Illness/ICU/Inpatient Care and PT Goals Flashcards

1
Q

what are the 3 main purposes of ICU admission

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the 5 primary ICU dx

A
  • respiratory insufficiency/failure
  • acute MI, ICH, or cerebral infarction
  • percutaneous cardiovascular procedures
  • sepsis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are ICU treatments

A
  • hemodialysis
  • ventilatory/CV support
  • invasive monitoring
  • medications
  • bed rest
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the possible benefits of bedrest

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is increased bed rest associated with

A

loss of beneficial effects of physical activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is deconditioning

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

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

A

1 week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

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

A

2 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

immediate PT goals in ICU

A
  • return pt to prior or higher level of function
  • reduce complications, morbidity, premature mortality, and length of ICU/hospitalization stay
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

secondary goals of PT in ICU

A
  • maximizing O2 transport to improve CV and pulmonary function
  • maximizing MSK and neurological function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

progression of mobilization

A
  • HOB elevated/chair position
  • tilt table/bed
  • dangle edge of bed (EOB)
  • out of bed (OOB)
  • ambulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

deficits common to acquired deconditioning are similar to those of

A

frailty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

fraility

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the difference between HAD and fraility

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly