{"id":344,"date":"2018-10-07T13:56:35","date_gmt":"2018-10-07T13:56:35","guid":{"rendered":"http:\/\/www.lihnnhs.info\/icuknowledge\/?p=344"},"modified":"2020-09-25T15:23:33","modified_gmt":"2020-09-25T15:23:33","slug":"rehabilitation","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/icuknowledge\/2018\/10\/07\/rehabilitation\/","title":{"rendered":"Rehabilitation"},"content":{"rendered":"<p>Historically critical care medicine concentrated on &#8220;fixing&#8221; patients who were critically ill. This meant long stays in\u00a0 bed and treatment delivered to the patient . Now we understand the importance of low levels of sedation , early rehabilitation to get patients moving earlier- reducing issues such as muscle wasting, deconditioning and delirium. Patients are not only supported to move and start their rehabilitation earlier, we encourage relatives to bring in the patients clothes and photos and help with this process. and we have invested in equipment that makes early mobilisation much easier such as the Combiliser and portable monitoring and ventilators.<\/p>\n<figure id=\"attachment_377\" aria-describedby=\"caption-attachment-377\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-377\" src=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_1643.jpg?resize=300%2C225\" alt=\"IMG_1643\" width=\"300\" height=\"225\" srcset=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_1643.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_1643.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_1643.jpg?resize=1024%2C768&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_1643.jpg?resize=1280%2C960&amp;ssl=1 1280w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_1643.jpg?w=1446 1446w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_1643.jpg?w=2169 2169w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-377\" class=\"wp-caption-text\">Rehab buddies, Kathy and Angie.<\/figcaption><\/figure>\n<p>Our Healthcare Assistants (HCAs) have a very specific role in supporting the work of the physiotherapists and nurses by encouraging functional skills and independence. We call them our HCA rehab buddies and they are invaluable in this process. After Critical Care the support is taken up by the Critical Care Outreach Team. <a href=\"https:\/\/www.nice.org.uk\/guidance\/cg83\" target=\"_blank\" rel=\"noopener noreferrer\">NICE CG 83<\/a> and <a href=\"https:\/\/www.nice.org.uk\/sharedlearning\/implementing-the-acutely-ill-patient-in-hospital-nice-guidance-cg50-july-2007\" target=\"_blank\" rel=\"noopener noreferrer\">NICE CG 50<\/a>.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignnone size-large wp-image-401\" src=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_2317.jpg?resize=723%2C964\" alt=\"IMG_2317\" width=\"723\" height=\"964\" srcset=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_2317.jpg?resize=768%2C1024&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_2317.jpg?resize=225%2C300&amp;ssl=1 225w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_2317.jpg?resize=1280%2C1707&amp;ssl=1 1280w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_2317.jpg?w=1446 1446w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/IMG_2317.jpg?w=2169 2169w\" sizes=\"(max-width: 723px) 100vw, 723px\" \/><\/p>\n<p>Individualised patient rehabilitation plans<\/p>\n<hr \/>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignnone size-full wp-image-311\" src=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/End-PJ-Logo.png?resize=723%2C203\" alt=\"End-PJ-Logo\" width=\"723\" height=\"203\" srcset=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/End-PJ-Logo.png?w=1036&amp;ssl=1 1036w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/End-PJ-Logo.png?resize=300%2C84&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/End-PJ-Logo.png?resize=768%2C216&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/End-PJ-Logo.png?resize=1024%2C288&amp;ssl=1 1024w\" sizes=\"(max-width: 723px) 100vw, 723px\" \/><\/p>\n<p>\u201cFor many wearing pyjamas reinforces feeling unwell and can prevent a speedy recovery. One of the most valuable resources is a patients\u2019 time and getting people up and dressed is a vital step in ensuring that they do not spend any longer than is clinically necessary in hospital.\u201d\u00a0<em>Professor Jane Cummings, Chief Nursing Officer for England.<\/em><\/p>\n<blockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n<p lang=\"en\" dir=\"ltr\">Our information board <br \/>Critical care <a href=\"https:\/\/twitter.com\/SONHStrust?ref_src=twsrc%5Etfw\">@SONHStrust<\/a> <a href=\"https:\/\/twitter.com\/hashtag\/EndPJparalysis?src=hash&amp;ref_src=twsrc%5Etfw\">#EndPJparalysis<\/a> <a href=\"https:\/\/twitter.com\/hashtag\/last1000days?src=hash&amp;ref_src=twsrc%5Etfw\">#last1000days<\/a> <a href=\"https:\/\/twitter.com\/BrianwDolan?ref_src=twsrc%5Etfw\">@BrianwDolan<\/a> <a href=\"https:\/\/t.co\/DaO6UUCZAC\">pic.twitter.com\/DaO6UUCZAC<\/a><\/p>\n<p>&mdash; Mel pinnington \ud83d\udc99 (@MelPinnington) <a href=\"https:\/\/twitter.com\/MelPinnington\/status\/1149332773259423744?ref_src=twsrc%5Etfw\">July 11, 2019<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/p>\n<figure id=\"attachment_339\" aria-describedby=\"caption-attachment-339\" style=\"width: 225px\" class=\"wp-caption alignleft\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-339\" src=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer-3ConsentApproved.jpg?resize=225%2C300\" alt=\"combilizer 3ConsentApproved\" width=\"225\" height=\"300\" srcset=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer-3ConsentApproved.jpg?resize=225%2C300&amp;ssl=1 225w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer-3ConsentApproved.jpg?resize=768%2C1024&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer-3ConsentApproved.jpg?resize=1280%2C1707&amp;ssl=1 1280w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer-3ConsentApproved.jpg?w=1446 1446w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer-3ConsentApproved.jpg?w=2169 2169w\" sizes=\"(max-width: 225px) 100vw, 225px\" \/><figcaption id=\"caption-attachment-339\" class=\"wp-caption-text\">Physio Abi and patient using the mobile equipment<\/figcaption><\/figure>\n<figure id=\"attachment_338\" aria-describedby=\"caption-attachment-338\" style=\"width: 300px\" class=\"wp-caption alignright\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-338\" src=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer2ConsentApproved.jpg?resize=300%2C300\" alt=\"combilizer2ConsentApproved\" width=\"300\" height=\"300\" srcset=\"https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer2ConsentApproved.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer2ConsentApproved.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer2ConsentApproved.jpg?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer2ConsentApproved.jpg?resize=1024%2C1024&amp;ssl=1 1024w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer2ConsentApproved.jpg?resize=1280%2C1280&amp;ssl=1 1280w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer2ConsentApproved.jpg?w=2048&amp;ssl=1 2048w, https:\/\/i0.wp.com\/www.lihnnhs.info\/icuknowledge\/wp-content\/uploads\/2019\/07\/combilizer2ConsentApproved.jpg?w=1446 1446w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-338\" class=\"wp-caption-text\">Patient using the combilizer equipment<\/figcaption><\/figure>\n<hr \/>\n<p><strong>Patient Diaries<\/strong><\/p>\n<p>[PIC]<\/p>\n<p>We keep a patient diary during their stay which the staff and relatives write in to &#8220;fill in the blanks&#8221; for the patient. When they are acutely unwell, patients do not make sense of their environment or what is happening and so the diary is an important part of helping them to come to terms with the events of their critical care stay. They are given to patients at the outreach clinic where they can be signposted to help with their ongoing rehabilitation after their hospital stay.<br \/>\n<a href=\"\/\/www.lihnnhs.info\/icuknowledge\/2018\/10\/22\/the-intensive-care-unit-team\/#outreach\" target=\"_blank\" rel=\"noopener noreferrer\">Outreach Team<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Historically critical care medicine concentrated on &#8220;fixing&#8221; patients who were critically ill. This meant long stays in\u00a0 bed and treatment delivered to the patient . Now we understand the importance of low levels of sedation , early rehabilitation to get patients moving earlier- reducing issues such as muscle wasting, deconditioning and delirium. Patients are not [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6],"tags":[89,86,79,90,88,87,80],"class_list":["post-344","post","type-post","status-publish","format-standard","hentry","category-rehabilitation-recovery","tag-combilizer","tag-diaries","tag-end-pj-paralysis","tag-healthcare-assistants","tag-outreach-team","tag-patient-diary","tag-rehabilitation","has-post-thumbnail","fallback-thumbnail"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.lihnnhs.info\/icuknowledge\/wp-json\/wp\/v2\/posts\/344","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lihnnhs.info\/icuknowledge\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lihnnhs.info\/icuknowledge\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lihnnhs.info\/icuknowledge\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lihnnhs.info\/icuknowledge\/wp-json\/wp\/v2\/comments?post=344"}],"version-history":[{"count":40,"href":"https:\/\/www.lihnnhs.info\/icuknowledge\/wp-json\/wp\/v2\/posts\/344\/revisions"}],"predecessor-version":[{"id":754,"href":"https:\/\/www.lihnnhs.info\/icuknowledge\/wp-json\/wp\/v2\/posts\/344\/revisions\/754"}],"wp:attachment":[{"href":"https:\/\/www.lihnnhs.info\/icuknowledge\/wp-json\/wp\/v2\/media?parent=344"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/icuknowledge\/wp-json\/wp\/v2\/categories?post=344"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/icuknowledge\/wp-json\/wp\/v2\/tags?post=344"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}