Abstract

Background/Purpose: Early mobility protocol has been an issue of discussion within the intensive care unit (ICU) for a short period of time. Researchers have been developing protocols and treatment techniques in order to maximize the effects of this intervention. Early mobility can be most effective when paired with reducing drug sedation due to the higher degree of mobility a patient can participate in. The purpose of this review is to determine whether critically ill and ventilated patients who receive early mobility have a better functional outcome and decreased length of stay in the hospital when compared to a patient receiving standard care. Case Description: This case follows a 22 year old male admitted to a University Medical Center in Texas following a three story fall from construction site scaffolding. He was evaluated and medically managed as a trauma patient sustaining multiple organ lacerations. The patient was intubated, ventilated and placed on several precautions. Outcomes: Outcome measures were based upon safety, highest degree of functional mobility at discharge and length of stay in the hospital in days. Discussion: Early mobilization within the ICU is feasible and safe. The most adverse common response to treatment was a drop in oxygen saturation, which was quickly restored after a short rest period. Patients who received early mobilization therapy had an improved functional mobility score when compared to patients receiving standard care. There was no difference in length of stay at the hospital when comparing early mobilization with standard care therapy.

Provenance

Submitted by Richard Jay Martinez (rmartin2@salud.unm.edu) on 2014-06-25T19:25:17Z No. of bitstreams: 1 Capstone - FINAL.pdf: 1521450 bytes, checksum: aa71ca4efd6755918dbcb28dab08dfd0 (MD5), Made available in DSpace on 2014-06-25T19:25:17Z (GMT). No. of bitstreams: 1 Capstone - FINAL.pdf: 1521450 bytes, checksum: aa71ca4efd6755918dbcb28dab08dfd0 (MD5)

Document Type

Capstone

Comments

Advisor: Frederick Carey, PT, PhD

Keywords

Early Mobility, Intubation, Intensive Care Unit, Ventilated, Sedation

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