I work in a Neuro Surgical unit that also accepts General Medical Surgical patients as well.
I work in a Neuro Surgical unit that also accepts General Medical Surgical patients as well.
Hi,
as part of my previous job, I have written a guideline on mobilisations of medical/ surgical patients in an ICU (in the late 90s). Unfortunately, that guideline was written and saved at my work computer, and I haven't got it.
However, there was heaps of literature about it in Medline and CANAHL.
Have you tried a search "mobilisation", "intensive care", +/- "Nursing"/ "Physiotherapy"/ "Physical Therapy" ?
Early mobilisation has lots of proven benefits and it should be part of the nursing daily plan. Physio only has got the minor role of assistance with mobilisation in case of an actual problem with the mobilisation.
Good luck,
Fyzzio
I know I'm a little late to add to this discussion, but I am attaching the info for several articles that discuss mobilization in the ICU.
-Milbrandt EB. One small step for man ...Crit Care Med. 2007; 35:311-2.
-HopkinsRO, Spuhler VJ, Thomsen GE. Transforming ICU Culture to Facilitate Mobility. Critical Care Clinics 2007. Vol. 23. Issue 1. 81-96
-Perme C, Chandrashekar R. Early Mobility and Walking Program for Patients in the Intensive Care Unit: Creating a Standard of Care. American Journal of Critical Care. 2009
-Dean E. Mobilizing patients in the ICU: Evidence and Principles of Practice. Acute Care Perspectives. Spring 2008, Vol 17, Number 1, 1-9
I hope this helps. I have worked in ICU's where aggressive mobilization is a rarity, and other hospitals where it is the norm. There is no comparison- patients do much better when early and consistent mobility is facilitated in the ICU.