Mobilization of Ventilated Older Adults

Davis, Josaleen; Crawford, Kelley; Wierman, Heidi R.; Osgood, Wendy; Cavanaugh, James T.; Smith, Kathryn; Mette, Stephen A.; Orff, Sonja

doi:10.1519/jpt.0b013e31828836e7

Cited by 29 publications

(64 citation statements)

References 30 publications

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“…[18][19][20] This ensured the participants were representative of the wider critical care cohort. A number of studies 11,18,21,22 achieved high rates of activity intervention despite the fragility of the patient condition and interruptions associated with procedures and tests. Research bias was avoided when the outcome measures were performed by a physical therapist blinded to group allocation.…”

Section: Strengths and Limitations Of The Included Studiesmentioning

confidence: 99%

“…21,23 In contrast, some studies were exposed to potential bias related to the inability to blind healthcare workers, participants and outcome assessors. 11,19,20,22,23 This may have influenced interventions and the results of functional measures. Studies were further limited by small sample size and single sites.…”

Section: Strengths and Limitations Of The Included Studiesmentioning

confidence: 99%

“…Studies were further limited by small sample size and single sites. 19,20,[22][23][24] This may impact upon the ability to generalise the results to all critically ill populations. Small sample size may have been insufficient to show between-group differences in secondary outcomes for some studies 24 whilst loss of subjects further diminished sample size.…”

Section: Strengths and Limitations Of The Included Studiesmentioning

confidence: 99%

“…Small sample size may have been insufficient to show between-group differences in secondary outcomes for some studies 24 whilst loss of subjects further diminished sample size. [22][23][24] …”

Section: Strengths and Limitations Of The Included Studiesmentioning

confidence: 99%

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Early rehabilitation in the intensive care unit: An integrative literature review

Sosnowski

Lin

Mitchell

et al. 2015

Australian Critical Care

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Section: Strengths and Limitations Of The Included Studiesmentioning

confidence: 99%

Section: Strengths and Limitations Of The Included Studiesmentioning

confidence: 99%

Section: Strengths and Limitations Of The Included Studiesmentioning

confidence: 99%

Section: Strengths and Limitations Of The Included Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Early rehabilitation in the intensive care unit: An integrative literature review

Sosnowski

Lin

Mitchell

et al. 2015

Australian Critical Care

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show abstract

“…Most reports about starting a new mobilization program in the ICU have described phases of team engagement and implementation that occur over 2 to 3 years. [64][65][66][67] Generally, when caring for critically ill patients, each discipline has their prescribed roles and duties (eg, prescription vs dispensing vs administration of medications). However, mobilizing the critically ill patient is not one person's job because, unlike administering medications, mobilizing patients can rarely be performed alone.…”

Section: Specific Leadership Activities: Mobility Examplesmentioning

confidence: 99%

Pain, Agitation, and Delirium Guidelines: Nurses’ Involvement in Development and Implementation

Davidson

Winkelman

Gélinas

et al. 2015

Critical Care Nurse

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The 2013 American College of Critical Care Medicine/Society of Critical Care Medicine clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit serves as a living example of nurses’ involvement in the development and implementation of professional guidelines. Nurses who served on this guideline-writing panel describe their experiences. Specific examples from the pain, agitation, and delirium guidelines for care are used to explore the roles of the nurse leader, nurse informaticist, staff nurse, and nurse researcher in relationship to guideline implementation.

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Algorithmen zur Frühmobilisierung auf Intensivstationen

Nydahl

Dubb

Filipovic

et al. 2016

Med Klin Intensivmed Notfmed

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Immobility of patients in intensive care units (ICU) can lead to long-lasting physical and cognitive decline. During the last few years, bundles for rehabilitation were developed, including early mobilization. The German guideline for positioning therapy and mobilization, in general, recommends the development of ICU-specific protocols. The aim of this narrative review is to provide guidance when developing a best practice protocol in one's own field of work. It is recommended to a) implement early mobilization as part of a bundle, including screening and management of patient's awareness, pain, anxiety, stress, delirium and family's presence, b) develop a traffic-light system of specific in- and exclusion criteria in an interprofessional process, c) use checklists to assess risks and preparation of mobilization, d) use the ICU Mobility Scale for targeting and documentation of mobilization, e) use relative safety criteria for hemodynamic and respiratory changes, and Borg Scale for subjective evaluation, f) document and evaluate systematically mobilization levels, barriers, unwanted safety events and other parameters.

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Mobilization of Ventilated Older Adults

Abstract: Overall results indicate the feasibility and safety of implementing an early mobilization program to critically ill older adult patients.

Cited by 29 publications

References 30 publications

Early rehabilitation in the intensive care unit: An integrative literature review

Early rehabilitation in the intensive care unit: An integrative literature review

Pain, Agitation, and Delirium Guidelines: Nurses’ Involvement in Development and Implementation

Algorithmen zur Frühmobilisierung auf Intensivstationen

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