8C: ICU Mobility Flashcards
What is one of the major problems in ICU care (non-physical)?
Decreased cognition
What are three reasons for decreased mentation?
- TBI, head injuries
- Sedative medications
- Medical complications
How can you address delirium in the ICU?
- Collaborative
- Arousal and stimulus
- Confusion assessment
What is the general function of using the CAM-ICU?
Confusion in ICU
What are the four features of the CAM-ICU?
- Acute onset of mental status or fluctuating
- Inattention
- Disorganized thinking
- Altered LOC
When is a pt diagnoses as delirious with the CAM-ICU?
If they have both features 1 and 2 AND either 3 or 4
What does the DRS-R-98 assess?
Delirium symptoms at any stage
What is the RASS?
Richmond Agitation-Sedation Scale
What is the purpose of the ABCDEF strategy?
Assess and document how the pt was with us
What is ICUAW?
ICU acquired weakness
What are the signs of ICUAW?
- Muscle atrophy
- Myopathy
- Polyneuropathy
What are the consequences of ICUAW?
- Higher 1 year mortality
- Impaired physical function
- Poor QOL after discharge
What is PICS?
Post Intensive Care Syndrome
What are the three impairments of PICS?
- Physical
- Cognitive
- Mental Health
What is the duration of PICS?
- Starts in the ICU
- Decreased QOL after 12 years
What are the physical impairments associated with PICS?
- Muscle weakness
- Pulmonary complications
- Balance, coordination, mobility
What are the cognitive impairments associated with PICS?
- Excessive functioning skills
- Memory
What are the mental health impairments associated with PICS?
- Anxiety, depression, PTSD
What is assessed with the Perme ICU Mobility Score?
Mobility status in ICU, takes into account medical factors
What is the Perme ICU PT Competency?
Makes sure that the PT is competent to practice in the ICU
What does the Perme ICU PT Competency consist of?
- 30 items total
- 19 items related to knowledge of illness and ICU environment
- 11 items related to ICU PT practice
What is the AM-PAC?
- Costly subscription
- Activity measure following acute care
- Cognitive, behavioral, physical
What is the Hopkins Mobility assessment (JH-HLM)?
Observed mobility of pt in the ICU
What is documented with the JH-HLM?
Pt’s highest observed level of activity
What are the mobility positions on the JH-LHM?
- Lying
- Bed mobility
- Sitting at the edge of bed
- Chair transfer
- Standing 1 minute
- 10 steps
- 25 steps
- 250 feet
What is the FSS-ICU?
5 functional tasks evaluated based on assist needed
What are the 5 functional tasks of the FSS-ICU?
- Rolling
- Supine to sit
- Sitting at EOB
- Sit to stand
- Walking
What is the DEMMI?
DeMorton Mobility Index - 15 points of mobility rated based on assistance and time
What is the DEMMI scored out out?
Converted to #/100
What is the MCID for the DEMMI?
8 points
