Can the Use of an Early Mobility Program Reduce the Incidence of Pressure Ulcers in a Surgical Critical Care Unit?

2013 ◽  
Vol 36 (1) ◽  
pp. 127-140 ◽  
Author(s):  
Sharon Dickinson ◽  
Dana Tschannen ◽  
Leah L. Shever
Keyword(s):  
Critical Care ◽  
Critical Care Unit ◽  
Pressure Ulcers ◽  
Early Mobility ◽  
Surgical Critical Care

Experiences of four parents with physical therapy and early mobility of their children in a pediatric critical care unit: A case series

2016 ◽  
Vol 9 (2) ◽  
pp. 159-168 ◽  
Author(s):  
Rachel B. Parisien ◽  
Kirstie Gillanders ◽  
Erin K. Hennessy ◽  
Lisa Herterich ◽  
Kendra Saunders ◽  
...  
Keyword(s):  
Critical Care ◽  
Physical Therapy ◽  
Critical Care Unit ◽  
Case Series ◽  
Pediatric Critical Care ◽  
Early Mobility

IMPLEMENTATION AND UTILIZATION OF A LOCAL SITE SPECIFIC DATABASE IN A SURGICAL CRITICAL CARE UNIT

1999 ◽  
Vol 27 (Supplement) ◽  
pp. A143
Author(s):  
Thomas H Sullivan ◽  
Michael Burr ◽  
Dee Carlisi ◽  
Stephen M DiRusso ◽  
John A Savino
Keyword(s):  
Critical Care ◽  
Critical Care Unit ◽  
Site Specific ◽  
Local Site ◽  
Surgical Critical Care

Evidence-Based Prevention of Pressure Ulcers in the Intensive Care Unit

2013 ◽  
Vol 33 (6) ◽  
pp. 57-66 ◽  
Author(s):  
Karen L. Cooper
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Critical Care ◽  
Critical Care Unit ◽  
Pressure Ulcers ◽  
Hemodynamic Instability ◽  
Evidence Based ◽  
Never Event ◽  
Vasoactive Medications ◽  
Critical Care Patients

The development of stage III or IV pressure ulcers is currently considered a never event. Critical care patients are at high risk for development of pressure ulcers because of the increased use of devices, hemodynamic instability, and the use of vasoactive medications. This article addresses risk factors, risk scales such as the Norden, Braden, Waterlow, and Jackson-Cubbin scales used to determine the risk of pressure ulcers in critical care patients, and prevention of device-related pressure ulcers in patients in the critical care unit.

scholarly journals Application of a new Candida score for early antifungal treatment in an adult medical – surgical critical care unit

Critical Care ◽  
2007 ◽  
Vol 11 (Suppl 3) ◽  
pp. P34
Author(s):  
M Santos ◽  
D Thielman ◽  
C Teles ◽  
JLF Costa ◽  
F Gutierrez ◽  
...  
Keyword(s):  
Critical Care ◽  
Critical Care Unit ◽  
Antifungal Treatment ◽  
Surgical Critical Care ◽  
Candida Score

scholarly journals Beginning Restorative Activities Very Early: Implementation of an Early Mobility Initiative in a Pediatric Onco-Critical Care Unit

2021 ◽  
Vol 11 ◽  
Author(s):  
Saad Ghafoor ◽  
Kimberly Fan ◽  
Sarah Williams ◽  
Amanda Brown ◽  
Sarah Bowman ◽  
...  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Critical Care Unit ◽  
Early Mobilization ◽  
Rehabilitation Services ◽  
Quality Improvement Initiative ◽  
High Risk Population ◽  
Functional Impairments ◽  
Early Mobility ◽  
Unplanned Extubations

IntroductionChildren with underlying oncologic and hematologic diseases who require critical care services have unique risk factors for developing functional impairments from pediatric post-intensive care syndrome (PICS-p). Early mobilization and rehabilitation programs offer a promising approach for mitigating the effects of PICS-p in oncology patients but have not yet been studied in this high-risk population.MethodsWe describe the development and feasibility of implementing an early mobility quality improvement initiative in a dedicated pediatric onco-critical care unit. Our primary outcomes include the percentage of patients with consults for rehabilitation services within 72 h of admission, the percentage of patients who are mobilized within 72 h of admission, and the percentage of patients with a positive delirium screen after 48 h of admission.ResultsBetween January 2019 and June 2020, we significantly increased the proportion of patients with consults ordered for rehabilitation services within 72 h of admission from 25 to 56% (p<0.001), increased the percentage of patients who were mobilized within 72 h of admission to the intensive care unit from 21 to 30% (p=0.02), and observed a decrease in patients with positive delirium screens from 43 to 37% (p=0.46). The early mobility initiative was not associated with an increase in unplanned extubations, unintentional removal of central venous catheters, or injury to patient or staff.ConclusionsOur experience supports the safety and feasibility of early mobility initiatives in pediatric onco-critical care. Additional evaluation is needed to determine the effects of early mobilization on patient outcomes.

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