Please enable JavaScript.
Coggle requires JavaScript to display documents.
Rehabilitation - Coggle Diagram
Rehabilitation
Issues
Physical
weakness
POstural hypotnesion
Reduced reserve
Incontinance, sexual dysfunction
Communication problems, visual changes
Scarring
Psychological
Anxiety/depression
Guilt
PTSD
Sleep disturbance
Cognitive and behavioural disturbance
Nutritional
Poor appetite
Alterations in sense of smell or taste
Swallowing difficulties
Management
NICE CG83
early intervention
Comprehensive assessment
Family should be debriefed
MDT
Physiotherapy
Occupational therapy
Dieticians
Clinical psychology
Follow up for at least 6 months
Patient diary
Measurement
HRQoL
Short form 36
EuroQol-5-dimension
PRaCTICAL study
uptake 50-60%
No benefit demonstrated
Risk Factors
Physical
Prolonged mechnical ventilation
Multiple organ failure
Sepsis
Hyperglycaemia
Physhological
Previous psychiatric illness
Female
Under 50 years old
educational level
Prolonged sedation
Use of benzodiazepines
Why
1 in 4 need assisstance with activities of daily living