Quiz #4 (ICU) prep Flashcards
The reduced ability to perform ADL’s, reduced capacity for ambulation, depression, PTSD, and anxiety contribute to a persons quality of life and long-term survival that persist after a stay at the ICU are a definition of what?
Post-intensive care syndrome (PICS)
What are the general descriptions of the 4-phase graded mobilization program?
phase 1 - patient unable to follow simple commands
phase 2 - patient severely weak and requires maxA to stand
phase 3 - patient requires minA to modA to stand & can support majority of body weight
phase 4 - patient able to transfer and am >10 ft with walker & minA or no assistance
What are the treatment suggestions for a patient in phase 1 of the graded mobilization program?
- nursing to perfrom
- PROM to all extremities
- sitting in stretcher/chair 3x/day 20 min or more as tolerated.
What are the treatment suggestions for a patient in phase 2 of the graded mobilization program?
physical therapy to perform
- AA/AROM of UE and LE in all planes
- bed mobility
- assertive sitting balance
- mobile leg press for graded PWB (30-75%) exercise
What are the treatment suggestions for a patient in phase 3 of the graded mobilization program?
physical therapy to perform
- progressive standing with hydraulic-assist platform walker
- transfer training to chair
- perambulation training w/hydraulic-assit or rolling walker
- gait training
What are the treatment suggestions for a patient in phase 4 of the graded mobilization program?
physical therapist to perform
- progressive walking and gait training
- high level balance activities
- endurance activities
- promote indépendance w/HEP and walking program
Can you work with a patient if they had to be reintubated the day prior?
no
Can you work with a patient you had an acute clinical decline or developed a new onset of sepsis?
no
Can you work with a patient if they had a fall?
no
What should you do if you find your patient is pale and sweaty while performing the Nustep?
stop exercise and let the nurse know
What should you do if you find your patient complains of new chest pain?
stop exercise and let the nurse know
What should you do if your older patient becomes drowsy and no longer can follow commands?
stop exercise and let the nurse know
