Developing a Mobility Protocol for Early Mobilization of Patients in a Surgical/Trauma ICU

As technology and medications have improved and increased, survival rates are also increasing in intensive care units (ICUs), so it is now important to focus on improving the patient outcomes and recovery. To do this, ICU patients need to be assessed and started on an early mobility program, if stab...

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Main Authors: Meg Zomorodi, Darla Topley, Maire McAnaw
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Critical Care Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/964547
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author Meg Zomorodi
Darla Topley
Maire McAnaw
author_facet Meg Zomorodi
Darla Topley
Maire McAnaw
author_sort Meg Zomorodi
collection DOAJ
description As technology and medications have improved and increased, survival rates are also increasing in intensive care units (ICUs), so it is now important to focus on improving the patient outcomes and recovery. To do this, ICU patients need to be assessed and started on an early mobility program, if stable. While the early mobilization of the ICU patients is not without risk, the current literature has demonstrated that patients can be safely and feasibly mobilized, even while requiring mechanical ventilation. These patients are at a high risk for muscle deconditioning due to limited mobility from numerous monitoring equipment and multiple medical conditions. Frequently, a critically ill patient only receives movement from nurses; such as, being turned side to side, pulled up in bed, or transferred from bed to a stretcher for a test. The implementation of an early mobility protocol that can be used by critical care nurses is important for positive patient outcomes minimizing the functional decline due to an ICU stay. This paper describes a pilot study to evaluate an early mobilization protocol to test the safety and feasibility for mechanically ventilated patients in a surgical trauma ICU in conjunction with the current unit standards.
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spelling doaj-art-28639f2ea51a426384af0d1647a9ebd22025-08-20T02:04:18ZengWileyCritical Care Research and Practice2090-13052090-13132012-01-01201210.1155/2012/964547964547Developing a Mobility Protocol for Early Mobilization of Patients in a Surgical/Trauma ICUMeg Zomorodi0Darla Topley1Maire McAnaw2Chapel Hill School of Nursing, University of North Carolina, Chapel Hill, NC 27599-7460, USAChapel Hill School of Nursing, University of North Carolina, Chapel Hill, NC 27599-7460, USAChapel Hill School of Nursing, University of North Carolina, Chapel Hill, NC 27599-7460, USAAs technology and medications have improved and increased, survival rates are also increasing in intensive care units (ICUs), so it is now important to focus on improving the patient outcomes and recovery. To do this, ICU patients need to be assessed and started on an early mobility program, if stable. While the early mobilization of the ICU patients is not without risk, the current literature has demonstrated that patients can be safely and feasibly mobilized, even while requiring mechanical ventilation. These patients are at a high risk for muscle deconditioning due to limited mobility from numerous monitoring equipment and multiple medical conditions. Frequently, a critically ill patient only receives movement from nurses; such as, being turned side to side, pulled up in bed, or transferred from bed to a stretcher for a test. The implementation of an early mobility protocol that can be used by critical care nurses is important for positive patient outcomes minimizing the functional decline due to an ICU stay. This paper describes a pilot study to evaluate an early mobilization protocol to test the safety and feasibility for mechanically ventilated patients in a surgical trauma ICU in conjunction with the current unit standards.http://dx.doi.org/10.1155/2012/964547
spellingShingle Meg Zomorodi
Darla Topley
Maire McAnaw
Developing a Mobility Protocol for Early Mobilization of Patients in a Surgical/Trauma ICU
Critical Care Research and Practice
title Developing a Mobility Protocol for Early Mobilization of Patients in a Surgical/Trauma ICU
title_full Developing a Mobility Protocol for Early Mobilization of Patients in a Surgical/Trauma ICU
title_fullStr Developing a Mobility Protocol for Early Mobilization of Patients in a Surgical/Trauma ICU
title_full_unstemmed Developing a Mobility Protocol for Early Mobilization of Patients in a Surgical/Trauma ICU
title_short Developing a Mobility Protocol for Early Mobilization of Patients in a Surgical/Trauma ICU
title_sort developing a mobility protocol for early mobilization of patients in a surgical trauma icu
url http://dx.doi.org/10.1155/2012/964547
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