[go: up one dir, main page]
Scribd
Upload
75 views20 pages

ICU Patient Needs and Physiotherapy Care

The document outlines the assessment and management of critically ill patients in the ICU, focusing on specific needs such as those of elderly, post-surgical, and trauma patients. It highlights the importance of various scoring systems like APACHE II and SOFA for evaluating patient severity and predicting outcomes, as well as the role of physiotherapy in addressing complications such as ARDS and DIC. Additionally, it emphasizes the need for tailored rehabilitation plans and careful physiotherapy interventions based on individual patient conditions.

Uploaded by

rehabnaeem05
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
75 views20 pages

ICU Patient Needs and Physiotherapy Care

The document outlines the assessment and management of critically ill patients in the ICU, focusing on specific needs such as those of elderly, post-surgical, and trauma patients. It highlights the importance of various scoring systems like APACHE II and SOFA for evaluating patient severity and predicting outcomes, as well as the role of physiotherapy in addressing complications such as ARDS and DIC. Additionally, it emphasizes the need for tailored rehabilitation plans and careful physiotherapy interventions based on individual patient conditions.

Uploaded by

rehabnaeem05
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

THE NEEDS OF SPECIFIC

PATIENTS IN INTENSIVE CARE


(ICU)
DR. HASSAN MUBEEN
LECTURER
ASSESSMENT OF CRITICALLY ILL IN ICU

 Primary survey: ABCDE


 Vital signs, ECG, ABGs, CVP
 GCS score for consciousness
 ICU risk scores: APACHE II, SOFA

APACHE II (Acute Physiology and Chronic Health


Evaluation II)
APACHE II is a severity-of-disease classification system used
in ICUs to assess the risk of death in critically ill patients
based on physiological and clinical parameters.
SOFA SCORE (SEQUENTIAL ORGAN
FAILURE ASSESSMENT)
THE SOFA SCORE IS USED IN ICUS TO ASSESS
ORGAN DYSFUNCTION AND PREDICT OUTCOMES
(ESPECIALLY MORTALITY) IN CRITICALLY ILL
PATIENTS, INCLUDING THOSE WITH SEPSIS.
MECHANICAL VENTILATION –
PHYSIOTHERAPY IMPLICATIONS

Modes: Volume/Pressure control,


CPAP, BiPAP
Challenges: VAP, secretion
clearance
Physiotherapy: Early
mobilization, airway care
MUSCULOSKELETAL PROBLEMS IN ICU

Muscle wasting, contractures


ICU-acquired weakness
Physiotherapy: ROM exercises,
positioning
PATIENT GROUPS WITH SPECIFIC NEEDS

Elderly, post-surgical, burn, neuro,


trauma patients
Tailored rehab plans required
SIRS AND SEPSIS

 SIRS: Body-wide inflammatory response


 Sepsis: SIRS + confirmed infection
 Physio: Respiratory care, circulation support
ARDS

Acute Respiratory Distress


Syndrome (ARDS)
ARDS is a life-threatening lung
condition characterized by rapid
onset of widespread
inflammation in the lungs, leading
to severe respiratory failure.
CAUSES OF ARDS
 Direct Lung Injury:
 Pneumonia
 Aspiration
 Inhalation injury
 Pulmonary contusion

 Indirect Lung Injury:


 Sepsis
 Pancreatitis
 Trauma
 Massive transfusion
 Burns
CLINICAL FEATURES

 Severe shortness of breath


 Hypoxemia unresponsive to O₂
 Tachypnea, tachycardia
 Cyanosis
 Crackles on auscultation
 High respiratory effort/fatigue
ROLE OF PHYSIOTHERAPY IN ARDS

 ⚠ Initiate physiotherapy with caution during acute phase


 Respiratory care:
 Suctioning
 Humidification
 Positioning (prone positioning under supervision)

 Postural drainage if tolerated


 Passive/Active mobilization as patient stabilizes
 Monitor vitals continuously
DIC (DISSEMINATED INTRAVASCULAR
COAGULATION)

Clotting and bleeding disorders


Causes: Sepsis, trauma, malignancy
Careful physiotherapy, avoid trauma
PHYSIOTHERAPY CONSIDERATIONS IN
DIC

 ✅ Physiotherapy is limited and highly cautious during active DIC


 Avoid any technique that may cause bruising or bleeding
 Do not perform deep pressure, vigorous handling, or suction
unless necessary
 Emphasize positioning and passive ROM if safe
 Collaborate with the ICU team; get medical clearance before
interventions
INHALATION BURNS

 Risks: Airway injury, CO poisoning


 Physio: Humidified O2, chest care, scar management
TRAUMA IN ICU

 Head, spinal, chest injuries


 Stabilization and gentle mobilization
 Prevent DVT, pressure sores
NEUROLOGICAL ICU CONDITIONS

 Examples: Stroke, TBI, GBS


 Challenges: Low GCS, respiratory muscle weakness
 Physio: Positioning, passive ROM, suctioning
PHYSIOTHERAPY TECHNIQUES

 Percussion, vibration, suctioning


 Postural drainage, early mobilization
 E-stim, incentive spirometry
EMERGENCY SITUATIONS

 Code Blue: CPR


 Airway obstruction: Suction, position
 Sudden vitals change: Stop therapy, alert team
THANKYOU!!
!

You might also like