The importance of recognising and addressing post-intensive care syndrome in nursing practice

Post-intensive care syndrome (PICS) refers to physical, cognitive and psychological problems that can develop after treatment in an intensive care unit. As survival after critical illness increases, more patients and families experience longer term impairments that affect recovery, quality of life and return to usual functioning. Nurses have a key role in recognising risk factors and early features of PICS, reducing avoidable harms during admission, and supporting recovery after discharge. Evidence-informed approaches include early mobilisation, minimising deep sedation where clinically appropriate, delirium prevention, family involvement and structured follow-up. Improving outcomes also depends on better awareness across ward and community teams, clear patient and family education, and co-ordinated pathways that link intensive care, wards and community services.