Consider referring an adult patient for post-resuscitation care immediately following successful resuscitation if they have ongoing rehabilitation needs or complications identified during or after the acute phase. This includes patients who require coordinated multidisciplinary care to address physical and non-physical morbidity such as muscle weakness, respiratory problems, cognitive dysfunction, or psychological issues like anxiety, depression, or PTSD.
Before discharge, ensure that discharge arrangements and appropriate referrals for ongoing care are in place, and that the patient and their family or carers understand these plans.
Additionally, a functional reassessment should be performed 2 to 3 months after discharge from critical care to identify any delayed or unanticipated rehabilitation needs, with referral to specialist services if recovery is slower than expected or new problems arise.