Early Mobilization of Patients in Intensive Care: Organization, Communication and Safety Factors that Influence Translation into Clinical Practice

Hodgson, Carol; Capell, Elizabeth; Tipping, Claire J

doi:10.1186/s13054-018-1998-9

Cited by 90 publications

(45 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sendo a amostra, composta por maioria dos pacientes com o IMC normal, com hipertensão arterial sistêmica ou presença de mais de um fator de risco (HAS, DM, DLP), tabagistas ou ex-tabagistas e etilistas/não etilistas em mesma proporção apesar de ambos não apresentaram diferenças estatisticamente significativas entre sobreviventes e não sobreviventes em internação. [11] São poucas evidências científicas que relatam a conduta do fisioterapeuta em ambiente hospitalar. De acordo com os estudos de Newstead et al 2017 e Lottering e Aswegen 2016, a conduta fisioterápica respiratória ainda é muito utilizada e corrobora com evidências encontradas neste trabalho, como por exemplo a utilização de exercícios de respiração profunda e da vibratoterapia e a pouca ou quase nula utilização do flutter como técnica de higiene brônquica.…”

Section: Discussionunclassified

Perfil Epidemiológico E Atuação Fisioterápica Em Pacientes Hospitalizados– Análise Restrospectiva

Kawakami¹,

Silva²,

Andrade³

et al. 2018

COLLOQ VITAE

View full text Add to dashboard Cite

The prevalence of chronic degenerative diseases and life expectancy has increased, which is associated with the higher number of hospitalizations among the elderly. In this sense, physical therapy is an alternative treatment in this population and has several rehabilitation alternatives in order to favor the patient's functionality. The objective of this study was to characterize the profile of hospitalized patients and to point out the physiotherapeutic techniques used. This study is retrospective, with an analysis of records with physical therapy prescription of a public hospital in the period from 2015 to 2017. It was observed that the majority of the patients are men, elderly, with hypertension or more than one risk factor, smokers/ex-smokers, alcoholics, with normal BMI, mean hospital stay of 8 to 19 days and diagnosis in specialty oncology. The most used techniques are exercises breathing, diaphragmatic reeducation, active mobilization and walking. The most frequently used techniques depend on the active participation of the patient, which allows us to conclude the importance of the physiotherapist in hospital units, given their incentive profile to promote activities that can reestablish the patients' functionality

show abstract

Section: Discussionunclassified

Perfil Epidemiológico E Atuação Fisioterápica Em Pacientes Hospitalizados– Análise Restrospectiva

Kawakami¹,

Silva²,

Andrade³

et al. 2018

COLLOQ VITAE

View full text Add to dashboard Cite

show abstract

“…Barriers identified were high workload, inadequate equipment, lack of written protocols, inadequate training for EM, and suboptimal staffing to facilitate this. These barriers have been identified by others, 6 with at least three of them able to be addressed through guidance, training, and purchasing appropriate equipment. Nurse staffing is more complex to address, but implementing EM may not require more critical care registered nurses (a rare commodity) but unqualified assistant staff led by an RN or a physiotherapist.…”

Section: What's In This Issuementioning

confidence: 98%

What's in this issue

Tume

Vollam

2020

Nursing in Critical Care

View full text Add to dashboard Cite

“…Une collaboration étroite avec les autres spécialités du service (kinésithérapie, orthophonistes) permet d’apprendre à répartir le temps au profit des patients. L’ouverture des heures de visites et la présence des familles permet d’ouvrir la réflexion sur le programme d’une journée de chaque patient et les tâches à organiser, prenant en compte parmi les autres paramètres, le désir du patient voire la disponibilité de ses proches [34] . Le quotidien n’est plus organisé autour du seul travail infirmier mais autour de la journée de chaque patient, de ses capacités propres et du détail des soins qui lui sont nécessaires [35] , [36] , [37] .…”

Section: Quels Effets Sur L’équipe De Soins ?unclassified

Dialogue avec l’entourage des patients en réanimation

Vigué

Radiguer

2020

Le Praticien en Anesthésie Réanimation

View full text Add to dashboard Cite

La place donnée à l’entourage de nos patients a accompli un changement profond dans les réanimations. Travailler à des discussions collégiales avec les soignants, reconnaître la parole des patients mais aussi de leurs proches dans les projets de soins est devenu une part obligatoire de notre travail quotidien. Ce changement de considération se perçoit aussi dans l’attention accordée aux partages des décisions éthiques. La confiance dans le système de soins comme auprès des intervenants médicaux est nécessaire pour que la relation thérapeutique puisse se faire sereinement. Il nous faut donc s’organiser pour perfectionner l’accueil des familles, la place de l’équipe, les réunions formelles régulières d’information auprès des proches ou du représentant de notre patient. Le stress post traumatique n’est pas seulement l’apanage des patients rescapés de réanimation, il est décrit aussi chez les accompagnants. Si la confiance est acquise, peu de conflits avec la famille sont insurmontables, seuls les conflits interfamiliaux obligent l’équipe médicale à défendre son opinion. La prise de conscience qu’un projet de soin à la sortie de réanimation réussira mieux quand il se fait avec l’appui de l’entourage, permet de comprendre l’importance à accorder aux proches et à leur stress.

show abstract

Early Mobilization of Patients in Intensive Care: Organization, Communication and Safety Factors that Influence Translation into Clinical Practice

Cited by 90 publications

References 41 publications

Perfil Epidemiológico E Atuação Fisioterápica Em Pacientes Hospitalizados– Análise Restrospectiva

Perfil Epidemiológico E Atuação Fisioterápica Em Pacientes Hospitalizados– Análise Restrospectiva

What's in this issue

Dialogue avec l’entourage des patients en réanimation

Contact Info

Product

Resources

About