Occupational Therapy in Intensive Care
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Review
P: 59-67
June 2023

Occupational Therapy in Intensive Care

J Turk Soc Intens Care 2023;21(2):59-67
1. Sağlık Bilimleri Üniversitesi, Hamidiye Sağlık Bilimleri Fakültesi, Ergoterapi Bölümü, İstanbul, Türkiye
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Received Date: 23.10.2022
Accepted Date: 06.04.2023
Publish Date: 19.06.2023
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ABSTRACT

This review is a synthesis of the literature on occupational therapy interventions in intensive care. Each year, millions of people discharged from intensive care units face newly acquired cognitive impairment and/or functional disability. Occupational therapy includes studies on daily living activities such as feeding, dressing, early mobilization, ambulation, and cognitive processes such as memory, attention, problem solving, and advanced executive functions such as performing multistep tasks. Increasing arousal and awareness, optimizing alertness, and participation in early mobility activities to elicit a purposeful behavior are the goals of occupational therapy interventions in intensive care. In the literature, it is seen that occupational therapy interventions performed to achieve these goals show significant results. However, studies on this subject, which include that occupational therapists have shown intense activities in the recent past, are insufficient. Future research is needed to clarify the specific interventions and role of occupational therapists in the intensive care unit and the effectiveness of these interventions. The occupational therapy and occupational therapist occupation operate in the intensive care units, which is newly developing in Turkey, is also a new situation in the world. This study is the first review written in our country on this subject.

References

1
Herridge M, Cameron JI. Disability after critical illness. N Engl J Med 2013;369:1367-9.
2
Hopkins RO, Suchyta MR, Kamdar BB, Darowski E, Jackson JC, Needham DM. Instrumental Activities of Daily Living after Critical Illness: A Systematic Review. Ann Am Thorac Soc 2017;14:1332-43.
3
Townsend E, Polatajko H. Enabling occupation II: Advancing an occupational therapy vision for health, well-being, & justice through occupation. Ottawa: CAOT Publishers; 2007.
4
Rogers AT, Bai G, Lavin RA, Anderson GF. Higher Hospital Spending on Occupational Therapy Is Associated With Lower Readmission Rates. Med Care Res Rev 2017;74:668-86.
5
Costigan FA, Duffett M, Harris JE, Baptiste S, Kho ME. Occupational Therapy in the ICU: A Scoping Review of 221 Documents. Crit Care Med 2019;47:e1014-21.
6
Stovsky B, Rudy E, Dragonette P. Comparison of two types of communication methods used after cardiac surgery with patients with endotracheal tubes. Heart Lung 1988;17:281-9.
7
Robillard AB. Communication problems in the intensive care unit. Qualitative Sociology 1994;17:383-95.
8
Happ MB. Communicating with mechanically ventilated patients: state of the science. AACN Clin Issues 2001;12:247-58.
9
Bienvenu OJ, Gellar J, Althouse BM, Colantuoni E, Sricharoenchai T, Mendez-Tellez PA, et al. Post-traumatic stress disorder symptoms after acute lung injury: a 2-year prospective longitudinal study. Psychol Med 2013;43:2657-71.
10
Wake S, Kitchiner D. Post-traumatic stress disorder after intensive care. BMJ 2013;346:f3232.
11
Egan M, DeLaat MD. The implicit spirituality of occupational therapy practice. Canadian Journal of Occupational Therapy 1997;64:115-21.
12
Lyons M, Orozovic N, Davis J, Newman J. Doing-being-becoming: occupational experiences of persons with life-threatening illnesses. Am J Occup Ther 2002;56:285-95.
13
Affleck AT, Lieberman S, Polon J, Rohrkemper K. Providing occupational therapy in an intensive care unit. Am J Occup Ther 1986;40:323-32.
14
Wilson CM, Mitchell CL, Hebert KM. Cerebellar Stroke Occupational Therapy and Physical Therapy Management from Intensive Care Unit to Outpatient: A Case Report. Cureus 2017;9:e1949.
15
Group AHP and HCS Advisory. The Role of Healthcare Professionals within Critical Care Services. Critical Care Programme. 2002.
16
Cuthbertson BH, Roughton S, Jenkinson D, Maclennan G, Vale L. Quality of life in the five years after intensive care: a cohort study. Crit Care 2010;14:R6.
17
Angus DC, Carlet J; 2002 Brussels Roundtable Participants. Surviving intensive care: a report from the 2002 Brussels Roundtable. Intensive Care Med 2003;29:368-77.
18
Pandharipande PP, Girard TD, Jackson JC, Morandi A, Thompson JL, Pun BT, et al. Long-term cognitive impairment after critical illness. N Engl J Med 2013;369:1306-16.
19
Young J, Murthy L, Westby M, Akunne A, O’Mahony R; Guideline Development Group. Diagnosis, prevention, and management of delirium: summary of NICE guidance. BMJ 2010;341:c3704.
20
Rains J, Chee N. The role of occupational and physiotherapy in multi-modal approach to tackling delirium in the intensive care. J Intensive Care Soc 2017;18:318-22.
21
Cavallazzi R, Saad M, Marik PE. Delirium in the ICU: an overview. Ann Intensive Care 2012;2:49.
22
González M, Martínez G, Calderón J, Villarroel L, Yuri F, Rojas C, et al. Impact of delirium on short-term mortality in elderly inpatients: a prospective cohort study. Psychosomatics 2009;50:234-8.
23
Álvarez EA, Garrido MA, Tobar EA, Prieto SA, Vergara SO, Briceño CD, et al. Occupational therapy for delirium management in elderly patients without mechanical ventilation in an intensive care unit. A pilot randomized clinical trial. J Crit Care 2017;40:265.
24
Jackson JC, Ely EW, Morey MC, Anderson VM, Denne LB, Clune J, et al. Cognitive and physical rehabilitation of intensive care unit survivors: results of the RETURN randomized controlled pilot investigation. Crit Care Med 2012;40:1088-97.
25
Brummel NE, Girard TD, Ely EW, Pandharipande PP, Morandi A, Hughes CG, et al. Feasibility and safety of early combined cognitive and physical therapy for critically ill medical and surgical patients: the Activity and Cognitive Therapy in ICU (ACT-ICU) trial. Intensive Care Med 2014;40:370-9.
26
Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, Pawlik AJ, Esbrook CL, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet 2009;373:1874-82.
27
Kress JP. Clinical trials of early mobilization of critically ill patients. Crit Care Med 2009;37:S442-7.
28
Titsworth WL, Hester J, Correia T, Reed R, Guin P, Archibald L, et al. The effect of increased mobility on morbidity in the neurointensive care unit. J Neurosurg 2012;116:1379-88.
29
Needham DM. Mobilizing patients in the intensive care unit: improving neuromuscular weakness and physical function. JAMA 2008;300:1685-90.
30
Hellweg S. Effectiveness of physiotherapy and occupational therapy after traumatic brain injury in the intensive care unit. Crit Care Res Pract 2012;2012:768456.
31
Corcoran JR, Herbsman JM, Bushnik T, Van Lew S, Stolfi A, Parkin K, et al. Early Rehabilitation in the Medical and Surgical Intensive Care Units for Patients With and Without Mechanical Ventilation: An Interprofessional Performance Improvement Project. PMR 2017;9:113-9.
32
Perme C, Chandrashekar R. Early mobility and walking program for patients in intensive care units: creating a standard of care. Am J Crit Care 2009;18:212-21.
33
Pohlman MC, Schweickert WD, Pohlman AS, Nigos C, Pawlik AJ, Esbrook CL, et al. Feasibility of physical and occupational therapy beginning from initiation of mechanical ventilation. Crit Care Med 2010;38:2089-94.
34
Bailey P, Thomsen GE, Spuhler VJ, Blair R, Jewkes J, Bezdjian L, et al. Early activity is feasible and safe in respiratory failure patients. Crit Care Med 2007;35:139-45.
35
Davis J, Crawford K, Wierman H, Osgood W, Cavanaugh J, Smith KA, et al. Mobilization of ventilated older adults. J Geriatr Phys Ther 2013;36:162-8.
36
Vickory F, Ridgeway K, Falvey J, Houwer B, Gunlikson J, Payne K, et al. Safety, Feasibility, and Outcomes of Frequent, Long-Duration Rehabilitation in an Inpatient Rehabilitation Facility After Prolonged Hospitalization for Severe COVID-19: An Observational Study. Phys Ther 2021;101:pzab208.
37
Esbrook C, Jordan K, Robinson M, Wilcox J, Furniss J. Occupational therapy in hospitals and inpatient care: Responding to a pandemic. AOTA Continuing Education; 2020.
38
Margetis JL, Wilcox J, Thompson C, Mannion N. Occupational Therapy: Essential to Critical Care Rehabilitation. Am J Occup Ther 2021;75:7502170010p1-5.
39
Phillips M, Turner-Stokes L, Wade D, Walton K. Rehabilitation in the wake of Covid-19-a Phoenix from the ashes. British Society of Rehabilitation Medicine 2020;1:1-20.
40
Vergara E, Anzalone M, Bigsby R, Gorga D, Holloway E, Hunter J, et al. Specialized knowledge and skills for occupational therapy practice in the neonatal intensive care unit. Am J Occup Ther 2006;60:659-68.
41
Arvedson J, Clark H, Lazarus C, Schooling T, Frymark T. Evidence-based systematic review: effects of oral motor interventions on feeding and swallowing in preterm infants. Am J Speech Lang Pathol 2010;19:321-40.
42
Rommel N, De Meyer AM, Feenstra L, Veereman-Wauters G. The complexity of feeding problems in 700 infants and young children presenting to a tertiary care institution. J Pediatr Gastroenterol Nutr 2003;37:75-84.
43
Beligere N, Rao R. Neurodevelopmental outcome of infants with meconium aspiration syndrome: report of a study and literature review. J Perinatol 2008;28:S93-101.
44
Tutor JD. Dysphagia and Chronic Pulmonary Aspiration in Children. Pediatr Rev 2020;41:236-44.
45
Bowman OJ, Hagan JL, Toruno RM, Wiggin MM. Identifying Aspiration Among Infants in Neonatal Intensive Care Units Through Occupational Therapy Feeding Evaluations. Am J Occup Ther 2020;74:7401205080p1-9.
46
Hardy C, Senese J, Fucile S. Rehabilitation of Infant Oral Feeding Difficulties: A Survey of Occupational Therapists Practice Approaches. Occup Ther Health Care 2018;32:14-27.
47
Toso BR, Viera CS, Valter JM, Delatore S, Barreto GM. Validation of newborn positioning protocol in Intensive Care Unit. Rev Bras Enferm 2015;68:1147-53.
48
Chen CM, Lin KH, Su HY, Lin MH, Hsu CL. [Improving the provision of nesting and positioning for premature infants by nurses in neonatal intensive care units]. Hu Li Za Zhi 2014;61:S41-9.
49
Bhat RY, Leipälä JA, Singh NR, Rafferty GF, Hannam S, Greenough A. Effect of posture on oxygenation, lung volume, and respiratory mechanics in premature infants studied before discharge. Pediatrics 2003;112:29-32.
50
Gerard CM, Harris KA, Thach BT. Physiologic studies on swaddling: an ancient child care practice, which may promote the supine position for infant sleep. J Pediatr 2002;141:398-403.