One of the most important roles you can play as a family member of someone in the ICU is as a medical historian, specifically in terms of assuring that attending physicians are made fully aware of the patient’s overall pre-ICU cognitive state. Without this information, neither RNs nor MDs nor therapists can properly assess the current condition of your loved one.
No matter how assertive they are in everyday life, the conditions which brings a person to the ICU will utterly disable them from properly advocating for themselves while they are patients there. It is absolutely critical -often literally a matter of life or death – that loved ones be near their patient 24/7 in the ICU.and that they be willing to be aggressive to a degree which most of us would not think of being outside the hospital.
A change in mentation is inevitably more quickly apparent to a family member than to even the most attentive clinician. Such changes can often be stopped in their tracks by a simple medication adjustment. A delayed or absent adjustment can lead to a very rapid decline and often a quick death.