Physical and emotional experiences

People are transferred from the intensive care unit to a general ward when doctors consider they no longer need such close observation. For many people, moving from an intensive care unit to a general ward in the hospital is an important step on the road to recovery. A big difference between the ward and ICU is that fewer nurses look after many more patients. Some people are transferred directly to a ward, others may go to a High Dependency Unit (HDU) first. Here men and women talk about their physical and emotional experiences while they were on a general ward.

Some people we spoke to couldn’t remember anything about their experiences either in intensive care or on a ward. Others had felt ‘hazy’ and confused when they were first transferred, but most said they were fully alert by this time and able to distinguish between reality and hallucinations.

She still felt confused after being transferred and had to keep asking questions to understand…

Age at interview 23

Gender Female

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Many people felt completely unprepared emotionally and physically for the general ward and had mixed feelings about the transfer. They felt relief and happiness to be well enough to go to a ward, but also fear and anxiety about being without the previous high level of support and care (see The general ward: care and environment). Moving from the ICU to the ward can also be a worrying time for relatives.

She was extremely weak and her family worried that if she needed anything during the night, no…

Age at interview 41

Gender Female

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Physical experiences

In the first few days and weeks after a period of severe illness in ICU, the slightest activity is liable to leave people feeling tired. This does improve, though how quickly depends on such things as a person’s age, previous health, how ill they’d been and for how long. Many people talked about physical weakness and lack of mobility when they were first transferred to a ward, including being unable to walk, feed themselves and attend to their own personal care.

She was anxious about moving to a general ward because she was too weak to do anything for…

Age at interview 35

Gender Female

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He needed support to sit in a chair and had crutches to help him walk.

Age at interview 30

Gender Male

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Moving to the ward was frightening and worrying, especially for people who couldn’t do much for themselves. Most were completely dependent on nurses for their care at first but, unlike in ICU where they had one-to-one care, on the ward there were fewer nurses to help them.

He had to balance his dependence on nurses with his own dignity as a person, and was pleased when…

Age at interview 68

Gender Male

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Many people also felt that the nurses in general wards were unprepared for how weak and ‘debilitated’ they were, often expecting them to be able to do more for themselves than they could (see ‘The general ward: care and environment‘). Often feelings of tiredness went hand-in-hand with lack of mobility and severe weakness. Sometimes these were related to an inability to sleep.

Nurses expected her to be able to wash herself but became aware of her weakness and needs with time.

Age at interview 47

Gender Female

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Many people talked about the difficulties of being on a ward when they couldn’t walk, lift anything or clean themselves while other patients around them were mobile and relatively well. Some had been extremely weak and immobile when they were first transferred, but gradually made progress. Sometimes progress was slow, but usually on a daily basis, with support from physiotherapists (see ‘Physiotherapy on the ward’).

Learning to walk again felt like a big step forwards and he always told his family how he was doing.

Age at interview 68

Gender Male

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Some said that, while the move to a ward had initially been unsettling, they soon adapted to the new environment. Several talked positively about being on a ward because it was a sign of progress. They’d become less dependent and more independent, were more alert, mobile and stronger. Learning to walk again, being well enough to have a shower, to feed themselves, lift their arms and legs, were important steps for most, though one man recalled that, although he improved, he was unable to go home because he needed an operation.

He was looking forward to going home but was transferred to another hospital for an operation.

Age at interview 37

Gender Male

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Emotional experiences

Many people felt better emotionally when they saw themselves improving physically. Signs of progress were important ‘milestones’ along the road to regaining strength and going home. Some people recalled feeling emotional and ‘weepy’ when they were first transferred, sometimes because of their weakness or lack of progress. Hospital stays were more difficult for those who had young children and missed them. Upon improving, one woman was allowed home to see her young son during the day and came back to hospital at night.

She felt weepy having had surgery but knew these feelings would pass because shed had them before.

Age at interview 43

Gender Female

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She had to rebuild her strength to do normal daily activities and missed her new baby.

Age at interview 35

Gender Female

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Some people had felt bored, isolated or unable to concentrate while they were on a ward. A few had nightmares about death and loss of control.

He usually enjoyed reading but couldn’t concentrate and felt bored.

Age at interview 71

Gender Male

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A few people felt a sense of achievement about being on the ward, knowing what they’d overcome and that they were improving. Some also wondered how their illness affected their families, particularly if relatives had far to travel to hospital or children to look after (see ‘Impact on family‘ and ‘Intensive care: experiences of family & friends‘). Once they were improving, many felt eager to rebuild their strength and looked forward to going home.

The general ward: care and environment

People are transferred from the intensive care unit to a general ward when medical staff decide that they no longer need such close observation and...

Physiotherapy on the ward

While people are ill in the intensive care unit, they lose weight and can lose about 2% of their muscle mass per day during their...