Related Experiment Video

Updated: Mar 21, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

25.0K

Transforming PICU Culture to Facilitate Early Rehabilitation

Ramona O Hopkins1, Karen Choong2, Carleen A Zebuhr3

  • 1Department of Psychology and Neuroscience Center, Brigham Young University, Provo, Utah, United States; Division of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray, Utah, United States; Center for Humanizing Critical Care, Intermountain Health Care, Murray, Utah, United States.

Journal of Pediatric Intensive Care
|May 3, 2016
PubMed

Insights

Critically ill children often develop post-intensive care syndrome (PICS), leading to long-term health issues. Early rehabilitation strategies in the pediatric intensive care unit (PICU) can improve outcomes for these children.

Area of Science:

  • Pediatric critical care medicine
  • Pediatric rehabilitation
  • Child psychology

Background:

  • Children surviving critical illness face significant long-term morbidities, collectively termed post-intensive care syndrome (PICS).
  • PICS can manifest as neuromuscular weakness, cognitive impairments, and mental health disorders, impacting daily functioning and quality of life.
  • Implementing early rehabilitation in the pediatric intensive care unit (PICU) is crucial for mitigating these effects.

Purpose of the Study:

  • To review the existing evidence on PICS in pediatric populations.
  • To explore strategies for fostering a culture change to facilitate early rehabilitation in the PICU.

Main Methods:

  • Literature review of studies on PICS in children.
  • Analysis of interventions for early rehabilitation in PICU settings.
  • Discussion of cultural and systemic barriers to implementing rehabilitation.

Main Results:

  • Evidence supports early rehabilitation interventions like mobilization and delirium prevention in improving outcomes for critically ill children.
  • Significant challenges exist in implementing these strategies within the PICU environment.
  • A culture shift is necessary to prioritize and integrate acute rehabilitation.

Conclusions:

  • PICS poses a substantial risk to children post-critical illness, necessitating proactive management.
  • Early rehabilitation interventions are vital for improving functional recovery and quality of life.
  • Transforming PICU culture is essential for the widespread adoption of effective rehabilitation practices.

Keywords:
PICUacute rehabilitationcritical illnessculture changeearly mobilitymobilizationpediatricpost-intensive care syndrome

More Related Videos

The Application of Point-of-Care Ultrasonography (POCUS) in the Management of Acute Respiratory Distress Syndrome (ARDS) in the Intensive Care Unit08:22

The Application of Point-of-Care Ultrasonography (POCUS) in the Management of Acute Respiratory Distress Syndrome (ARDS) in the Intensive Care Unit

Published on: December 12, 2025

1.3K
Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training05:04

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training

Published on: August 9, 2024

1.8K

Related Concept Videos

Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.5K
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.3K
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.2K
Chest Physiotherapy01:24

Chest Physiotherapy

Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
2.4K
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
572
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.9K