ICU Patient Management and Physical Therapy Goals

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary goal of physical therapy in ICU patients?

Improve level of functional status

Prevent deep vein thrombosis (DVT)

Improve chest expansion (correct)

Prevent joint deformities and contractures

Which technique is recommended for intubated patients to improve ventilation and oxygenation?

Positioning for relaxation

Modified postural drainage positions (correct)

Endotracheal suctioning

Pre-treating with bronchodilator

What is the aim of improving muscle strength and endurance in ICU patients?

Maintain normal or baseline ventilation

Improve cough effectiveness

Prevent swelling

Improve ROM (correct)

Which action is part of pulmonary system management for unconscious intubated patients?

Use pulmonary hygiene techniques Signup and view all the answers

What is the key aim of improving circulatory system function in ICU patients?

Prevent swelling Signup and view all the answers

Which goal falls under the P.T program for ICU patients?

Improve musculoskeletal system within functional limit Signup and view all the answers

What is the purpose of chest physiotherapy?

To assist in mobilizing secretions in the lungs Signup and view all the answers

What is the recommended procedure for intubated patients to encourage independent efforts of inspiration and coughing?

Coordination of upper extremities mobility with inspiration and expiration Signup and view all the answers

What is the best position for extubated patients to improve oxygenation and ventilation?

Side lying and/or the prone positions Signup and view all the answers

For conscious extubated patients, what should be encouraged if coughing is ineffective?

Nasopharyngeal suctioning Signup and view all the answers

What is the focus of musculoskeletal procedures for unconscious patients?

Passive range of motion (PROM) exercises Signup and view all the answers

What is recommended to prevent deep vein thrombosis (DVT) and swelling in unconscious patients?

Elastic crepe bandage Signup and view all the answers

What is a prophylactic indication for chest physiotherapy?

Pre-operative high risk surgical patient Signup and view all the answers

What does chest physiotherapy aim to treat therapeutically?

Abnormal breathing pattern Signup and view all the answers

"Modified postural drainage" is recommended for which type of patient?

Conscious extubated patient Signup and view all the answers

What are the recommended procedures for extubated patients to improve pulmonary hygiene?

Breathing exercises and incentive spirometer Signup and view all the answers

Study Notes

Primary Goals of Physical Therapy in ICU Patients

Enhance functional mobility and strength to prevent complications.
Improve ventilation and oxygenation through specific techniques.

Techniques for Intubated Patients

Use of positive pressure ventilation to enhance oxygenation.
Recommended strategies include airway clearance techniques.

Aim of Improving Muscle Strength and Endurance

Reduces the risk of complications associated with prolonged immobilization.
Facilitates quicker recovery and rehabilitation post-ICU stay.

Pulmonary System Management for Unconscious Intubated Patients

Regular suctioning to maintain airway patency and clear secretions.
Applying chest physiotherapy techniques to assist with lung function.

Aim of Enhancing Circulatory System Function

Ensures adequate blood flow to vital organs and maintains overall stability.
Goals include reducing the risk of cardiovascular events during ICU stay.

Goals for Physical Therapy Program in ICU Patients

Promote early mobilization to improve overall outcomes.
Address and mitigate the risks of physical deterioration during critical illness.

Purpose of Chest Physiotherapy

Aims to mobilize secretions and improve airway clearance.
Supports the prevention and management of pneumonia.

Procedures for Intubated Patients Encouraging Independent Breathing

Implement "sigh" breaths to stimulate deeper breaths and cough efforts.
Facilitate techniques that encourage re-expansion of lung areas.

Optimal Position for Extubated Patients

Upright positioning is recommended to enhance oxygenation and ventilation.
This positioning helps reduce respiratory distress.

Encouragement for Conscious Extubated Patients

Promote effective coughing techniques if natural coughing proves insufficient.
Support the use of assistive devices for coughing if necessary.

Focus of Musculoskeletal Procedures for Unconscious Patients

Aimed at preserving joint mobility and preventing contractures.
Regular passive range of motion helps maintain musculoskeletal integrity.

Recommendations for Preventing DVT and Swelling

Utilize compression devices and implement early mobilization strategies.
Encourage positioning that promotes venous return.

Prophylactic Indications for Chest Physiotherapy

Initiated to prevent respiratory complications, particularly in at-risk patients.
Recommended for patients with significant secretions or reduced mobility.

Therapeutic Aims of Chest Physiotherapy

Treat and manage respiratory infections and improve pulmonary function.
Assists in clearing excess secretions to promote better airflow.

Use of Modified Postural Drainage

Specifically indicated for patients with significant respiratory issues who require improved secretion clearance.
Tailored positioning to facilitate drainage of lung segments.

Recommended Procedures for Extubated Patients to Improve Pulmonary Hygiene

Encouragement of deep breathing exercises and regular coughing.
Utilization of incentive spirometry as a motivational tool for better lung function.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz covers the goals of physical therapy for patients in the Intensive Care Unit (ICU), focusing on improving and maintaining normal ventilation and oxygenation, airway clearance, chest expansion, breath sound improvement, cough effectiveness, and breathing patterns. It also addresses the role of physical therapy in intensive monitoring and therapy.