Symptoms And Treatment Of Early Mobility

1487 WordsMar 27, 20176 Pages
• Fractures or other disabilities • Patient hemodynamic tolerance and activity • Patients attachment to intravenous lines and monitors Benefits of Early Mobility in the ICU: Mobilizing the patient in ICU can be a cumbersome and labor-intensive process, but the early initiation of daily activities, preferably at the beginning of a patient’s ICU stay can lead to physical independence of patients after discharge [14, 22-24]. Some of the benefits associated with early mobility in the ICU are briefly discussed below. • Functional mobility and muscle strength: Up to 25% to 50% of ICU patients can develop neuromuscular weakness in the ICU and this can last for years after hospital discharge. Early mobilization therapy is the evidence-based…show more content…
• ICU complications: Mobilization early on during the ICU stay is associated with decreased complications which include atelectasis, aspiration and pneumonia and joint contractures and muscle wasting. It also associated with a decrease in the incidence and duration of delirium in the ICU[30]. • Discharge: Patients who undergo mobilization and rehabilitation early in ICU achieve functional mobility and adequate muscle strength and have a greater chance to be discharged to home rather than to a skilled nursing facility (SNiF). • Readmissions: Early mobilization in the ICU also leads to improved long term outcomes and decreases the readmission rate. A study which followed patients with acute respiratory failure admitted to the ICU for 1-year found that, patients who lacked early ICU mobility were associated with a higher 1-year readmission rate[31]. Selection of Patient: • Safety: Does the patient have any exclusion criteria? o Patient requires significant doses of vasopressors for hemodynamic stability (maintain mean arterial pressure >60 mm Hg) o Mechanically ventilated patient who requires FiO2 >0.8 and/or positive end-expiratory pressure >12 mm Hg, or who has acutely worsening respiratory failure o Patient maintained on neuromuscular blocking agents o Patient in an acute
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