Symptoms And Treatment Of Ill Patients

1978 Words8 Pages
Annually more than one million people in the United States receive care in the intensive care unit (ICU) (Chandrashekar & Perme, 2009, p.213). Patients who are critically ill often require multiple therapies, monitoring devices, and mechanical ventilation. A majority of the critically ill patients remain in bed rest during their ICU and hospital stay. Prolonged immobility and bed rest have negative effects on patient outcomes leading to acute complications, longer ICU and hospital stay, and increase in mortality and morbidity rates (Dang, 2013). Nurses and other healthcare providers strive to keep the patient stable and help progress healing; however extended patient immobility reduces and complicates timely recovery. Muscle strength…show more content…
The purpose of this paper is to highlight the significance of initiating an early mobility programs by reviewing the current evidenced-based standards of care, aligned nursing interventions, and interprofessional patient care management to improve outcomes of high-acuity patients. Standards of Care Currently no national standard protocol or guidelines exists for early mobilization programs. Although the complications of immobility is well-known, hospitals are not including early mobility programs mainly due to the deficiency in research about establishing and implementing such programs. The few medical facilities that do provide early mobilization programs are created independently based on the existing obtainable research (Dang, 2013). Best practice of early mobility for the critically ill patients is not clearly defined due to the lack of scientific research and absence of national standard guidelines. Guidelines based on individual research studies suggest the implementation of early mobility program as soon as the patient is admitted or clinically stable (Chandrashekar & Perme, 2009). Different approaches are presented to accomplish the early mobilization program including Awakening and Breathing Coordination, Delirium Monitoring and Management, and Early Mobility (ABCDE) bundle and the four phase program (Balas, Boehm, Burke, Ely, Olsen, Pun, Peitz, & Vasilevskis, 2012;
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