Animal-Assisted Interventions for Psychological Distress During Prolonged Intensive Care Unit Stay: A Case Report.
Introduction: Lung transplant is a critical treatment for patients with end-stage lung disease, but recovery is often complicated by physiological and psychological challenges. This case report describes a 61-year-old female bilateral orthotopic lung transplant recipient who experienced significant...
| Publicado en: | Critical Care Nurse Vol. 45; no. 4; pp. 12 - 21 |
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| Autores principales: | , |
| Formato: | case study Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187096201&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187096201 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02795442 1GD jtl: Critical Care Nurse issn: 02795442 maglogo: N pubinfo: dt: Aug2025 vid: 45 iid: 4 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 187096201 187096201 187096201 10.4037/ccn2025759 187096201 ppf: 12 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Animal-Assisted Interventions for Psychological Distress During Prolonged Intensive Care Unit Stay: A Case Report. aug: au: Kellogg, Taryn Brockett-Walker, Camille affil: Taryn Kellogg is a cardiothoracic surgery nurse practitioner at Emory University Hospital, Atlanta, Georgia sug: subj: Psychological Distress Pet Therapy Methods Psychotherapy Methods Intensive Care Units Length of Stay Female Middle Age Lung Transplantation Postoperative Complications Motivation Interpersonal Relations Psychological Well-Being Depression Stress Disorders, Post-Traumatic Electroencephalography Middle Aged: 45-64 years Female ab: Introduction: Lung transplant is a critical treatment for patients with end-stage lung disease, but recovery is often complicated by physiological and psychological challenges. This case report describes a 61-year-old female bilateral orthotopic lung transplant recipient who experienced significant psychological decline during an extended intensive care unit stay and the use of animal-assisted interventions to address these challenges. Clinical Findings: The patient experienced multiple postoperative complications, including coagulopathy, venovenous extracorporeal membrane oxygenation for hypoxia, delayed chest closure, right ventricular dysfunction, acute kidney injury, adrenal insufficiency, hypogammaglobulinemia, diaphragmatic paralysis, antibody-mediated rejection, bacteremia, and severe deconditioning. Diagnosis: The patient's psychological decline manifested through increased somnolence, reduced engagement in physical therapy, and minimal interaction with family and health care professionals. Interventions: Weekly animal-assisted interventions were introduced to improve mood and increase motivation. These sessions involved therapy animals with the goal of enhancing the patient's psychological well-being. Outcomes: The patient responded positively to animal-assisted interventions, showing improved mood, increased engagement, and participation in rehabilitation. The theoretical framework of acceptability was used to assess the intervention's success, with results indicating high acceptability and effectiveness. Conclusion: Animal-assisted interventions addressed the patient's psychological challenges during prolonged intensive care unit stays following lung transplant. The intervention improved both psychological well-being and patient engagement. Theoretical framework of acceptability scores supported the acceptability of animal-assisted interventions, suggesting that these should be considered as part of an interprofessional approach to managing prolonged hospitalizations in transplant recipients. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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