Advanced Acute Care for the ICU Rehabilitation Therapist

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Course Description

Rehabilitation therapy for patients in the intensive care unit is a growing area of practice for physical and occupational therapists. Improved medical and surgical interventions have allowed for patients to be supported in the ICU for longer periods of time, resulting in high rates of ICU-Acquired Weakness. Early mobility and intervention by physical and occupational therapists is paramount to improve the medical and physical outcomes of patients in the ICU.

This course will cover relevant medical and surgical devices, oxygen delivery devices, pharmacology, lab values, sedation considerations, and potential challenges that therapists may be faced with while working with the ICU patient population and provide tools to advocate for improved mobility practice. Experiences will be shared regarding gaining physician, nursing, and respiratory therapy buy-in, up-training therapy staff, and progressing patient mobility with interdisciplinary care. Case studies will be reviewed and patient outcomes discussed to provide examples of rehabilitation interventions to progress beyond “early mobility” with lessons and considerations for PTs and OTs in all areas of practice.

Course Objectives

At the end of this course, the participant will be able to:

• Explain basic principles of lines, tubes, and monitoring equipment based on the physiology of the patient including rehabilitation considerations.
• Describe general considerations for mobilizing patients on advanced monitoring and oxygen support including safety with the support system as well as ICU environmental considerations.
• Integrate the foundational physiology of advanced oxygen support and mechanical ventilation and the underlying patient disease process with the principles of exercise and rehabilitation.
• Describe the ideal team and role delineation for safely mobilizing and rehabilitating a mechanically ventilated patient and review patient case examples.

Course Agenda:

8:00       Introductions

8:15        Acute Care and ICU Safety and Feasibility

• • Literature review
  • Realistic examples

9:45       Break

10:00    Lines, Tubes, and Monitors – 1 hour (10:00 – 11:00)

• • Ventilators and advanced oxygen delivery
  • Invasive lines
  • Monitoring equipment

11:00    Medical management and pharmacology

12:00    Lunch

1:00      Early Mobility and Physiological Response to Exercise in Critically Ill Patients

• • Creative treatment approaches to the acute care and ICU patient
  • The multisystem patient

2:15       Break

2:30     ECMO and Mechanical Circulatory Support

• • “End Stage” heart and lung disease considerations

3:30     Case Discussions and Q&A

4:30     End

Other Course Information:

• Course check-in begins at 7:30am
• Participants are on their own for lunch (1 hour break)

• Prerequisites

  None

• Educational Level

  Intermediate

• Other

  Accreditation of this course does not necessarily imply the FPTA supports the views of the presenter or the sponsors.