Episode 98: Occupational Therapists Change Outcomes in the ICU
How can occupational therapists help decrease time on the ventilator and time in the hospital?
How can they preserve function and quality of life? What skills do they bring to preventing and treating delirium?
Why should they be promptly utilized in a patient’s journey?
Corinne, Mallory, and Rachel share give us insight into the value occupational therapists bring into the ICU.
Mallory’s Educational Flyer For ICU Staff:
References:
Álvarez, E. A., Garrido, M. A., Tobar, E. A., Prieto, S. A., Vergara, S. O., Briceño, C. D., & González, F. J. (2017). Occupational therapy for delirium management in elderly patients without mechanical ventilation in an intensive care unit: a pilot randomized clinical trial. Journal of Critical Care, 37, 85–90.
Brummel, N. E., Girard, T. D., Ely, E. W., Pandharipande, P. P., Morandi, A., Hughes, C. G., … & Jackson, J. C. (2014). Feasibility and safety of early combined cognitive and physical therapy for critically ill medical and surgical patients: the Activity and Cognitive Therapy in ICU (ACT-ICU) trial. Intensive care medicine, 40(3), 370–379.
Jackson, J. C., Pandharipande, P. P., Girard, T. D., Brummel, N. E., Thompson, J. L., Hughes, C. G., … & Ely, E. W. (2014). Depression, post-traumatic stress disorder, and functional disability in survivors of critical illness in the BRAIN-ICU study: a longitudinal cohort study. The lancet Respiratory medicine, 2(5), 369–379.
Krewulak, K. D., Stelfox, H. T., Leigh, J. P., Ely, E. W., & Fiest, K. M. (2018). Incidence and prevalence of delirium subtypes in an adult ICU: a systematic review and meta-analysis. Critical care medicine, 46(12), 2029–2035.
Moon, K. J., & Lee, S. M. (2015). The effects of a tailored intensive care unit delirium prevention protocol: A randomized controlled trial. International journal of nursing studies, 52(9), 1423–1432.
Needham, D. M., Korupolu, R., Zanni, J. M., Pradhan, P., Colantuoni, E., Palmer, J. B., … & Fan, E. (2010). Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement project. Archives of physical medicine and rehabilitation, 91(4), 536–542.
Rogers, A. T., Bai, G., Lavin, R. A., & Anderson, G. F. (2017). Higher hospital spending on occupational therapy is associated with lower readmission rates. Medical Care Research and Review, 74(6), 668–686.
Schweickert, W. D., Pohlman, M. C., Pohlman, A. S., Nigos, C., Pawlik, A. J., Esbrook, C. L., … & Kress, J. P. (2009). Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomized controlled trial. The Lancet, 373(9678), 1874–1882.
