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Discomfort and factual recollection in intensive care unit patients.doc

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Discomfort and factual recollection in intensive care unit patients

Available online /content/8/6/R467 Research Open Access December 2004 Vol 8 No 6 Discomfort and factual recollection in intensive care unit patients Johannes P van de Leur1, Cees P van der Schans2, Bert G Loef3, Betto G Deelman4, Jan HB Geertzen5 and Jan H Zwaveling6 1Physiotherapist, Center for Rehabilitation, University Hospital Groningen, Groningen, The Netherlands 2Professor of Nursing Science, University for Professional Education, Hanzehogeschool Groningen, and Department of Health Sciences, University of Groningen, Groningen, The Netherlands 3Supervisor, Department of Cardio-Thoracic Surgery, University Hospital Groningen, Groningen, The Netherlands 4Emeritus Professor of Neuropsychology, Department of Neuropsychology, University Hospital Groningen, Groningen, The Netherlands 5Professor of Rehabilitation, Center for Rehabilitation, University Hospital Groningen, and Northern Center for Health Care Research, Groningen, The Netherlands 6Professor of Surgical Intensive Care, Department General Surgery and Surgical Intensive Care Unit, University Hospital Groningen, Groningen, The Netherlands Corresponding author: Johannes P van de Leur, j.p.van.de.leur@rev.azg.nl Received: 12 July 2004 Critical Care 2004, 8:R467-R473 (DOI 10.1186/cc2976) This article is online at: /content/8/6/R467 Revisions requested: 4 August 2004 Revisions received: 7 September 2004 Accepted: 17 September 2004 Published: 28 October 2004 ? 2004 van de Leur et al., licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/ licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is cited. Abstract Introduction A stay in the intensive care unit (ICU), although potentially life-saving, may cause considerable discomfort to patients. However, retrospective assessment of discomfort is difficult because recollection of stressful events may be impai