{"id":92580,"date":"2026-08-14T12:44:57","date_gmt":"2026-08-14T18:44:57","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=92580"},"modified":"2026-08-20T15:03:05","modified_gmt":"2026-08-20T21:03:05","slug":"icu-diaries-improve-icu-patients-experience-understanding","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/icu-diaries-improve-icu-patients-experience-understanding\/","title":{"rendered":"ICU diaries improve ICU patients\u2019 experience, understanding"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p>After being sedated for weeks in an intensive care unit (ICU), a patient may feel confused and disoriented with no memory of what happened during that time.<\/p>\n<p>At <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-memorial-hospital-central\/\">UCHealth Memorial Hospital Central<\/a>, Nicole Muenkel, BSN, RN, CCRN, charge nurse with the medical ICU, introduced a diary process to help these patients understand their care and other details they may not remember \u2013 such as visits from friends and family.<\/p>\n<p>\u201cICU delirium is a big topic we talk about a lot,\u201d said Nicole Guevremont. \u201cWe\u2019re hoping we could relieve some anxiety and stress and depression that comes along with ICU delirium, or post-traumatic stress disorder, after long ICU stays.\u201d<\/p>\n<p>Each shift, the care team is encouraged to hand-write brief notes with updates in a small notebook. For example:<\/p>\n<ul>\n<li>\u201cYour mom was sitting at the bedside, holding your hand, talking about your favorite music and colors.\u201d<\/li>\n<li>\u201cYou weren\u2019t breathing very well today, and we placed a breathing tube.\u201d<\/li>\n<li>\u201cWe\u2019re turning you every couple hours.\u201d<\/li>\n<\/ul>\n<p>Muenkel developed the ICU diaries for her Level III UEXCEL project. While nurses frequently communicate with patients and families, the diaries help with day-to-day details they may not remember, which can improve their experience and understanding of the ICU stay. Patients have shared that the diary helped them become orientated after sedation.<\/p>\n<p>A sticker on the back of the notebook explains the diary\u2019s purpose for family members. They, too, are welcome to contribute entries, and many have found it to be a great way to become more involved in helping support the patient.<\/p>\n<p>Muenkel said entries including just a few sentences of what happened on a shift can benefit the patient\u2019s experience as they recover.<\/p>\n<p>\u201cWhen you see how much patients and families appreciate it, that really sticks with you,\u201d she said. \u201cFamily members who couldn\u2019t be at the bedside at the time can also read through it.\u201d<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center\"><a id=\"\" href=\"https:\/\/www.uchealth.org\/uchealth-nursing-year-in-review-2026\/\" rel=\"noopener\">Homepage: Nursing Year in Review 2026 &gt; <\/a><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center\"><em>The visual companion to our 2026 Nursing Year in Review showcases the print edition\u2019s visual storytelling with connections to all of the articles.<\/em><\/p>\n<div class=\"su-button-center\"><a href=\"https:\/\/indd.adobe.com\/view\/e6d473d6-0a25-4d31-bce3-1d9b3d4298a7\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#a6093d;border-color:#850831;border-radius:7px\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"color:#FFFFFF;padding:0px 20px;font-size:16px;line-height:32px;border-color:#c15378;border-radius:7px;text-shadow:none\"> EXPLORE THE INTERACTIVE EXPERIENCE<\/span><\/a><\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>After being sedated for weeks in an intensive care unit (ICU), a patient may feel confused and disoriented with no memory of what happened during that time. At UCHealth Memorial Hospital Central, Nicole Muenkel, BSN, RN, CCRN, charge nurse with the medical ICU, introduced a diary process to help these patients understand their care and [&hellip;]<\/p>\n","protected":false},"author":2242,"featured_media":92826,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[9285],"tags":[9273],"class_list":["post-92580","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exemplary-professional-practice","tag-uchealth-nursing-year-in-review-2026"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.1 (Yoast SEO v28.1) - 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