Acute care and Cardiac rehabilitation Flashcards
How do you know if the patient may not be stable?
physical appearance- sweating
What is the criteria for ICU
- No clear, uniform standard
- patients requiring respiratory support
- patients with chronic impairment of one or more organ systems who also require support for an acute reversible failure of another organ
During the eval process, what are the two things that are important
conduct client interview
read chart
Who is part of ICU team?
Intensivists Critical care nurses Pharmacist Registered Dietitian Social worker Respiratory therapist OT/PT PA Hospital chaplain
The most important thing in ICU for OT
Safety- clearing of tubes and lines
What is the role of OT in acute care?
- Integrate occupation-based activity into the rehabilitation process
- Address personal motivation to improve activity tolerance, early mobilization
- Occupation based approaches provide interventions to can be used to assist with a patient’s physical and psychological recovery
Role of OT in acute care:
focus on mental health and cognitive factors in relation to non-compliance
- client-centered evaluation, intervention, and task modification
- An analysis of pre-hospitalization roles and the patient’s likelihood of resuming them
- discharge destination- the potential need for adaptive equipment, modifications for safety and driving, and community mobility support
OT and critical care:
- splints, and positioning devices
- bedside evaluations for determining safety and eating
- train families to assist in rom, mobility, and skin checks
- education in communication devices
- minimize sedation
- prevent contracture
- prevent hospital-acquired weakness/debility
- shorter LOS
Negative effects of bed rest cardiovascular
- orthostatic hypotension
- increased workload
- thrombus formation
- hypovolemia
Negative effects of bed rest respiratory
- slowed respiratory rate
- oxygen and co2 imbalance
- decreased respiratory movement
- stasis of secretions
Negative side effects of Motor :
Contractures, muscle atrophy, osteoporosis, decubitus ulcers
Negative effects of bed rest-metabolic
- decreased rate
- accelerated catabolic activity
- change in body temp
- decreased adreno-cortical hormones
Negative effects of bed rest-Gastrointestinal
Ingestion- protein deficiency and
Elimination-loss of defecation
OT’s have been treating in ICU since
1980’s
History of ICU
- feasibility in the medical intensive care unit
- despite high illness acuity
- presence of life support devices
