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Name of Media:
Early Rehabilitation in the Intensive Care Unit: Preventing Impairment of Physical and Mental Health
Ann M. Parket, Thiti Sricharoenchai & Dale M. Needham
Publisher or Source:
Current Physical Medicine And Rehabilitation Reports
Type of Media:
Media Originally for:
Critical Care Physicians
Country of Origin:
Primary Focus of Media:
Post Intensive Care Syndrome (PICS)
Survivors of critical illness often experience new or worsening impairments of physical, cognitive, and/or mental health, referred to as Post-Intensive Care Syndrome (PICS). Such impairments can be long-lasting and negatively affect survivors’ quality of life. Early rehabilitation in the intensive care unit (ICU), while patients remain on life-support therapy, may reduce the complications associated with PICS. This article addresses evidence-based rehabilitation interventions to reduce the physical and mental health impairments associated with PICS. Implementation of effective early rehabilitation interventions targeting physical impairment requires consideration of five factors: barriers, benefits, feasibility, safety, and resources. Mental health impairments may be addressed by use of the following interventions: use of ICU diaries, early in-ICU psychological interventions, and post-ICU coping skills training. In both cases, a multidisciplinary team-based approach is paramount to successful incorporation of early rehabilitation into routine practice in the ICU.
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