Abstract
The increase of the average life expectancy led to an increase in acute diseases requiring hospitalization in the ICU.
Goal: Identify the cares in rehabilitation nursing in the ICU to people under IMV and/or in prolonged rest in bed.
Methodology: Articles were selected between January 2010 and September 2018, and the research was carried out in the databases present at EBSCO. Six articles were selected that met the inclusion criteria, and the inclusion grid of JBI, FAME was also applied. Two further studies were included that did not fit the temporal limit, but which were included by their pertinence, obtaining a total of eight articles.
Interventions: The interventions that the rehabilitation nurse plans and executes can be divided into two categories that complement each other, the interventions of the physical domain and the cognitive domain.
Results/Discussion: Early rehabilitation in the ICU is a fundamental tool in maintaining autonomy, as many people acquire complications during hospitalization. To reverse these complications requires the intervention of a multidisciplinary team, where the Rehabilitation Nurse develops a prominent role in the articulation of the team and in the realization of a structured plan involving the person, their relatives and the rest of the care team.
Conclusion: The studies presented in this review are unanimous about the achievement of early rehabilitation for people hospitalized in the ICU, and these programs have the potential to bring significant gains to people, both physically and cognitively.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Brummel, N., Jackson, J., Girard, T., et al.: A combined early cognitive and physical rehabilitation program for people who are critically ill: the activity and cognitive therapy in the intensive care unit (ACT-ICU) trial. Phys. Ther. 92(12), 1580–1592 (2012)
Medrinal, C., Combret, Y., Prieur, G., et al.: Comparison of exercise intensity during four early rehabilitation techniques in sedated and ventilated patients in ICU: a randomized cross-over trial. Crit. Care 22(110), 1–8 (2018)
Yosef-Brauner, O., Adi, N., Shahar, T., Yehezkel, E., Carmeli, E.: Effect of physical therapy on muscle strength, respiratory muscles and functional parameters in patients with intensive care unit-acquired weakness. Clin. Respir. J. 9(1), 1–6 (2015)
Hodgson, C., Stiller, K., Needham, D., et al.: Expert consensus and recommendations on safety criteria for active mobilization of mechanically ventilated critically ill adults. Crit. Care 18(658), 1–18 (2014)
Morris, P., Berry, M., Files, C., et al.: Standardized rehabilitation and hospital length of stay among patients with acute respiratory failure: a randomized clinical trial. JAMA 315(24), 2694–2702 (2016)
Schujmann, D., Lunardi, A., Fu, C.: Progressive mobility program and technology to increase the level of physical activity and its benefits in respiratory, muscular system, and functionality of ICU patients: study protocol for a randomized controlled trial. Trials 19(274), 1–10 (2018)
Bailey, P., Thomsen, G., Spuhler, V., et al.: Early activity is feasible and safe in respiratory failure patients. Crit. Care Med. 35(1), 139–145 (2007)
Morris, P., Goad, A., Thompson, C., et al.: Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit. Care Med. 36(8), 1–6 (2008)
Rose, L., Adhikari, N., Poon, J., Lease, D., McKim, D.: Cough augmentation techniques in the critically Ill: A Canadian national survey. Respir. Care 61(10), 1360–1368 (2016)
Hopkins, R., Mitchell, L., Schafer, M., Thomsen, G., Link, M., Brown, S.: Implementing a mobility program to minimize post-intensive care syndrome. AACN Adv. Crit. Care 27(2), 187–203 (2016)
Trees, D., Smith, J., Hockert, S.: Innovative mobility strategies for the patient with intensive care unit-acquired weakness: a case report. Phys. Ther. 9(2), 237–247 (2013)
Ministry of Health: Evaluation of the National Situation of Intensive Care Units (2013). https://www.sns.gov.pt/wpcontent/uploads/2016/05/A3o-national-of-the-situation-of-units-of-care-intensive.pdf. Accessed 5 Oct 2018
Júnior, B., Martinez, B., Neto, M.: Braz. J. Intensive Ther. 26(1), 65–70 (2014)
Cordeiro, M., Menoita, E.: Manual of Good Practices in Respiratory Rehabilitation: Concepts, Principles and Techniques, 1st edn. Luso-science, Loures (2014)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Jacinto, M., Leite, T., Fonseca, C. (2019). Intervention Proposal of the Rehabilitation Nursing Care to the People in the ICU: Systematic Review of the Literature. In: García-Alonso, J., Fonseca, C. (eds) Gerontechnology. IWoG 2018. Communications in Computer and Information Science, vol 1016. Springer, Cham. https://doi.org/10.1007/978-3-030-16028-9_30
Download citation
DOI: https://doi.org/10.1007/978-3-030-16028-9_30
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-16027-2
Online ISBN: 978-3-030-16028-9
eBook Packages: Computer ScienceComputer Science (R0)