This website uses cookies to ensure you have the best experience. Learn more

Early Moblization Essay

1127 words - 5 pages

Early Mobilization in ICU Care Coordination
Sary Valles
Farmingdale State Collage
October 9, 2014

Early Mobilization in ICU Care Coordination
The situation of Length of Stay (LOS) is a complex issue of the healthcare environment. Each patient requires the effort of many different resources-both people and equipment- before they are clinically fit to go home or more to the next stage of their healthcare journey. Failure to coordinate and synchronize resources across the entire patient journey results in a major loss of optimal care for the patient as well as wasted expense. For the patient the consequences of this delay can be dire. One solution to this growing epidemic is ...view middle of the document...

The assembly of the multidisciplinary team occurred in the boardroom at Southside Hospital.
Once the issue of increased LOS in the ICU was identified and the multidisciplinary team was assembled, a systemic process of identifying the key components of early mobilization needed to be developed. An algorithm was introduced to clarify the benefits and hazards of early mobilization. The first part of the algorithm consisted of identify what constituted early mobilization. Many of participating members felt that early mobilization meant ambulating patients. In the ICU, ambulation of patients is a rarity. The algorithm clarified early mobilization can range from simple range of motion (ROM) to ambulating ventilator-depend patients. Establishing a baseline function status for each patient is an important part of early mobilization. Determining the task (transfer, reposition, ambulating, and toileting) is essential tool for patients mobility. The second part of the algorithm detailed the need to identify when early mobilization can be attempted. Upon admission of the critical care patient, as well as the support of the clinical staff, early mobilization can be as early as the day of admission. Productive interdisciplinary rounds in the ICU also assist in early mobilization as well. The third part of the algorithm spoke to the need of when and if equipment was need to the critical care patient to participate in functional movement. If the patient requires only ROM, a staff member is needed at bedside. The shortage of equipment becomes an issue when aggressive mobilization is needed. The process of trying to find equipment can be cumbersome and subsequently lead to not optimizing the patients’ mobility. One suggestion to rectify this issue is to plan early mobilization a day in advance in order to have the necessary equipment available. Part three and part four of the algorithm dealt with the risk and benefits of early mobilization. One of the concerns that were address was changing culture in the ICU. Many of the nurses are intimidated at the idea of ambulating vent-depended patients. The fear of harming the patients is a justifiable concern that many of the staff ICU nurses have. Reeducation and supplying safe adequate staff will encourage a change in the culture in the ICU. Part Five of the algorithm was the goal of early mobilization. This part identified the specific progression of patients’ goals and developing an individual mobility care of plan. Encouraging family members to mobilize the patient when appropriate will aid in the progression of the patients goal. The six and...

Other Papers Like Early Moblization

A Heart Of Darkness Essay

1748 words - 7 pages In this short story, there are frequent significant subject and ideas that make the story, "A Heart of Darkness," by Joseph Conrad, and haunting novel. The main theme is absolute white power over the natives. The theme validates the corruption, and the dependence caused by the white people as they took over the Congo. White men were giving all the power; they had no self-control, and in the end they did not use wisely. The white men became

The Aspects Of Vulnerability Among The Exploited In Medical Research

2287 words - 10 pages Essentially, everyone is in some state of vulnerability. However, some of us are more susceptible to harm due to our vulnerabilities. The susceptible are the individuals with the greatest risk. These individuals risk the loss of their autonomy, and maybe even their lives. Vulnerable populations can be found in every subset of society. However, as previously mentioned, there are some vulnerable populations that are at an even greater risk than

The Hitchhiker’S Guide To The Galaxy

1171 words - 5 pages The Hitchhiker’s Guide to the Galaxy As the human race makes life-changing discoveries, it is made apparent that there is always more to learn as the universe, instead of becoming familiar, is becoming absurd. The Hitchhiker’s Guide to the Galaxy, written by Douglas Adams, as well as the 2005 film adaption, portrays absurdity to be an all-encompassing system in the universe. Through the introduction and attempt to understand lack of reason, the

The Ford Motor Company Wage Increase Of 1914 And The Theory Of Incentives And Efficiency Wages

1252 words - 6 pages ‘It’s not the employer who pays the wages. Employers only handle the money. It is the customer who pays the wages’ (Henry Ford, cited in Johnson and Weinstein 2004, p. 2). When the Ford Motor Company announced that it would more than double the wages of its workers in January 1914 to a ‘five-dollar day’ minimum, was this a contradiction to Henry Ford’s statement? If customers are actually the ultimate payers of wages, then more than

Historical Analysis Of The Economical Breakthroughs Of The Industrial Revolution

1396 words - 6 pages revolution, capitalism was used as the dominant form of economy in England. This helped England’s economy become consistent and organized throughout the country. However, it also posed certain, significant, problems. In order for the perfect capitalism to be achieved, every citizen had to begin equal. This was not the case, as many descendants of nobility and very early entrepreneurs started England's switch to capitalism with a lot more money than most

Leadership Portrayed in Monologue from Shakespeare’s Henry V

1214 words - 5 pages Leadership is defined as a socially constructed process and which also affect organizational future outcomes. Leader is someone at high position who have overall duty for an organization, she or he decide what to do and the way how to achieve it. (Carter and Greer, 2013)The role of leader is extremely important for an organization, leader use their own power to influence the followers though many different ways such as motivation in order to

Cuba Civil Rights

1906 words - 8 pages Picture a country that has limits on how much you can make random government imprisonments and more what do you do. That is the situation for the eleven million seventy-five thousand two hundred forty-four people of Cuba since the takeover of Fidel Castro. The US is opposed to Castro taking control of Cuba. Castro managed to ease the United States nerves when he said that Cuba was against all forms of communism. According to Lana Wylie the Union

US Freight System

1273 words - 6 pages General Environment Each American requires the movement of approximately 40 tons of freight per year across the freight network. This includes everything from shirts to lawn mower to orange juice. • As the U.S. population expands, the U.S. freight system will be called upon to meet the demands of a larger population • Between 2010 and 2035, the system will experience a 22 percent increase in the total amount of tonnage it moves • By 2050, with

Democratic Peace Theory

1852 words - 8 pages Intro: US Presidents have made it a goal during their term(s) in office to establish a good relationship with foreign countries and even try to improve upon existing connections with our allies. Some believe it is to prevent conflicts between the countries while others dispute that it is a threat assessment by the United States to pick and choose their friends and enemies. Preventing conflict between two democracies or countries that practice

Booker T. Washington

1621 words - 7 pages “Success is to be measured not so much by the position that one has reached in life as by the obstacles which he has overcome” –Booker T. Washing. Booker Taliaferro Washington was born in Hale’s Ford, Virginia on April 5th, 1856 to Jane Burroughs and an unknown White man. Washington was married three times. His first wife was Fannie N. Smith from Malden, West Virginia. Booker and Fannie were married in the summer of 1882 and had one child

Corn, Broccoli, Grass Or Balanced

2611 words - 11 pages About a century ago, there was not an epidemic of diet-related illness, a bizarre account of destroyed farmland, dead zones in our oceans created by chemical run-off spilling into the waterways, and there sure was not millions of people questioning the moral ethics of their diet. In the Omnivore’s Dilemma: A Natural History of Four Meals, the author Michael Pollan goes on a journey to investigate the sources of the nation’s food supply, for which

Related Essays

Freedom And Responsibility Essay

2141 words - 9 pages Built within the Constitution of the United States are specifically defined freedoms that are guaranteed to all citizens. Conversely, with every constitutional freedom there comes a corresponding responsibility. On September 25, 1789, the state legislature’s twelve proposed amendments were transmitted by congress, the first two dealing with congressional representation and congressional pay. The following numbers three through twelve were

Hate Crime Laws Essay

2348 words - 10 pages ). Lawmakers need to clearly define and identify a hate crime and require more severe punishments for those crimes because past and current laws are deficient, unequally applied, and too broad to be applied and enforced appropriately. The FBI started investigating “hate crimes” in the early 1920’s when it opened the first case against the Ku Klux Klan. In 1990, the FBI passed the Hate Crime Statistics Act, which requires the Attorney General to

Rational Emotional Behavior Therapy Case Study Conceptualization And Treatment Plan

2140 words - 9 pages Rational Emotional Behavior Therapy Case Study of Sarah: A Conceptualization and Treatment Plan Rational emotive behavior therapy, REBT, was developed by Albert Ellis and holds the central belief that the events in our lives do not cause our disturbances but that they are instead caused by our view of the events (Murdock, 2009). Murdock (2009) states that “people are seen as responsible for their behavior” (p. 279) but, because they are

Holidays In Albania Essay

1636 words - 7 pages Have you ever thought about having exciting and incredibly cheap vacations? Albania might be the right choice. According to My Travel Guide, Albania is ranked the fourth among ten places worth visiting in Eastern Europe (“Top 10 Eastern European Destinations”). One can encounter three kinds of vacations in this Mediterranean country: winter, summer, and cultural. The ideal places to spend your winter vacations are the Albanian Alps. They are