hospitals have a dedicated and specialized care unit for patients with heart problems.

Doctors, nurses, and other healthcare providers come to the CCU with extensive training in heart issues. The healthcare providers in a cardiac care unit also manage complications that can often arise in cardiac patients, such as:.

An ICU is an intensive care unit. The healthcare providers who work in the ICU have extensive training in intensive care medicine. Typically, each nurse will monitor only one or two patients at a time.

A study looked at more than 34, Medicare beneficiaries who received intensive care, survived, and were discharged from the hospital in The average length of stay in the ICU for the people in this study was 3. The units are multidisciplinary, admitting the more complicated elective surgical patients and all general, medical and surgical patients requiring intensive or high dependency care.

Our vision is to provide high quality, safe, evidence-based, compassionate care to critically ill patients within the Trust, and support those that care for them; both family and staff. In line with Trust values, we aim to deliver best practice critical care in an equitable and timely manner with responsible management of human and material resources.

We will utilise both the Epsom and St Helier sites effectively to achieve the best for our patients. To achieve this we aim to build positive relationships and work collaboratively within critical care and throughout the Trust: promoting critical care as an effective resource for training and education. We wish to attract, inspire and nurture committed staff who are equipped with the knowledge and skills to deliver our vision.

So I wasn't tired and I was like, I was just watching and watching. And they would say to me of a night, "Go to sleep.

I'd sleep like for an hour and then wake up and then I'd be awake at four o'clock waiting for the clock to tick round to eight so they'd change shift and all stuff like that.

She was discharged because she could walk and her partner could look after her at home. Patient' It was about four, no it was about four or five weeks and then I went to HDU just for a week and then I was discharged from there which I thought, I was a hell of a success story [laughs] because there were concerns, particularly because my mobility still wasn't very good and you know for health and safety reasons the nurses were taking me to the loo and waiting outside and I couldn't In a wheelchair?

Patient' No I was walking but that was their aim because they thought I was going onto a ward and they were saying your experience on a ward would be, because it was one to one nursing and then it was, I had a nurse, you know a nurse between two of us and they said you know we need to get you up and moving so you can go to the loo unaided and stuff like that. But because of the risk of infection and the fact we had, [my partner] was going to stay at home and we had a downstairs loo, I got discharged quite quickly really.

Partner' Because she'd done everything else sort in of within a week, initially she couldn't lift her glass or a plastic glass, within two days of being in HDU she'd moved onto a China cup and we was, which seems silly little things.

But for us they were, you know she was in tears and I was when she was told me "I'm onto a China cup, lifting that and then you know obviously feeding herself and she'd made ten yards across the ward with a Zimmer, ten yards by herself and then to the loo and back. All within a week she said, like she worked so hard, she was having extra physio sessions, she got it back. I mean I came rushing in to see her, she'd say "No the physio is here, you'll have to go and wait for another hour," so I'd go out and wait because that's what she wanted and she was determined to use all the time she could to get out as quickly as she could.

So by the time she came home it was just a strength issue really wasn't it? He was transferred to HDU after doctors removed his tracheostomy and he gradually started I don't want, I felt safe there, I don't want to be moved. Oh but they take that out [tracheotomy] about a day before, I'm dying for them to take it out because I can't speak, they'll be wishing they put it back in because then I won't shut up me because I'm very talkative.

Anyway we're having a laugh and family's getting a bit happy because I'm talking then so they move me down to HDU but I still can't get out of bed.

They're hoisting me out of bed to sit me down, which I showed you on that [ICU diary]. And I'm feeling a bit, a bit better, have me good days and then have days when I'm sick and I can't eat but I'm supposed to eat. If I don't eat I don't get better but I can't eat, I want to but I know I'm panicking again thinking no, no what's going to happen here, I'm not eating.

But when you can't you can't, but the doctor wants you to eat. They all want you eat. Anyway I feel better couple a days, I'm eating again. He was moved back to HDU on several occasions because of a recurring infection. I shuttled backwards and forwards between this Progressive Care Unit, which was a new comfort zone, and the general ward, which was a low-level comfort zone. I felt terribly vulnerable and exposed there. And the reason for shuttling backwards and forwards was that the source of the infection within my system couldn't be isolated.

Finally it was found to be a problem with my bile ducting, which had kinked. And that was the source of the inflammation which was attacking the multiple organs within my body. Was I glad to move out of Progressive Care Unit into general ward? I knew that the level of care was going to be different. And having experienced Progressive Care Unit, then general ward and back to Progressive Care, general ward, back to Progressive Care Unit, I knew where my real comfort zone was. She had vague memories of her first time in HDU and found it seemed more crowded the second time I remember saying, "I don't really want another operation" and being persuaded that that was the only way.

Very jumbled memories after that. I remember not being able to breathe, and oxygen masks, and then having a very, very tight mask put on that I didn't like and that I fought against. I don't remember HDU from that.

I didn't know where I was, I didn't know what ward it was. And I remember fighting quite hard to get this mask off because it felt like it was suffocating me. And one of the nurses said, "If you can keep it on, I'll hold your hand.

And how long were you in the Intensive Care Unit? I think about a fortnight.



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