5th Annual Johns Hopkins Critical Care Rehabilitation Conference

5th Annual Johns Hopkins Critical Care Rehabilitation Conference
Interdisciplinary collaboration and coordination is vital to facilitate early mobility and rehabilitation in the intensive care unit (ICU) setting. A recent stakeholders’ conference aimed at improving long-term outcomes for ICU survivors identified important ‘silos’ among critical care and rehabilitation clinicians working in the ICU, with these ‘silos’ acting as a barrier to collaboratively advancing the field and improving patient outcomes. While clinical trials support the benefits of early rehabilitation for mechanically ventilated patients, implementing these interventions requires creating a new ICU culture based on proactive rehabilitation and interdisciplinary collaboration between all critical care and rehabilitation clinicians. This course will bridge the interdisciplinary gap from research to clinical implementation at the bedside

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WHO SHOULD ATTEND

This activity is intended for physicians (critical care, pulmonologists, physiatrists, psychiatrists), physical therapists, occupational therapists, rehabilitation assistants, speech language pathologists, respiratory therapists, nurse practitioners, nurses, psychologists, physician assistants, and hospital administrators.

OBJECTIVES

After attending this activity, the participant will demonstrate the ability to:
• Appraise the evidence supporting early rehabilitation and mobility in critically ill adults and children.
• Describe and discuss how to change ICU culture and clinical practice to implement an early rehabilitation program for critically ill adults and children using a quality improvement framework.
• Describe the management of ICU devices and monitoring systems for rehabilitation of an ICU patient.
• Explain medications commonly used in the ICU and their implications for delivery of rehabilitation.
• Describe the basics of mechanical ventilation and its relevance to rehabilitation of the ICU patient.
• Explain rehabilitation-related assessments suitable for the ICU patient.
• Discuss how to achieve a culture of mobility through hospital-wide activity and mobility promotion.
• Describe the impact and challenges of ICU survivorship on patients and their families.
• Appraise the latest evidence on long-term physical outcomes after critical illness.
• Explain the tenets and methods of a structured quality improvement process for developing and implementing an early ICU rehabilitation program in an adult and pediatric ICU.
• Describe the adult and pediatric nursing perspective and role in the implementation of early mobility in an ICU. • Explain current practice and inter-disciplinary roles of physical therapy, occupational therapy, speech language pathology and respiratory therapy in an early adult and pediatric ICU rehabilitation program.
• Describe rehabilitation strategies for critically ill pediatric patients with traumatic brain injuries, cardiac and pulmonary compromise, and within a pediatric burn and a neonatal ICU.
• Describe the management of sedation, delirium, anxiety and engagement of patients for ICU mobility.
• Explain the principles of clinical decision-making for safe and effective early rehabilitation in the ICU.






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