Level 1: Moving Immobile Patient
Challenge
Moving immobile patient
Hemodynamic instability
Solutions
Microshifting
Automatic Lateral Therapy
Early Mobilization
Challenges
- Risky to move the patient due to their serious condition
- Longer stay of immobile patient
- Complications associated with long hospital stay
- Increased costs for the hospital
Complications associated with long hospital stay
ICU costs & length of stay
$3,184 - $10,794
ICU Daily Average Cost (1)
12 days
Average Length of Stay at ICU (2)
Solution
Microshifting
Gradual lateral tilt by 1° at time to gently and precisely position the patient
Interventions for turning and repositioning hemodynamically unstable patients include:
- mini-turns
- weight shifts every 30 minutes
- elevation of heels
- use of „gravitational equilibrium“
Early Mobilization Program
Level 2: Muscle strengthening excercises
Challenge
Patient‘s trunk and core weakness Hemodynamic and orthostatic training
Solutions
One-button functions
- Vascular leg position
- Full chair position
- Reverese Trendelenburg
Level 3: Improving patient autonomy and confidence
Challenge
Patient autonomy
Assessing muscle strength and hemodynamic stability
Solutions
Mobilization button
Mobi-Lift handle
Siderails concept
Level 4: Helping patient stand up
Challenge
2-3% loss of muscle mass in first 10 days (4)
Solutions
Mobi-Lift handle
Siderails concept
Lateral tilt
Typical ICU Costs & Length of Stay
Length of hospital stay
[days] (2)
Ventilator Associated
Pneumonia (VPA) [days] (2)
Hospital associated
infections (HAI) (2)
Results of using a mobility program
28 %
Early mobilization in the ICU could minimize loss of functional abilities and possible shorten hospital stay by 28 % (2)
50 %
Early mobilization program can reduce the incidence of delirium by up to 50 % (3)
(1) Daily cost of an intensive care unit day: the contribution of mechanical ventilation, Daily cost of an intensive care unit day: the contribution of mechanical ventilation - PubMed (nih.gov)
(2) Titsworth WL, et al. The effect of increased mobility on
morbidity in the neurointensive care unit. J. Neurosurg.
2012; 116:1379 1388.
(3) Schweickert W, Pohlman M, Pohlman A, Nigos C, Pawlik
A, Esbrook C, Spears L, Miller M, Franczyk M, Deprizio
D, Schmidt G, Bowman A, Barr R, McCallister K, Hall J,
Kress J (2009) Early physical and occupational therapy in
mechanically ventilated, critically ill patients: a randomised
controlled trial. Lancet 373:1874–1882.
(4) Davis, K. G., & Kotowski, S. E. (2015). Prevalence of Musculoskeletal Disorders for Nurses in Hospitals, Long-Term Care Facilities, and Home Health Care: A Comprehensive Review. Human Factors, 57(5), 754–792. https://doi.org/10.1177/0018720815581933