Weakness and loss of muscle tone is a common problem in critical illness. There can be a dramatic reduction in strength which can occur in just a few days. Often the longer the patients stays in critical care the more profound the loss of muscle and muscle function it can take months before power and function return to normal.
This is why we start rehabilitation early in the patient’s journey. We aim to prevent the muscle loss and loss of function by involving the rehabilitation team.
Physiotherapists do passive movements with the patient even before the patient is awake and continue a program throughout the patients stay.
Occupational Therapy aim to increase function in everyday activities and allow you to become as independent as possible during a prolonged stay on Critical Care Patients who receive
Occupational Therapy during their Critical Care stay are more likely to gain independence in daily life. Recovery can take time but the focus will always be on helping you in regaining function and helping manage issues that may impact on your function.
Dieticians are involved in the patient care from admission to critical care. This is give patient the best nutrition for their stage of care.
It's really common for patients to have strange and sometimes frightening dreams, thoughts or hallucinations (called "delirium"). They can seem so real that it can be difficult to work out whether they actually happened or not. Making sense of your time in critical care can therefore be difficult.
Delirium happens to 2 out of 3 patients in the critical care environment, nursing staff screen routinely for delirium. Patients with delirium cannot think clearly and have a hard time understanding what is going on around them.
Often patients with delirium see and hear things that are not there for others to see. Together we can all help the patient with delirium you can speak to the bedside nurse and talk about how you find the patient maybe saying how your loved one is not their usual self today.
Remind the patient of the date the day and the situation. Ask the nurse for a clock to borrow
while your loved one is in critical care. Bring in glasses hearing aids helps with the patient be able to communicate and understand what is happening around them
Talk to the patient about things that you would normally do at home, people that you have seen and well-wishers. Read a book or a newspaper to the patient or play them some music via some head phones. We understand that it is hard to have one way conversations with the patient. You will hear the nursing staff talking to the sedated patients
Music is often comforting as it can help to have some normal sounds between the beeps and the noises of the critical care. Making a playlist of songs that you have memories attached to is a good idea