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Mobility Deficit – Rehabilitate, An Opportunity for Functionality

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Gerontechnology (IWoG 2018)

Abstract

There are many pathological conditions that cause mobility deficits and that ultimately influence someone’s autonomy. To overcome these difficulties implies the patient’s involvement and professional action, namely from a rehabilitation nurse, whose target is to capacitate the patient. The person can be capacitated and reach quality of life through organized and systematic rehabilitation programs, which can result in health gains. Aims: to evaluate patients with mobility deficits functional status; to implement a Rehabilitation Nursing intervention plan; to monitor health gains through mobility deficits rehabilitation; Method: Cross-sectional study, action research approximation. Non-probability sampling, 9 patients admitted at an Intensive Care Unit and at a Stroke Unit who fulfilled the inclusion criteria. The intervention plan included two moments of formal evaluation: the initial (T1) and the final (T2) that relied on specific instruments. Results: improvement and solving of rehabilitation nursing diagnoses, increased balance and better transferring ability. Data suggest that the implementation of an intervention plan decreased the level of dependence. Conclusion: Early intervention and the implementation of a nursing rehabilitation intervention plan results in health gains (direct or indirect), decreases the risk of developing Pressure Ulcers (PU) and the risk of developing a situation of immobility that affects patients’ autonomy and quality of life.

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References

  1. Booth, K., et al.: Progressive mobility protocol reduces venous thromboembolism rate in trauma intensive care patients: a quality improvement project. J. Trauma Nurs. Official J. Soc. Trauma Nurses 23(5), 284–289 (2016)

    Article  Google Scholar 

  2. Kneafsey, R.: A systematic review of nursing contributions to mobility rehabilitation: examining the quality and content of the evidence. J. Clin. Nurs. 16, 325–340 (2007)

    Article  Google Scholar 

  3. Hernández, B., Benjumea, P., Tuso, L.: Indicadores del desempeño clínico fisioterapéutico en el manejo hospitalario temprano del accidente cerebrovascular (ACV). Revista Ciencias De La Salud 11(1), 7–34 (2013)

    Google Scholar 

  4. Svendsen, M., Ehlers, L., Hundborg, H., Ingeman, A., Johnsen, S.: Processes of early stroke care and hospital costs. Int. J. Stroke Official J. Int. Stroke Soc. 9(6), 777–782 (2014)

    Article  Google Scholar 

  5. Kutlubaev, M., Akhmadeeva, L.: The early post-stroke mobilization. Vopr. Kurortol. Fizioter. Lech. Fiz. Kult. 92(1), 46–50 (2015)

    Article  Google Scholar 

  6. Oliveira, A., Araújo, T., Costa, A., Morais, H., Silva, V., Lopes, M.: Evaluation of patients with stroke monitored by home care programs. Revista da Escola de Enfermagem da USP 47(5), 1143–1149 (2013)

    Article  Google Scholar 

  7. Schmidt, U., Knecht, l., MacIntyre, M.: Should early mobilization be routine in mechanically ventilated patients? Respir. Care 61(6), 867–875 (2016)

    Article  Google Scholar 

  8. Azevedo, P., Gomes, B.: Efeitos da mobilização precoce na reabilitação funcional em doentes críticos: uma revisão sistemática. Revista de Enfermagem Referência IV(5), 129–138 (2015)

    Article  Google Scholar 

  9. Hopkins, R., Mitchell, L., Thomsen, G., Schafer, M., Link, M., Brown, S.M.: Implementing a mobility program to minimize post-intensive care syndrome. AACN Adv. Crit. Care 27(2), 187–203 (2016)

    Article  Google Scholar 

  10. Schweickert, W., et al.: Physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet 373(9678), 1874–1882 (2009)

    Article  Google Scholar 

  11. Mudge, A., Giebel, A., Cutler, A.: Exercising body and mind: an integrated approach to functional independence in hospitalized older people. J. Am. Geriatr. Soc. 56(4), 630–635 (2008)

    Article  Google Scholar 

  12. Said, C., Morris, M., Woodward, M., Churilov, L., Bernhardt, J.: Enhancing physical activity in older adults receiving hospital based rehabilitation: a phase II feasibility study. BMC Geriatr. 12, 26 (2012)

    Article  Google Scholar 

  13. Folden, S., Tappen, R.: Factors influencing function and recovery following hip repair surgery. Orthop. Nurs. 26(4), 234–241 (2007)

    Article  Google Scholar 

  14. Instituto Nacional de Estatística: Censos 2011 Resultados Definitivos – Região Alentejo (2012). http://censos.ine.pt/ngt_server/attachfileu.jsp?look_parentBoui=156656957&att_display=n&att_download=y. Accessed 01 Oct 2018

  15. Carvalho e Silva, J., Ribeiro de Morais, E., Figueiredo, M., Tyrrell, M.: Pesquisa-acção: concepções e aplicabilidade nos estudos em Enfermagem. Rev. Bras. Enferm. 64(3), 592–595 (2011)

    Article  Google Scholar 

  16. Ordem dos Enfermeiros: Padrão Documental dos Cuidados de Enfermagem da Especialidade de Enfermagem de Reabilitação. Colégio de Especialidade de Enfermagem de Reabilitação, Porto, pp. 1–60 (2015). http://www.ordemenfermeiros.pt/colegios/Documents/2015/MCEER_Assembleia/PadraoDocumental_EER.pdf. Accessed 01 Oct 2018

  17. Rodrigues, A.P., Batista, I., Sousa-Uva, M., Pereira, S.: Médicos-sentinela: o que se fez em 2015. Instituto Nacional de saúde Doutor Ricardo Jorge, IP, Lisboa (2016)

    Google Scholar 

  18. Kinoshita, T., et al.: Effects of physiatrist and registered therapist operating acute rehabilitation (PROr) in patients with stroke. PLoS ONE 12(10), e0187099 (2017)

    Article  Google Scholar 

  19. Depaul, V.P., Moreland, J.D., Dehueck, A.L.: Physiotherapy needs assessment of people with stroke following discharge from hospital, stratified by acute functional independence measure score. Physiotherapie Can 65(3), 204–214 (2013)

    Article  Google Scholar 

  20. Krishnamoorthy, K., Varadharajulu, G., Kanase, S.: Effect of close kinematic chain exercises on upper limb spasticity in hemiparetic adult. Indian J. Physiother. Occup. Ther. 11(2), 146–152 (2017)

    Google Scholar 

  21. Tipping, C., et al.: The effects of active mobilisation and rehabilitation in ICU on mortality and function: a systematic review. Intensive Care Med. 43(2), 171–183 (2017)

    Article  Google Scholar 

  22. Rosa, D., Olgiati, T.: Revisione narrativa della letteratura sulla mobilizzazione precoce in corso di ventilazione meccanica (A narrative review of early mobilization during mechanical ventilation). SCENARIO Off. Italian J. ANIARTI 34(3), 32–38 (2017)

    Google Scholar 

  23. Pickenbrock, H., Ludwig, V.U., Zapf, A., Dressler, D.: Conventional versus neutral positioning in central neurological disease: a multicenter randomized controlled trial. Deutsches Arzteblatt Int. 112(3), 35–42 (2015)

    Google Scholar 

  24. Moghe, D.M., Kanase, S.: Effect of early intervention for trunk control in stroke patients. Indian J. Physiother. Occup. Ther. 11(3), 177–182 (2017)

    Article  Google Scholar 

  25. Buyukavci, R., Şahin, F., Sağ, S., Doğu, B., Kuran, B.: The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: randomized controlled trial. Turkish J. Phys. Med. Rehabil. 62(3), 248–256 (2016)

    Article  Google Scholar 

  26. Thomsen, G., Snow, G., Rodriguez, L., Hopkins, R.: Patients with respiratory failure increase ambulation after transfer to an intensive care unit where early activity is a priority. Crit. Care Med. 36(4), 1119–1124 (2008)

    Article  Google Scholar 

  27. Morris, P., et al.: Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit. Care Med. 36(8), 1–8 (2008)

    Article  Google Scholar 

  28. Alexander, N.B., Grunawalt, J.C., Carlos, S., Augustine, J.: Bed mobility task performance in older adults. J. Rehabil. Res. Dev. 37(5), 633–638 (2000)

    Google Scholar 

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Correspondence to Gorete Reis .

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Reis, G., Pereira, P.P., Sabino, L., Bule, M.J. (2019). Mobility Deficit – Rehabilitate, An Opportunity for Functionality. 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_15

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  • DOI: https://doi.org/10.1007/978-3-030-16028-9_15

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