Location
LSU Health Sciences Center - New Orleans
Event Website
https://alliedhealth.lsuhsc.edu/admin/sahpresearchday.aspx
Document Type
Event
Start Date
8-4-2024 3:00 PM
End Date
8-4-2024 5:00 PM
Description
INTRODUCTION
In the acute care setting, physical therapy (PT) interventions aim to prepare patients for discharge. This case study follows a patient that suffered pelvic/ sacral fractures and a pneumothorax due to a motor vehicle accident (MVA), further complicated by respiratory infection, ultimately culminating in ARDS. PT interventions are paramount to the recovery of ARDS survivors, and must address resulting functional limitations and mobility impairments post-mechanical ventilation and sedation.
PURPOSE
This case report outlines the role of PT intervention in a patient that suffered several complications from a MVA. The purpose of this report was to document the patient’s progression with PT interventions in the presence of multiple complicating factors.
METHODS
Initial examination assessed transfer capabilities, vital sign response to transfers, upright tolerance, muscular strength, and Perme ICU Mobility score (PIMS). Treatment sessions initially addressed upright tolerance and transfers. Upright time was progressed per patient tolerance. Muscular strengthening exercises were introduced to address acquired weaknesses. Cardiorespiratory endurance was addressed with upper extremity activities, including arm bike.
RESULTS
By discharge, the patient was appropriate for IR. He independently transferred supine to/from sit, and required minimal assistance with bed to/from chair transfers. PIMS improved from 9 to 17. His upright tolerance increased from 2 minutes to several hours. Cardiorespiratory endurance progressed from 2 to 10 minutes.
DISCUSSION
To discharge to IR, patients must have sufficient cardiorespiratory endurance and upright tolerance to tolerate 3 hours of therapy per day. Being able to transfer to a chair is also important for patients that will be non-weight bearing after discharge.
Recommended Citation
Sassone, Karli, "Acute care Physical Therapy intervention for Acute Respiratory Distress Syndrome (ARDS) in the presence of weight bearing restrictions" (2024). School of Allied Health Professions Research Day. 26.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/26
Included in
Acute care Physical Therapy intervention for Acute Respiratory Distress Syndrome (ARDS) in the presence of weight bearing restrictions
LSU Health Sciences Center - New Orleans
INTRODUCTION
In the acute care setting, physical therapy (PT) interventions aim to prepare patients for discharge. This case study follows a patient that suffered pelvic/ sacral fractures and a pneumothorax due to a motor vehicle accident (MVA), further complicated by respiratory infection, ultimately culminating in ARDS. PT interventions are paramount to the recovery of ARDS survivors, and must address resulting functional limitations and mobility impairments post-mechanical ventilation and sedation.
PURPOSE
This case report outlines the role of PT intervention in a patient that suffered several complications from a MVA. The purpose of this report was to document the patient’s progression with PT interventions in the presence of multiple complicating factors.
METHODS
Initial examination assessed transfer capabilities, vital sign response to transfers, upright tolerance, muscular strength, and Perme ICU Mobility score (PIMS). Treatment sessions initially addressed upright tolerance and transfers. Upright time was progressed per patient tolerance. Muscular strengthening exercises were introduced to address acquired weaknesses. Cardiorespiratory endurance was addressed with upper extremity activities, including arm bike.
RESULTS
By discharge, the patient was appropriate for IR. He independently transferred supine to/from sit, and required minimal assistance with bed to/from chair transfers. PIMS improved from 9 to 17. His upright tolerance increased from 2 minutes to several hours. Cardiorespiratory endurance progressed from 2 to 10 minutes.
DISCUSSION
To discharge to IR, patients must have sufficient cardiorespiratory endurance and upright tolerance to tolerate 3 hours of therapy per day. Being able to transfer to a chair is also important for patients that will be non-weight bearing after discharge.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/26