8C: ICU Mobility

Question 1

What is one of the major problems in ICU care (non-physical)?

Answer 1

Decreased cognition

Question 2

What are three reasons for decreased mentation?

Answer 2

1. TBI, head injuries
2. Sedative medications
3. Medical complications

Question 3

How can you address delirium in the ICU?

Answer 3

• Collaborative
• Arousal and stimulus
• Confusion assessment

Question 4

What is the general function of using the CAM-ICU?

Answer 4

Confusion in ICU

Question 5

What are the four features of the CAM-ICU?

Answer 5

1. Acute onset of mental status or fluctuating
2. Inattention
3. Disorganized thinking
4. Altered LOC

Question 6

When is a pt diagnoses as delirious with the CAM-ICU?

Answer 6

If they have both features 1 and 2 AND either 3 or 4

Question 7

What does the DRS-R-98 assess?

Answer 7

Delirium symptoms at any stage

Question 8

What is the RASS?

Answer 8

Richmond Agitation-Sedation Scale

Question 9

What is the purpose of the ABCDEF strategy?

Answer 9

Assess and document how the pt was with us

Question 10

What is ICUAW?

Answer 10

ICU acquired weakness

Question 11

What are the signs of ICUAW?

Answer 11

• Muscle atrophy
• Myopathy
• Polyneuropathy

Question 12

What are the consequences of ICUAW?

Answer 12

• Higher 1 year mortality
• Impaired physical function
• Poor QOL after discharge

Question 13

What is PICS?

Answer 13

Post Intensive Care Syndrome

Question 14

What are the three impairments of PICS?

Answer 14

• Physical
• Cognitive
• Mental Health

Question 15

What is the duration of PICS?

Answer 15

• Starts in the ICU
• Decreased QOL after 12 years

Question 16

What are the physical impairments associated with PICS?

Answer 16

• Muscle weakness
• Pulmonary complications
• Balance, coordination, mobility

Question 17

What are the cognitive impairments associated with PICS?

Answer 17

• Excessive functioning skills
• Memory

Question 18

What are the mental health impairments associated with PICS?

Answer 18

• Anxiety, depression, PTSD

Question 19

What is assessed with the Perme ICU Mobility Score?

Answer 19

Mobility status in ICU, takes into account medical factors

Question 20

What is the Perme ICU PT Competency?

Answer 20

Makes sure that the PT is competent to practice in the ICU

Question 21

What does the Perme ICU PT Competency consist of?

Answer 21

• 30 items total
• 19 items related to knowledge of illness and ICU environment
• 11 items related to ICU PT practice

Question 22

What is the AM-PAC?

Answer 22

• Costly subscription
• Activity measure following acute care
• Cognitive, behavioral, physical

Question 23

What is the Hopkins Mobility assessment (JH-HLM)?

Answer 23

Observed mobility of pt in the ICU

Question 24

What is documented with the JH-HLM?

Answer 24

Pt’s highest observed level of activity

Question 25

What are the mobility positions on the JH-LHM?

Answer 25

• Lying
• Bed mobility
• Sitting at the edge of bed
• Chair transfer
• Standing 1 minute
• 10 steps
• 25 steps
• 250 feet

Question 26

What is the FSS-ICU?

Answer 26

5 functional tasks evaluated based on assist needed

Question 27

What are the 5 functional tasks of the FSS-ICU?

Answer 27

1. Rolling
2. Supine to sit
3. Sitting at EOB
4. Sit to stand
5. Walking

Question 28

What is the DEMMI?

Answer 28

DeMorton Mobility Index - 15 points of mobility rated based on assistance and time

Question 29

What is the DEMMI scored out out?

Answer 29

Converted to #/100

Question 30

What is the MCID for the DEMMI?

Answer 30

8 points