scholarly journals Physiotherapeutic management of a patient after craniocerebral trauma in the intensive care unit - case study.

2020 ◽  
Vol 13 (4) ◽  
pp. 1-13
Author(s):  
Antonina Kaczorowska ◽  
Klaudia Kałuża
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Craniocerebral Trauma ◽  
Respiratory Muscles ◽  
Lung Ventilation ◽  
Road Accident ◽  
Craniocerebral Injuries ◽  
Comprehensive Therapy ◽  
Trauma Case

Introduction Craniocerebral injuries are one of the most common causes of mortality and disability in Poland. The treatment of patients who are in an intensive care unit is based primarily on stabilizing the patient’s general condition as well as basic duties according to the patient’s functioning. Aim The aim of this study is to demonstrate the importance of early rehabilitation and the role of physiotherapy in recovery after craniocerebral trauma. Case study The subject was an 18-year-old patient who suffered craniocerebral trauma as a result of a road accident. After losing consciousness, he was in the intensive care unit, where he was placed on a medical ventilator. A properly selected physiotherapeutic procedure was performed. Passive exercises, contracture correction and appropriate positioning were used. To prevent pressure sores, anti-bedsore prophylaxis was implemented. Respiratory therapy played a key role. The goal of respiratory physiotherapy was to improve respiratory function by maintaining proper lung ventilation, increasing chest and diaphragm mobility along with maintaining the efficiency of respiratory muscles, as well as stimulating effective coughing and evacuation of secretions. The NDT-Bobath concept was used as therapy for spastic tension. The goal of the therapy was to get rid of pathological movement patterns and replace them with physiological patterns. The PNF method, classical and lymphatic massage, polysensory stimulation and music therapy were also used. Conclusions Early and comprehensive rehabilitation in a patient after craniocerebral trauma is extremely important and determines therapeutic effectiveness. Comprehensive therapy and care are able to prevent a number of complications that threaten the patient as a result of immobilization.

scholarly journals CASE STUDY: ORGANOPHOSPHATE POISONING – ATROPINE-INDUCED PSYCHOSIS IN INTENSIVE CARE UNIT PATIENT

2021 ◽  
pp. 3-4
Author(s):  
VATHSALYA PORANKI
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Patient ◽  
Rural Areas ◽  
Postsynaptic Membrane ◽  
The Body ◽  
Organophosphate Poisoning ◽  
Competitive Antagonist ◽  
Organophosphorus Poisoning

Organophosphate compounds are used as commercial insecticides and applied as aerosols or dust. Consuming these compounds intentionally or unintentionally lead to dangerous conditions even to fatality. The most common obstacle in treating organophosphorus poisoning is the availability of sufficient medical care, equipment to provide proper emergency care observed in rural areas where there is a lot of gap between intensive care and acute care. Atropine use is as an antidote in organophosphorus poisoning. The dose of atropine mainly depends on the organophosphorus toxic doses. Atropine is a competitive antagonist of acetylcholine at the muscarinic postsynaptic membrane. Atropine blocks all the muscarinic effects in the body. This study presents a case of organophosphorus poisoning treated with atropine leading to atropine psychosis. Patient’s conditions, outcomes, and improvements are studied.

Cardiovascular Single-Unit Stay: A Case Study in Change

2004 ◽  
Vol 13 (5) ◽  
pp. 406-409 ◽  
Author(s):  
Elizabeth I. Clark ◽  
Constance L. Roberts ◽  
Karen C. Traylor
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Single Unit ◽  
Care Delivery ◽  
Medical Center ◽  
Postoperative Course ◽  
Lengths Of Stay ◽  
Care Delivery Model

A cardiovascular single-unit-stay program began at North Memorial Medical Center, Robbinsdale, Minn, in January 2000. Before then, cardiac surgery patients had been admitted to the intensive care unit directly from the operating room and then transferred to the postcoronary care unit on postoperative day 1 or 2. The traditional care delivery model created multiple transfers and delays in care, which often led to dissatisfaction among patients, increased costs, and greater potential for errors. The cardiovascular single-unit-stay program allows patients to stay in the same room with a consistent care team throughout the patients’ postoperative course. Decreased lengths of stay, decreased morbidity and mortality, increased satisfaction among patients and their families, and improved collaboration between members of the multidisciplinary team are just a few of the positive trends since the program’s inception.

The Role of the Nurse Educator in Sustaining Compassion in the Workplace: A Case Study From an Intensive Care Unit

2018 ◽  
Vol 49 (5) ◽  
pp. 221-224 ◽  
Author(s):  
Petra Strube ◽  
Amanda Henderson ◽  
Marion Lucy Mitchell ◽  
Jenny Jones ◽  
Sarah Winch
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nurse Educator

scholarly journals MOBILISASI DINI PADA PASIEN KRITIS DI INTENSIVE CARE UNIT (ICU): CASE STUDY

2020 ◽  
Vol 4 (1) ◽  
pp. 59
Author(s):  
Bagus Ananta Tanujiarso ◽  
Dilla Fitri Ayu Lestari
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Reasoning

Pasien dengan ventilasi mekanik memerlukan perhatian khusus mengingat banyaknya penggunaan ventilasi mekanik di ICU seluruh dunia dan resiko Intensive Care Unit Acquired Weakness (ICU-AW). Penerapan mobilisasi dini sering kali mengalami hambatan, seperti adanya nyeri hebat, kelelahan, penurunan kesadaran, oversedasi, atau terpasang alat medis yang invasif. Penelitian ini bertujuan untuk mengetahui gambaran kemampuan pasien kritis dalam melakukan mobilisasi dini di ICU. Penelitian ini merupakan penelitian kualitatif dengan rancangan studi kasus. Pertisipan yang digunakan sebanyak 6 kasus pasien ICU yang dianalisis menggunakan metode five right clinical reasoning. Hasil analisis didapatkan 3 konsep utama yakni (1) kemampuan pasien kritis melakukan mobilisasi dini, (2) aktivitas mobilisasi yang dapat dilakukan pada pasien dengan kondisi kritis, dan (3) respon fisiologis pada pasien yang dilakukan mobilisasi dini. Terdapat beberapa aktivitas mobilisasi dini yang dapat dilakukan pasien kritis di ICU, seperti head up, memposisikan lateral, ROM, dan berkolaborasi dengan ahli fisioterapi. Perawatan yang berkesinambungan dan kerjasama tim kesehatan sangat dibutuhkan dalam proses mobilisasi pasien sakit kritis agar dapat memberikan perawatan yang lebih baik sehingga dapat meningkatkan kepuasan dan kualitas hidup pasien.

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