PERME ICU Mobility Scale Assessment Quiz

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What aspects of the musculoskeletal system should be evaluated in a patient, according to the text?

Functional strength only

Integumentary system assessment

Only muscle strength

Muscle tone, joint range of motion, and neuromuscular control (correct)

Which of the following falls under the assessment of functional strength for a patient?

Assessing skin integrity

Bed and out-of-bed mobility (correct)

Evaluation of muscle tone

Balance and gait evaluation

Why is it important to assess a patient's functional strength?

To guide the need for further testing and ambulatory aids (correct)

To determine skin pliability

To evaluate muscle symmetry

To assess neuromuscular control

What is a key component of neuromuscular control assessment according to the text?

Gross coordinated movement and balance assessment Signup and view all the answers

Which of the following is NOT mentioned as a functional task that should be assessed in patients?

Skin texture assessment Signup and view all the answers

What is one of the long-term repercussions for patients beyond discharge from the ICU when they experience ICU-acquired weakness?

Decreased functional strength Signup and view all the answers

Why is the assessment of skin integrity important in patients according to the text?

To identify potential scar tissue presence Signup and view all the answers

What role does assessing bed mobility play in patient evaluation according to the text?

Guiding the need for further testing and potential ambulatory aids Signup and view all the answers

Why is it essential to look for areas of skin breakdown, ecchymosis, and pressure injuries in patients?

To identify potential infection sites Signup and view all the answers

How can skin lesions be prevented in bedridden patients?

Frequent repositioning Signup and view all the answers

Why is measurement of fluid balance and urine output important in patient care?

To assess cardiac output Signup and view all the answers

What can dehydration lead to in patients?

Skin breakdown Signup and view all the answers

What is a potential consequence of constant mucous plugging due to dehydration?

Blockage in the airway Signup and view all the answers

How can physiotherapists contribute to identifying acute kidney injury in patients?

By evaluating sudden changes Signup and view all the answers

Why is it important to note if a patient is catheterized in assessing the renal system?

To identify potential infection routes Signup and view all the answers

What should be considered for optimal support of the gastro-intestinal system in patients?

Protein supplements for muscle wasting prevention Signup and view all the answers

What is the primary purpose of the CAM-ICU assessment method?

To identify the presence of delirium in mechanically ventilated patients using non-verbal means Signup and view all the answers

Which of the following behaviors must a patient exhibit to be considered delirious according to the CAM-ICU?

Acute change or fluctuation in mental status and inattention Signup and view all the answers

What is the purpose of the Delirium Observation Screening Scale (DOSS)?

To screen for delirium during routine patient care Signup and view all the answers

How is the daily DOSS score calculated?

The score is the average of three assessments performed during different nursing shifts Signup and view all the answers

What is the DOSS score threshold that indicates the presence of delirium?

A score of 3 or higher Signup and view all the answers

What is the key difference between the CAM-ICU and DOSS assessment methods?

The CAM-ICU is designed for mechanically ventilated patients, while the DOSS is for all ICU patients Signup and view all the answers

Which of the following physiotherapy interventions is mentioned in the text?

No physiotherapy interventions are mentioned Signup and view all the answers

Which of the following references provides the most relevant information about the DOSS assessment?

Jevon et al. (2012) Signup and view all the answers

What is the primary purpose of the PERME ICU Mobility Scale?

To provide a comprehensive assessment of a critically ill patient's mobility in the ICU Signup and view all the answers

According to the passage, what is one of the major goals of physical therapy for critically ill patients?

To address ICU-acquired deficits through the promotion of early mobility Signup and view all the answers

What does a higher score on the PERME ICU Mobility Scale indicate?

Fewer barriers and greater mobility Signup and view all the answers

Which of the following is NOT one of the categories addressed by the PERME ICU Mobility Scale?

Respiratory function Signup and view all the answers

What is the primary focus of the information provided in the passage?

The challenges of assessing mobility in critically ill patients Signup and view all the answers

What is the primary reason for the increasing acceptance of early mobility practices in the ICU?

The recognition of early mobility as an integral part of care for critically ill patients Signup and view all the answers

What is chronotropic incompetence?

The inability of the heart to increase its rate in relation to increased activity Signup and view all the answers

Why would an early mobility (EM) program need to be terminated for a patient?

If the patient's systolic blood pressure is above 180 mm Hg Signup and view all the answers

What does MAP stand for in the context of ICU patients?

Mean Arterial Pressure Signup and view all the answers

According to Adler and Malone, when should an early mobility program be terminated based on MAP levels?

MAP less than 65 mm Hg or more than 110 mm Hg Signup and view all the answers

What is the role of vasopressors in ICU patients?

They increase vasoconstriction and systemic vascular resistance Signup and view all the answers

Why is it important to check a patient's blood pressure before initiating an EM program?

To make sure the patient can handle physical exertion Signup and view all the answers

What MAP range is considered necessary for organ perfusion according to ACCM guidelines?

$60-65$ mm Hg Signup and view all the answers