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The Role of Occupational Therapy within the Early Mobilization Team in the ICU

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1.  What is considered a negative effect of prolonged immobilization? Loss in muscle mass Delirium Long term cognitive deficit All of the above

2.  What is early mobility? Mobilization of all acute care patients Mobilization of patients on a ventilator within 24 to 48 hours of intubation Mobilization of all patients in the intensive care unit Mobilization of patients on continuous renal replacement therapy

3.  Which of the following is NOT a benefit of participation in early mobility? Decrease duration of delirium Increase length of time in the ICU Increase functional performance Decrease hospital length of stay

4.  What does the RASS Scale determine? Level of sedation and agitation Delirium Cognitive Impairments Level of agitation

5.  What does the CAM-ICU determine? Cognitive impairments Delirium Level of sedation Level of agitation

6.  What does it mean if a patient has a Negative CAM-ICU score? The patient is delirious. The patient is not delirious. The patient is not delirious at the current time the test is administered. The patient is delirious at the current time the test is administered.

7.  What is NOT something OT would typically address with intubated patients in the ICU? Basic ADL tasks Orientation Upper extremity strengthening & coordination exercise Lower extremity therapeutic exercise

8.  What can be used to increase orientation in the ICU? Face the clock and/or window in the room Use a simple daily calendar Caregiver/family frequently orient patient All of the above

9.  What would increase patient anxiety? Music of patients choice Pictures of family members Continuous beeping of monitor measuring vitals Breathing exercises

10.  What is NOT considered a benefit of implementing relaxation strategies for EM patients? Decrease respiratory rate (# of breaths per min) Increase level of functional participation Decrease O2 saturation Increase patient mood/affect