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Mobility Deficit – Rehabilitate, An Opportunity for Functionality

  • Gorete ReisEmail author
  • Patrícia Páscoa Pereira
  • Lena Sabino
  • Maria José Bule
Conference paper
Part of the Communications in Computer and Information Science book series (CCIS, volume 1016)

Abstract

There are many pathological conditions that cause mobility deficits and that ultimately influence someone’s autonomy. To overcome these difficulties implies the patient’s involvement and professional action, namely from a rehabilitation nurse, whose target is to capacitate the patient. The person can be capacitated and reach quality of life through organized and systematic rehabilitation programs, which can result in health gains. Aims: to evaluate patients with mobility deficits functional status; to implement a Rehabilitation Nursing intervention plan; to monitor health gains through mobility deficits rehabilitation; Method: Cross-sectional study, action research approximation. Non-probability sampling, 9 patients admitted at an Intensive Care Unit and at a Stroke Unit who fulfilled the inclusion criteria. The intervention plan included two moments of formal evaluation: the initial (T1) and the final (T2) that relied on specific instruments. Results: improvement and solving of rehabilitation nursing diagnoses, increased balance and better transferring ability. Data suggest that the implementation of an intervention plan decreased the level of dependence. Conclusion: Early intervention and the implementation of a nursing rehabilitation intervention plan results in health gains (direct or indirect), decreases the risk of developing Pressure Ulcers (PU) and the risk of developing a situation of immobility that affects patients’ autonomy and quality of life.

Keywords

Rehabilitation Nursing Mobility limitation Daily activities 

References

  1. 1.
    Booth, K., et al.: Progressive mobility protocol reduces venous thromboembolism rate in trauma intensive care patients: a quality improvement project. J. Trauma Nurs. Official J. Soc. Trauma Nurses 23(5), 284–289 (2016)CrossRefGoogle Scholar
  2. 2.
    Kneafsey, R.: A systematic review of nursing contributions to mobility rehabilitation: examining the quality and content of the evidence. J. Clin. Nurs. 16, 325–340 (2007)CrossRefGoogle Scholar
  3. 3.
    Hernández, B., Benjumea, P., Tuso, L.: Indicadores del desempeño clínico fisioterapéutico en el manejo hospitalario temprano del accidente cerebrovascular (ACV). Revista Ciencias De La Salud 11(1), 7–34 (2013)Google Scholar
  4. 4.
    Svendsen, M., Ehlers, L., Hundborg, H., Ingeman, A., Johnsen, S.: Processes of early stroke care and hospital costs. Int. J. Stroke Official J. Int. Stroke Soc. 9(6), 777–782 (2014)CrossRefGoogle Scholar
  5. 5.
    Kutlubaev, M., Akhmadeeva, L.: The early post-stroke mobilization. Vopr. Kurortol. Fizioter. Lech. Fiz. Kult. 92(1), 46–50 (2015)CrossRefGoogle Scholar
  6. 6.
    Oliveira, A., Araújo, T., Costa, A., Morais, H., Silva, V., Lopes, M.: Evaluation of patients with stroke monitored by home care programs. Revista da Escola de Enfermagem da USP 47(5), 1143–1149 (2013)CrossRefGoogle Scholar
  7. 7.
    Schmidt, U., Knecht, l., MacIntyre, M.: Should early mobilization be routine in mechanically ventilated patients? Respir. Care 61(6), 867–875 (2016)CrossRefGoogle Scholar
  8. 8.
    Azevedo, P., Gomes, B.: Efeitos da mobilização precoce na reabilitação funcional em doentes críticos: uma revisão sistemática. Revista de Enfermagem Referência IV(5), 129–138 (2015)CrossRefGoogle Scholar
  9. 9.
    Hopkins, R., Mitchell, L., Thomsen, G., Schafer, M., Link, M., Brown, S.M.: Implementing a mobility program to minimize post-intensive care syndrome. AACN Adv. Crit. Care 27(2), 187–203 (2016)CrossRefGoogle Scholar
  10. 10.
    Schweickert, W., et al.: Physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet 373(9678), 1874–1882 (2009)CrossRefGoogle Scholar
  11. 11.
    Mudge, A., Giebel, A., Cutler, A.: Exercising body and mind: an integrated approach to functional independence in hospitalized older people. J. Am. Geriatr. Soc. 56(4), 630–635 (2008)CrossRefGoogle Scholar
  12. 12.
    Said, C., Morris, M., Woodward, M., Churilov, L., Bernhardt, J.: Enhancing physical activity in older adults receiving hospital based rehabilitation: a phase II feasibility study. BMC Geriatr. 12, 26 (2012)CrossRefGoogle Scholar
  13. 13.
    Folden, S., Tappen, R.: Factors influencing function and recovery following hip repair surgery. Orthop. Nurs. 26(4), 234–241 (2007)CrossRefGoogle Scholar
  14. 14.
    Instituto Nacional de Estatística: Censos 2011 Resultados Definitivos – Região Alentejo (2012). http://censos.ine.pt/ngt_server/attachfileu.jsp?look_parentBoui=156656957&att_display=n&att_download=y. Accessed 01 Oct 2018
  15. 15.
    Carvalho e Silva, J., Ribeiro de Morais, E., Figueiredo, M., Tyrrell, M.: Pesquisa-acção: concepções e aplicabilidade nos estudos em Enfermagem. Rev. Bras. Enferm. 64(3), 592–595 (2011)CrossRefGoogle Scholar
  16. 16.
    Ordem dos Enfermeiros: Padrão Documental dos Cuidados de Enfermagem da Especialidade de Enfermagem de Reabilitação. Colégio de Especialidade de Enfermagem de Reabilitação, Porto, pp. 1–60 (2015). http://www.ordemenfermeiros.pt/colegios/Documents/2015/MCEER_Assembleia/PadraoDocumental_EER.pdf. Accessed 01 Oct 2018
  17. 17.
    Rodrigues, A.P., Batista, I., Sousa-Uva, M., Pereira, S.: Médicos-sentinela: o que se fez em 2015. Instituto Nacional de saúde Doutor Ricardo Jorge, IP, Lisboa (2016)Google Scholar
  18. 18.
    Kinoshita, T., et al.: Effects of physiatrist and registered therapist operating acute rehabilitation (PROr) in patients with stroke. PLoS ONE 12(10), e0187099 (2017)CrossRefGoogle Scholar
  19. 19.
    Depaul, V.P., Moreland, J.D., Dehueck, A.L.: Physiotherapy needs assessment of people with stroke following discharge from hospital, stratified by acute functional independence measure score. Physiotherapie Can 65(3), 204–214 (2013)CrossRefGoogle Scholar
  20. 20.
    Krishnamoorthy, K., Varadharajulu, G., Kanase, S.: Effect of close kinematic chain exercises on upper limb spasticity in hemiparetic adult. Indian J. Physiother. Occup. Ther. 11(2), 146–152 (2017)Google Scholar
  21. 21.
    Tipping, C., et al.: The effects of active mobilisation and rehabilitation in ICU on mortality and function: a systematic review. Intensive Care Med. 43(2), 171–183 (2017)CrossRefGoogle Scholar
  22. 22.
    Rosa, D., Olgiati, T.: Revisione narrativa della letteratura sulla mobilizzazione precoce in corso di ventilazione meccanica (A narrative review of early mobilization during mechanical ventilation). SCENARIO Off. Italian J. ANIARTI 34(3), 32–38 (2017)Google Scholar
  23. 23.
    Pickenbrock, H., Ludwig, V.U., Zapf, A., Dressler, D.: Conventional versus neutral positioning in central neurological disease: a multicenter randomized controlled trial. Deutsches Arzteblatt Int. 112(3), 35–42 (2015)Google Scholar
  24. 24.
    Moghe, D.M., Kanase, S.: Effect of early intervention for trunk control in stroke patients. Indian J. Physiother. Occup. Ther. 11(3), 177–182 (2017)CrossRefGoogle Scholar
  25. 25.
    Buyukavci, R., Şahin, F., Sağ, S., Doğu, B., Kuran, B.: The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: randomized controlled trial. Turkish J. Phys. Med. Rehabil. 62(3), 248–256 (2016)CrossRefGoogle Scholar
  26. 26.
    Thomsen, G., Snow, G., Rodriguez, L., Hopkins, R.: Patients with respiratory failure increase ambulation after transfer to an intensive care unit where early activity is a priority. Crit. Care Med. 36(4), 1119–1124 (2008)CrossRefGoogle Scholar
  27. 27.
    Morris, P., et al.: Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit. Care Med. 36(8), 1–8 (2008)CrossRefGoogle Scholar
  28. 28.
    Alexander, N.B., Grunawalt, J.C., Carlos, S., Augustine, J.: Bed mobility task performance in older adults. J. Rehabil. Res. Dev. 37(5), 633–638 (2000)Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.University of ÉvoraÉvoraPortugal
  2. 2.Research Group AgeingC, Cintesis - Center for Health Technology and Services ResearchFMUP, Investigator POCTEP 0445_4IE_4_PPortoPortugal
  3. 3.Polyvalent Intensive Care Unit of Hospital Espírito SantoÉvoraPortugal
  4. 4.Local Health Unit of Baixo AlentejoBejaPortugal

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