Illness/ICU/Inpatient Care and PT Goals

Question 1

what are the 3 main purposes of ICU admission

Answer 1

intensive/invasive monitoring, support of airway, stabilization of life threatening illness/injury

Question 2

what are the 5 primary ICU dx

Answer 2

• respiratory insufficiency/failure
• acute MI, ICH, or cerebral infarction
• percutaneous cardiovascular procedures
• sepsis

Question 3

what are ICU treatments

Answer 3

• hemodialysis
• ventilatory/CV support
• invasive monitoring
• medications
• bed rest

Question 4

what are the possible benefits of bedrest

Answer 4

• allows muscles to remodel and adapt to specific exercise demands
• allows natural repair of weak/damaged tissues
• allows metabolic resources to be used for healing and recovery
• reduce O2 consumption by muscles
• reduce metabolic demands on heart
• avoid pain
• promote healing

Question 5

what is increased bed rest associated with

Answer 5

loss of beneficial effects of physical activity

Question 6

what is deconditioning

Answer 6

the loss of physiologic and performance adaptations, and occurs rapidly when a person terminates regular participation in ADLs and exercise

Question 7

how long on bed rest or inactivity leads to significant reduction in exercise capacity

Answer 7

1 week

Question 8

how many days of hospitalization contributes to functional decline and nursing home placement in older adults

Answer 8

2 days

Question 9

immediate PT goals in ICU

Answer 9

• return pt to prior or higher level of function
• reduce complications, morbidity, premature mortality, and length of ICU/hospitalization stay

Question 10

secondary goals of PT in ICU

Answer 10

• maximizing O2 transport to improve CV and pulmonary function
• maximizing MSK and neurological function

Question 11

progression of mobilization

Answer 11

• HOB elevated/chair position
• tilt table/bed
• dangle edge of bed (EOB)
• out of bed (OOB)
• ambulation

Question 12

deficits common to acquired deconditioning are similar to those of

Answer 12

frailty

Question 13

fraility

Answer 13

• generalized decline in physical reserves
• a disruption in homeostasis that increases future risk for adverse health outcomes
• physiologic syndrome characterized by have 3/5: muscle weakness, slow movement, self-reported exhaustion, low physical activity, unintentional weight loss
• independent risk of increased mortality, institutionalization and disability

Question 14

what is the difference between HAD and fraility

Answer 14

fraility develops insidiously over a period of months and years, whereas HAD develops rapidly over a period of just a few days