Document Detail

Building a protocol to guide mobility in the ICU.
MedLine Citation:
PMID:  23221440     Owner:  NLM     Status:  In-Data-Review    
Professional experience and wisdom have taught us that immobility is a risk factor for various adverse outcomes, such as deep vein thrombosis, joint contractures, pulmonary dysfunction, and bone demineralization to name a few. Balancing bed rest and mobility may improve both short- and long-term outcomes for our patients. Moreover, early, routine mobilization of critically ill patients is safe and reduces hospital length of stay, shortens the duration of mechanical ventilation, improves muscle strength, and functional independence. At the University of Michigan, we have turned the tides by creating a structured process to get our patients moving through the use of a standardized mobility protocol. Our protocol is simple and can easily be adapted for all patient populations by simply modifying some of the inclusion and exclusion criteria. The activities are grounded in the evidence and well thought out to prevent complications and promote mobilization. The purpose of this article was to present the science behind the development of a multidisciplinary protocol for early mobilization of critically ill patients that can be adapted to any intensive care unit patient with minor modifications.
Jennifer Dammeyer; Sharon Dickinson; Donald Packard; Noel Baldwin; Connie Ricklemann
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Critical care nursing quarterly     Volume:  36     ISSN:  1550-5111     ISO Abbreviation:  Crit Care Nurs Q     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704517     Medline TA:  Crit Care Nurs Q     Country:  United States    
Other Details:
Languages:  eng     Pagination:  37-49     Citation Subset:  N    
Critical Care Medicine Unit (Ms Dammeyer), Surgical Intensive Care and Rapid Response (Ms Dickinson), and Physical Therapy Department (Mr Packard), University of Michigan School of Nursing (Ms Dickinson), Critical Care Medicine Unit (Mr Baldwin), and Surgical Intensive Care (Ms Ricklemann), University of Michigan, Ann Arbor.
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