chart review and ICU

Question 1

chart review

Answer 1

-what happened that led to their seeking med. attention and was it planned or medical emergency?
-clients present status compared to the start of treatment
-current relevant issues?
-functional, medical, social, cog/perceptual, other
-what info do you need to know more about? how obtain this info?
-what assessments would you perform?
-what would your POC consist of?
what kind of pt. training and ed. is needed and in what areas?

Question 2

challenges in ICU

Answer 2

• sedated, delirium/confusion hard work getting them to move!
• time
• complex cases- what to address 1st. mallows hierarchy
• difficult nurses
• preventing skin breakdown- infection
• increased tiredness

Question 3

assessments in ICU

Answer 3

UQS, cog, depression assessment (SF-46, can do snippets of assessments, assess mobility, endurance- follow commands, sit up, side-lying, participate with bed mobility, check with nurse overtime before you see pt., ROM

Question 4

OT role in ICU

Answer 4

• complex depending on each pt.
• splints/positioning, decrease skin breakdown
• ROM (pees, sh motion) preventing contractures (PROM-sedated)
• dicubity- ischial tuberosity, back of head, elbows, heels-any boney premises
• turning every 2 hours
• fx ambulation
• orientation
• fam ed.
• sensory stim/relaxation tech
• adl’s, feeding strategies
• decrease endurance, muscle atrophy
• max strength and endurance to decrease hosp. infections
  
  • exercises, getting up
• cog-always say who you are etc.