Early Mobilization in Critically Ill Patients: Patients' Mobilization Level Depends on Health Care Provider's Profession

• DOI: 10.1016/j.pmrj.2010.12.022
• Publication Date: 2011-04-20T16:09:15Z
• Authors: Jaime Garzon‐Serrano; Cheryl Ryan; Karen Waak; Ronald Hirschberg; Susan Tully; Edward A. Bittner; Daniel W. Chipman; Ulrich Schmidt; Georgios Kasotakis; John Benjamin; Ross Zafonte; Matthias Eikermann
• Keywords: Mobilization

Objective To evaluate whether the level of mobilization achieved and barriers for progressing to next differ between nurses physical therapists. Design Prospective, observational study. Setting Twenty‐bed surgical intensive care unit (SICU) Massachusetts General Hospital. Participants Sixty‐three critically ill patients. Methods Physical therapists performed 179 therapies with 63 Outcome Measurement Mobilization was defined as process enhancing mobility in SICU, including bed mobility, edge activities, transfers out a chair, gait training; measured on SICU optimal scale, 5‐point (0‐4) numerical rating scale. Results Patients' by significantly higher compared that (2.3 ± 1.2 mean SD versus 1.2, respectively P < .0001). Different were identified nurses: hemodynamic instability (26% 12%, = .03) renal replacement therapy (12% 1%, rated nurses, whereas neurologic impairment providers (18% 38%, .002). No mobilization‐associated adverse events observed this Conclusions This study showed mobilize their patients levels nurses. Nurse identify different mobilization. Routine involvement directing treatment may promote early