There is significant clinical evidence to support that early patient mobility as part of an ICU (Intensive Care Unit) rehabilitation program can help to counter the effects of ICU acquired weakness, which in turn can improve the patient recovery process and long-term functional outcomes.1,2,3
Immobility can contribute in the development of weakness which is associated with functional impairment in an ICU survivors’ post discharge physical ability, quality of life, and eventual return to work.4,5,6,7,8,9
Within less than 24 hours, many body systems are affected by adverse changes associated with immobility. Body systems affected include the respiratory and cardiovascular system, the renal and gastrointestinal functions, as well as the skin and musculoskeletal system.
Critically ill patients may lose significant muscle mass; Herridgeet al (2003)10 found an 18% reduction in body weight of ARDS patients at time of ICU discharge. In addition, physical inactivity contributes to the development of atelectasis, insulin resistance, and joint contractures.11
Early mobilisation including physical and occupational therapy in the earliest days of critical illness has shown to be safe and well tolerated, and resulted in better functional outcomes at hospital discharge, a shorter duration of delirium, and more ventilator-free days compared with standard care.12,13
Structured early mobilisation14 of ICU patients is performed with the aim to:
- Improve respiratory function
- Reduce adverse effects of immobility
- Increase levels of consciousness
- Increase functional independence
- Improve cardiovascular fitness
- Increase psychological well-being
- Reduce the risk for delirium15
Arjo Rental provides both flexibility and choice, allowing access to a bespoke solution which includes the latest equipment to support in and out of bed mobilisation / repositioning whilst channelling limited financial resources to where they are most needed.
Click below to see how an ICU solution from Arjo can assist with enhanced recovery.
1.McWilliams (2017) https://healthmanagement.org/uploads/article_attachment/mcwilliams-implementationrehab-2017-v17-i4.pdf [Accessed December 2018]