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Common physical issues

Because everyone is different, the way you are affected by an ICU stay might be very different to somebody else. People are admitted to intensive care for lots of different reasons and conditions, stay for different lengths of time, and come in with different levels of health and fitness.

In this section, we've provided some general information and advice on some of the common physical issues you may face after getting home. These include:

  • muscle weakness
  • difficulty walking and problems with balance
  • breathlessness
  • joint pain
  • voice changes
  • fatigue
  • hair loss
  • changes in taste and smell, 
  • difficulties with appetite or swallowing
  • weight gain
  • sleep apnoea
  • bulky thick (keloid) scars
  • A lump in your groin from a stitch for an ECMO cannula that wasn't removed
  • sexual dysfunction - loss of libido or erectile dysfunction
  • periods - abnormal or absent periods for a few months
  • hearing loss
  • poor eye sight

 

 

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External Image: Dietary advice on how to eat well to help you recover after a critical illness

This video series describes some general dietary advice on how to eat well to help you recover after a critical illness. For individualised advice, please speak to your General Practitioner (GP), doctor and ask for a referal to see a dietitian.

Web Link: Erectile dysfunction (impotence) NHS weblink

Erection problems (impotence) are very common, particularly in men over 40. It's usually nothing to worry about, but you should see a GP if it keeps happening. It could be the sign of a more serious problem.

Document: Hair loss after critical illness - Telogen Effluivium

Increased hair shedding in telogen effluvium occurs due to a disturbance of the normal hair cycle. Common triggers of telogen effluvium include: childbirth severe trauma or illness a stressful or major life event marked weight loss and extreme dieting a severe skin problem affecting the scalp a new medication or withdrawal of a hormone treatment No cause is found in around a third of people diagnosed with telogen effluvium.

Web Link: Hearing Link - charity for those with hearing loss

Hearing Link - is the result of the merger of the British Association of the Hard of Hearing (BAHOH) and the LINK Centre for Deafened People. In 2017 Hearing Link merged with Hearing Dogs for Deaf People. Their aim is to ensure that people living with hearing loss can find information, specialist services, and social contact, in order to live well with hearing loss.

Web Link: Hearing problems: Adult audiology centre at Guy's and St Thomas' Hospital

Follow this link for information about hearing loss and the audiology services at Guy's and St Thomas' Hospital

Article: Joint stiffness and pain

Patients sometimes suffer from stiff and painful joints after Intensive Care, particularly in the ankles, knees, elbows and shoulders. This can make it difficult to do simple things like getting out of bed, walking around the ward or washing and showering. Why do I have joint stiffness or pain? Patients who have spent longer in Intensive Care seem to be at greater risk of developing joint stiffness and pain. Joint stiffness and pain can be due to several things but is most likely a...

Web Link: NHS UK hearing loss weblink

This weblink goes to the www.nhs.uk website that has information specifically about coping with hearing loss.

External Video: Physical difficulties at home: Kim's story

In this video, Kim talks about how she was very physically weak when she got home, and had poor balance. This is very common after an ICU stay. She talks about how she and her family managed this, and how she learnt to listen to her body and allow rest.

Web Link: Sleep apnoea - NHS webpage

Sleep apnoea is when your breathing stops and starts while you sleep. The most common type is called obstructive sleep apnoea (OSA). Also visit the Sleep apnoea Trust website: a charitable organisation whose mission is: "Working to improve the lives of sleep apnoea patients, their partners and families" Weblink: Sleep Apnoea Trust

Web Link: Sleep Apnoea Trust

Founded in 1996 as the Sleep Apnoea Trust Association, a charitable incorporated trust. A patient support charity run mainly by volunteer patients On 1st July 2021, the former charity closed and was relaunched and modernised as The Sleep Apnoea Trust, a Charitable Incorporated Organisation (CIO). Mission Statement: Working to improve the lives of sleep apnoea patients, their partners and families We are completely independent WE ARE THE PATIENT’S VOICE