Effectiveness of early occupational therapy intervention in the intensive care unit for a patient with respiratory failure due to atelectasis: A case report Yudai Fujimoto 1 , Miyuki Yoshida 2 , Hirotaka Sawano 3 1Department of Rehabilitation, Osaka International Cancer Institute (Former affiliation: Department of Rehabilitation, Saiseikai Senri Hospital) 2Department of Rehabilitation, Saiseikai Senri Hospital 3Senri Critical Care Medical Center, Saiseikai Senri Hospital Keyword: 救命救急センター , 集中治療室 , 早期リハビリテーション , 早期作業療法 , Critical care center , Intensive care unit , Early rehabilitation , Early occupational therapy pp.654-660
Published Date 2018/12/15
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 Rehabilitation intervention has been proposed to improve medium to long term physical function for post intensive care syndrome in critically ill patients. We experienced a successful case with acute respiratory failure in which early occupational therapy commenced in the ICU. A 79-year-old female was admitted to the intensive care unit of our hospital due to the worsening of the respiratory condition caused by lung atelectasis after surgery for mandibular gingival cancer. She received mechanical ventilation in the ICU, and the occupational therapy intervention was performed from day 3. Although she could communicate consciously, cognitive function, physical function, and ADL declined markedly. We proceeded with leaving bed and walking training in the ICU in cooperation with a physiotherapist and also carried out cognitive function training, functional occupational therapy, and ADL training. After continuing the intervention after leaving the ICU, the patient fully recovered from the lung atelectasis and the cognitive and physical function improved. Adverse effects due to occupational therapy intervention were not observed. The patient was transferred to the referral hospital for continuing cancer treatment 1 month later. Early occupational therapy intervention for patients with respiration management can be useful not only for improving ADL but also for improving cognitive and physical functions.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会