Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses
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Intensive Crit Care Nurs · Apr 2012
Multicenter StudyIntegrating a multidisciplinary mobility programme into intensive care practice (IMMPTP): a multicentre collaborative.
ICU immobility can contribute to physical deconditioning, increased ICU and hospital length of stay and complications post discharge. Despite evidence of the beneficial outcomes of early mobility, many ICUs and providers lack necessary processes and resources to effectively integrate early mobility into their daily practice. ⋯ This multi-centre, ICU collaborative has shown that improvements in team culture, communication and resources can improve adoption of early mobility in ICU patients.
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Intensive Crit Care Nurs · Apr 2012
Move it or lose it? A survey of the aims of treatment when using passive movements in intensive care.
To identify the aims of treatment when physiotherapists use passive movements (PMs) for ventilated and sedated patients on intensive care in the UK. ⋯ There appears to be a high level of consensus amongst physiotherapists that PMs influence joint range and that there will be a loss of range if PMs are not carried out. Currently this is not supported by empirical evidence. Therefore, future research should investigate the actual physiological effects of PMs and the clinical reasoning underpinning their use in critically ill patients.
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Intensive Crit Care Nurs · Apr 2012
Specific inspiratory muscle training is safe in selected patients who are ventilator-dependent: a case series.
Mechanical ventilation of intensive care patients results in inspiratory muscle weakness. Inspiratory muscle training may be useful, but no studies have specifically described the physiological response to training. ⋯ Threshold-based inspiratory muscle training can be delivered safely in selected ventilator-dependent patients without supplemental oxygen. Inspiratory muscle training is associated with increased muscle strength, which may assist ventilatory weaning.
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Intensive Crit Care Nurs · Apr 2012
Developing user centred critical care discharge information to support early critical illness rehabilitation using the Medical Research Council's complex interventions framework.
This paper reports on an intervention designed during an ongoing two phase project aimed at improving early critical illness rehabilitation. It focuses specifically on the justification for a newly developed critical care discharge information pack: 'User Centred Critical Care Discharge Information Pack' (UCCDIP). The intervention is described in detail and the chosen research methods are discussed. ⋯ UCCDIP acknowledges the patients' need to understand what they have been through and the progress they have made. It provides for the different information needs of patients and relatives, recognising their physical and psychological vulnerability. Through its use of reflection and participation, UCCDIP has the potential to optimise support of adult patients and their families during early critical illness rehabilitation.