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Early Rehabilitation in the Intensive Care Unit: Preventing Physical and Mental Health Impairments.
Curr Phys Med Rehabil Rep. 2013 Dec; 1(4):307-314.CP

Abstract

Survivors of critical illness often experience new or worsening impairments in physical, cognitive and/or mental health, referred to as post-intensive care syndrome (PICS). Such impairments can be long-lasting and negatively impact survivors' quality of life. Early rehabilitation in the intensive care unit (ICU), while patients remain on life-support therapies, 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 impairments requires consideration of 5 factors: barriers, benefits, feasibility, safety, and resources. Mental health impairments may be addressed by the following interventions: ICU diaries, early in-ICU psychological intervention, and post-ICU coping skills training. In both cases, a multidisciplinary team-based approach is paramount to the successful incorporation of early rehabilitation into routine practice in the ICU.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24436844

Citation

Parker, Ann, et al. "Early Rehabilitation in the Intensive Care Unit: Preventing Physical and Mental Health Impairments." Current Physical Medicine and Rehabilitation Reports, vol. 1, no. 4, 2013, pp. 307-314.
Parker A, Sricharoenchai T, Needham DM. Early Rehabilitation in the Intensive Care Unit: Preventing Physical and Mental Health Impairments. Curr Phys Med Rehabil Rep. 2013;1(4):307-314.
Parker, A., Sricharoenchai, T., & Needham, D. M. (2013). Early Rehabilitation in the Intensive Care Unit: Preventing Physical and Mental Health Impairments. Current Physical Medicine and Rehabilitation Reports, 1(4), 307-314.
Parker A, Sricharoenchai T, Needham DM. Early Rehabilitation in the Intensive Care Unit: Preventing Physical and Mental Health Impairments. Curr Phys Med Rehabil Rep. 2013;1(4):307-314. PubMed PMID: 24436844.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early Rehabilitation in the Intensive Care Unit: Preventing Physical and Mental Health Impairments. AU - Parker,Ann, AU - Sricharoenchai,Thiti, AU - Needham,Dale M, PY - 2014/1/18/entrez PY - 2014/1/18/pubmed PY - 2014/1/18/medline KW - ICU diary KW - anxiety KW - critical illness KW - depression KW - mental health KW - mobility KW - muscle weakness KW - physical therapy modalities KW - post-intensive care syndrome KW - post-traumatic stress disorder KW - rehabilitation SP - 307 EP - 314 JF - Current physical medicine and rehabilitation reports JO - Curr Phys Med Rehabil Rep VL - 1 IS - 4 N2 - Survivors of critical illness often experience new or worsening impairments in physical, cognitive and/or mental health, referred to as post-intensive care syndrome (PICS). Such impairments can be long-lasting and negatively impact survivors' quality of life. Early rehabilitation in the intensive care unit (ICU), while patients remain on life-support therapies, 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 impairments requires consideration of 5 factors: barriers, benefits, feasibility, safety, and resources. Mental health impairments may be addressed by the following interventions: ICU diaries, early in-ICU psychological intervention, and post-ICU coping skills training. In both cases, a multidisciplinary team-based approach is paramount to the successful incorporation of early rehabilitation into routine practice in the ICU. SN - 2167-4833 UR - https://www.unboundmedicine.com/medline/citation/24436844/Early_Rehabilitation_in_the_Intensive_Care_Unit:_Preventing_Physical_and_Mental_Health_Impairments_ DB - PRIME DP - Unbound Medicine ER -
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