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Vendor
Liepman Literary Agency
Marc Koralnik
Original language
English

THE ICU GUIDE FOR FAMILIES

Lara Goitien

Understanding Intensive Care and How You Can Support Your Loved One by Critical Care

ORDEAL IN THE ICU: A Guide for Patients' Families by Critical Care M.D. Lara Goitien is designed to explain and demystify the Intensive Care Unit (ICU) to those who face a possible encounter with ICU. Written with authority, clarity and compassion, this is a book that is truly needed today. Aside from COVID patients, many millions of people are admitted to ICUs worldwide every year, each of whom may have 1-3 deeply invested family members. The hunger and critical need for this information is urgent.
As Lara writes, “The ICU is an intimidating and alien world to most. Regardless of the level of sophistication or education, almost every visitor will be lost the moment they walk in the door -- overwhelmed by the array of complex equipment, unfamiliar personnel, and invasive sounds. The team of ICU physicians, nurses and technicians are often too frantically busy or otherwise unable to provide the kind of guidance and explanations that family members desperately need. The ICU is a great equalizer. This book is a compilation of the hundreds of explanations I have given to the families of my patients over the years -- with a focus on what they can do to advocate effectively and meaningfully for the patient.”

Organized around the likely chronological time frame of the events and decisions typically encountered, the book will cover, in easy to understand language the generally unavoidable and often terrifying situations in the ICU, such as:
• Who should be tapped on the team for information (not the lead attending physician, but the resident or fellow.)
• How to handle being in the room with the patient and why and what it means that within the first few days every ICU patient undergoes the same radical physical changes which are often frightening to see.
• What information you need to gather about the patient to have the doctors as informed as possible and for decisions of the family to be made as quickly as may be necessary.
• Being prepared for common complications.
• What each piece of the standard ICU machinery really does and the value and side effects.
• What the standard consent form means, who should deal with it and how.
• Understanding and adjusting coping mechanisms -- are you Number Crunching, Denying, Indiscriminately Challenging, Indiscriminately Accepting or Relinquishing Control to God and Faith.
• Understanding likely post-intensive care syndrome (PICS) after a patient is released.



ORDEAL IN THE ICU: A Guide for Patients' Families by Critical Care M.D. Lara Goitien
Rowman & Littlefield (2022)
Rights: UK & Translation rights: The Martell Agency
Material available: proposal – full manuscript due Spring 2021

ORDEAL IN THE ICU: A Guide for Patients' Families by Critical Care M.D. Lara Goitien is designed to explain and demystify the Intensive Care Unit (ICU) to those who face a possible encounter with ICU. Written with authority, clarity and compassion, this is a book that is truly needed today. Aside from COVID patients, many millions of people are admitted to ICUs worldwide every year, each of whom may have 1-3 deeply invested family members. The hunger and critical need for this information is urgent.

As Lara writes, “The ICU is an intimidating and alien world to most. Regardless of the level of sophistication or education, almost every visitor will be lost the moment they walk in the door -- overwhelmed by the array of complex equipment, unfamiliar personnel, and invasive sounds. The team of ICU physicians, nurses and technicians are often too frantically busy or otherwise unable to provide the kind of guidance and explanations that family members desperately need. The ICU is a great equalizer. This book is a compilation of the hundreds of explanations I have given to the families of my patients over the years -- with a focus on what they can do to advocate effectively and meaningfully for the patient.”

Organized around the likely chronological time frame of the events and decisions typically encountered, the book will cover, in easy to understand language the generally unavoidable and often terrifying situations in the ICU, such as:
• Who should be tapped on the team for information (not the lead attending physician, but the resident or fellow.)
• How to handle being in the room with the patient and why and what it means that within the first few days every ICU patient undergoes the same radical physical changes which are often frightening to see.
• What information you need to gather about the patient to have the doctors as informed as possible and for decisions of the family to be made as quickly as may be necessary.
• Being prepared for common complications.
• What each piece of the standard ICU machinery really does and the value and side effects.
• What the standard consent form means, who should deal with it and how.
• Understanding and adjusting coping mechanisms -- are you Number Crunching, Denying, Indiscriminately Challenging, Indiscriminately Accepting or Relinquishing Control to God and Faith.
• Understanding likely post-intensive care syndrome (PICS) after a patient is released.
As Lara makes clear, no one wants to look back and feel they spent their time in ICU helpless or dazed. Your time there will be with you your whole life and you'll want to know you were a truly meaningful advocate and helped get the best care possible for "your" patient.

Lara Goitien, M.D. is physician specializing in pulmonary and critical care medicine, who has practiced in ICUs for eleven years, including at the Massachusetts General Hospital (Boston, MA), Intermountain Healthcare (St. George, Utah), University of Washington Medical Center and Harborview Medical Center (Seattle, WA), Presbyterian Hospital (Albuquerque, NM), and most recently at Christus St. Vincent Regional Health System (Santa Fe, New Mexico). In this capacity she has cared for thousands of patients and supported their families through their ICU stays.

She graduated from Harvard Medical School, did her residency training in internal medicine at Massachusetts General Hospital and a fellowship in pulmonary and critical care medicine at University of Washington in Seattle. She received a National Research Service Award from the Agency for Healthcare Research and Quality (AHRQ) to research physician burnout during her fellowship.

During the last five years, Lara designed and implemented a novel hospital quality program; the success of this program has garnered national attention. An article she wrote about this program was published recently in Health Affairs (at an impact factor of 5.7 this is the leading healthcare policy journal in the world), and the initiative was selected as one of thirty presented at the Institute for Healthcare Improvement IHI/NPSF Patient Safety Congress at the Boston Hynes Convention Center. She is one of ten members of JAMA Internal Medicine's editorial board, and serves as a frequent reviewer and guest editor for that journal. She has been published frequently in leading medical journals (including JAMA Internal Medicine, impact factor 20.8 and > 10 million downloads per year) and the lay press (including an article titled “Training Young Doctors: The Current Crisis” in the New York Review of Books, 2015). She regularly speaks before large audiences. Full details are in the proposal.

The market for ORDEAL IN THE ICU is substantial, from healthcare providers and organizations supplying the book in ICU waiting rooms and gift shops to family members and friends of patients seeing it as a thoughtful and constructive offering at a time of crisis to those who take preparedness seriously during this challenging period. It is also a great means of support for the thousands of ICU team-members who are working their hearts out every day, but often don't have the time to interact extensively with patients' families.
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Published by Rowman & Littlefield