“Begin with the end in mind.”
Critical care is the specialised care of patients whose conditions are life-threatening and who require comprehensive care and constant monitoring, usually in intensive care units (ICUs).
Critically ill patients frequently suffer long-term physical and psychological complications. Prolonged stays in the ICU are also associated with impaired quality of life, functional decline and increased morbidity, mortality, cost of care and length of hospital stay.
Patients therefore require a multidisciplinary team in critical care who are uniquely qualified with skills and expertise to work with the assessment and management of respiratory complications, physical deconditioning, neuromuscular and musculoskeletal conditions.
Physiotherapy treatment as part of a multi-disciplinary approach to care is integral in promoting lung function, reducing the incidence of ventilator-associated pneumonia, facilitating weaning and promoting safe and early discharge from the ICU.
Physiotherapy rehabilitation in ICU: Physiotherapy is an important intervention that prevents and mitigates adverse effects of prolonged bed rest and mechanical ventilation during critical illness. Rehabilitation delivered by the physiotherapist is tailored to patient needs and depends on conscious state, psychological status and physical strength of the patient. It incorporates any active and passive therapy that promotes movement and includes mobilisation. Early progressive physiotherapy, with a focus on mobility and functional tasks, is essential in minimising functional decline.