{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T16:05:27Z","timestamp":1776441927069,"version":"3.51.2"},"reference-count":28,"publisher":"AACN Publishing","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Lung transplant is a critical treatment for patients with end-stage lung disease, but recovery is often complicated by physiological and psychological challenges. This case report describes a 61-year-old female bilateral orthotopic lung transplant recipient who experienced significant psychological decline during an extended intensive care unit stay and the use of animal-assisted interventions to address these challenges.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Findings<\/jats:title>\n                  <jats:p>The patient experienced multiple postoperative complications, including coagulopathy, venovenous extracorporeal membrane oxygenation for hypoxia, delayed chest closure, right ventricular dysfunction, acute kidney injury, adrenal insufficiency, hypogammaglobulinemia, diaphragmatic paralysis, antibody-mediated rejection, bacteremia, and severe deconditioning.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Diagnosis<\/jats:title>\n                  <jats:p>The patient\u2019s psychological decline manifested through increased somnolence, reduced engagement in physical therapy, and minimal interaction with family and health care professionals.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Interventions<\/jats:title>\n                  <jats:p>Weekly animal-assisted interventions were introduced to improve mood and increase motivation. These sessions involved therapy animals with the goal of enhancing the patient\u2019s psychological well-being.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcomes<\/jats:title>\n                  <jats:p>The patient responded positively to animal-assisted interventions, showing improved mood, increased engagement, and participation in rehabilitation. The theoretical framework of acceptability was used to assess the intervention\u2019s success, with results indicating high acceptability and effectiveness.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Animal-assisted interventions addressed the patient\u2019s psychological challenges during prolonged intensive care unit stays following lung transplant. The intervention improved both psychological well-being and patient engagement. Theoretical framework of acceptability scores supported the acceptability of animal-assisted interventions, suggesting that these should be considered as part of an interprofessional approach to managing prolonged hospitalizations in transplant recipients.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ccn2025759","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:02:19Z","timestamp":1754006539000},"page":"12-20","source":"Crossref","is-referenced-by-count":2,"title":["Animal-Assisted Interventions for Psychological Distress During Prolonged Intensive Care Unit Stay: A Case Report"],"prefix":"10.4037","volume":"45","author":[{"given":"Taryn","family":"Kellogg","sequence":"first","affiliation":[{"name":"Taryn Kellogg is a cardiothoracic surgery nurse practitioner at Emory University Hospital, Atlanta, 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