Frightening memories of intensive care, particular delusional memories, such as hallucinations and nightmares, have a powerful adverse effect on psychological health of former intensive care unit (ICU) patients. A diary of the time on ICU can help patients understand what has happened and put any unpleasant memories they may have from their experience into context. Whiston Hospital has used patient diaries since 2002. This article describes how to establish a diary service and how diaries can be used to help patients understand their ICU experience.
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