Strategies to Optimize ICU-Based Rehabilitation
Section: Cardiopulmonary Section
Session Code: CP-1A-6349
Date: Thursday, January 24, 2019
Time: 8:00 AM - 10:00 AM
Location: Walter E. Washington Convention Center
Session Type: Educational Sessions
Session Level: Intermediate
The safety, feasibility, and cost savings of physical rehabilitation for those who are critically ill in intensive care have been demonstrated across a multitude of observational studies. Systematic reviews and meta-analyses also reveal that rehabilitation can improve short-term physical function and strength. However, randomized controlled trials have not consistently demonstrated significant improvements in physical function following hospitalization; this may be due to the variety of protocols and outcome measures used, as well as the wide heterogeneity of the population. Determining which patients are appropriate and may benefit from early versus later intervention is an important question to answer. Clinicians need clarity regarding which physical rehabilitation intervention parameters (ie, frequency, duration, and intensity) optimize recovery, as well as which outcome measures are best to evaluate that recovery. This session will address the implementation of rehabilitation for those who are critically ill in intensive care and will be led by an experienced interprofessional panel of stakeholders including clinicians, educators, and clinician-scientists who represent academic and various ICU settings. The panel will discuss key critical care literature that informs team management of this population and will explore implementation strategies to optimize clinical practice. The importance of team communication and organization also will be discussed.
Learning Objectives: Upon completion of this course, you will be able to:
1. Discuss the current state of the art regarding evidence evaluating ICU-based physical rehabilitation.
2. Identify barriers and strategies related to implementation of ICU-based rehabilitation programs.
3. Describe ICU team communication and collaboration strategies to optimize patient management.
4. Discuss integration of outcome measures across the continuum of care within the acute care hospital setting.
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