Physical Function–Tardive Dyskinesia (PATD) on Critical Patients in Intensive Care Unit

Abstract

Introduction:Critical patients are patients who potentially get reversible dysfunction in one or more life-threatening organs and require care in the Intensive Care Unit (ICU). Methods: The objective of this research is to analyse the physical function-tardive dyskinesia in critical patients with sedation in the ICU. The design of this research is cross-sectional. The population is all of the critical patients in the ICU of the Baptist Hospital in Kediri. The purposive sample population was 41 respondents based on the inclusion and exclusion criteria. The variables are 'giving the sedation' and 'physical functiontardive dyskinesia'. The data was collected using a Motor Activity Assessment, and the Sedation Scale for Critically Ill Patients and Tardive Dyskinesia Screening. Results: The results showed that giving sedation can slow physical function in the form of motor activity; the response of noxious stimuli (7.3%), response to touch or calling name (19.5%) and an increasing score of agitation and co-operative (4.9%). Symptoms of tardive dyskinesia increased after sedation in the form of tongue protrusion (4.9%), lip-smacking, puckering and pursing (2.4%), and rapid movements of the arms and legs. The administration of sedation in the first 24-hours in ICU patients affects the physical function of the critical patients (p = 0.005). Conclusions: Giving sedation affects the patients' physical functions. Therefore, the prevention of the effects of sedation and treatment during ICU is needed in order to avoid a decrease in the physical function of critical patients.

The Effectiveness of Audio-Visual Education on Lactation Management and Chocking in Mother with Baby in Pandemic Time Covid-19

“…The steps that are not taken by the mother are that the baby is not stimulated to open the mouth by touching the cheek with the nipple after the baby is fed, the suction is not released in the right way, namely by inserting the mother's little finger into the baby's mouth, after breastfeeding, milk The mother did not remove a little which was then smeared on the nipple and areola, and the mother also did not check the condition of the breast for injuries or cracks after breastfeeding. In breastfeeding techniques with steps that are not taken by the mother, the mother may have become accustomed to not doing it because the breastfeeding time is not right, and the baby often cries 20,21,30,31,[22][23][24][25][26][27][28][29] . The steps taken in part are that the mother does not wash her hands before the act of breastfeeding, the mother does not sit or lie down casually, the baby's head is not in the arch of the mother's elbow and sometimes the baby's head looks up, the baby's stomach is not attached to the mother's stomach, the mother only turns her head babies, the mother only holds the nipple or areola without supporting the entire breast, the baby is not stimulated to open his mouth when breastfeeding, most areola does not enter the baby's mouth, only the nipple, after breastfeeding the mother also does not release the baby's suction using the little finger, the mother does not burp the baby in the right way and the mother does not check the condition of the breast after breastfeeding.…”

Rehabilitation to enable recovery from COVID-19: a rapid systematic review

“…No effect on HRQoL. Adverse events not reported Corner et al 2018 (UK) [53] Qualitative (grounded theory) using semi-structured interviews ICU and post discharge ICU survivors and family members Experiences Experience of rehabilitation and recovery Physical rehabilitation N = 15 mixed medical/surgical patients; age range 30 to 89 years; 11/15 (73%) male 4 family members (dyads) Need to recalibrate past, present and future self and differences between expectation and reality; recovering autonomy needs motivation and support Suwardianto et al 2018 (Indonesia) [51] RCT ICU Adults admitted to ICU > 24 hours Impairments; activity limitation. MMSE, PFIT Not specified Physical and cognitive therapy.…”

“…Suwardianto et al [51] reported improvements in bed transfers and cognition following a physical and cognitive rehabilitation programme compared with no rehabilitation, however both the intervention content and study details were poorly described.…”

Assessment Of Afasia in Stroke Patients: Case Study

“…The repetition of a single word is still good even if done with a variety of efforts. Repetition of bad sentences, especially sentences containing short words (such as: if, not, and, or, but (Dronkers, 2010;Yusiana & Suwardianto, 2014;Suwardianto & Richard, 2017;Weiner, 2000) Lesions in the posterior temporal gyrus of the auditory association cortex (area 22) or gyrus supramarginalis (area 40). Symptoms are that language comprehension will be interrupted and lose the ability to repeat the words spoken by others.…”