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Virtual Reality Strategies for Promoting Mobility in the Intensive Care Unit: A Case Report
Anna Mall1, Jason Stokes2, Gabriel Streisfeld3
1Anna Mall is Clinical Nurse Specialist, Duke Heart Center, Duke University Hospital, 7605 Duke Hospital North, Durham, NC 27710 (anna.mall@duke.edu).
AACN Advanced Critical Care
|August 30, 2024
Summary
Virtual reality can help critically ill patients in intensive care units (ICUs) to move earlier. This approach combats muscle weakness and deconditioning from bed rest, even with mobility challenges.
Area of Science:
- Critical Care Medicine
- Rehabilitation
- Virtual Reality Applications
Background:
- Prolonged bed rest in intensive care units (ICUs) leads to muscle atrophy, weakness, and deconditioning.
- Early active mobilization protocols are crucial for recovery but face challenges in ICUs due to invasive devices and extended hospital stays.
- Virtual reality (VR) is increasingly used in critical care for patient well-being, including stress, pain, and anxiety reduction.
Purpose of the Study:
- To demonstrate a novel application of virtual reality (VR) in facilitating early patient mobility in the intensive care unit (ICU).
- To highlight the ease of using VR to advance activity progression in critically ill patients.
- To explore VR as a tool to overcome barriers to early mobilization in the ICU.
Main Methods:
- A case report detailing the implementation of a virtual reality system for a critically ill patient.
- Focus on integrating VR into the patient's care to encourage early movement and activity.
- Assessment of the feasibility and ease of use of VR for mobility progression in a challenging ICU environment.
Main Results:
- The case report illustrates a successful novel application of virtual reality.
- Virtual reality facilitated early mobility and activity progression in a critically ill patient.
- The use of VR proved to be straightforward and manageable within the ICU setting.
Conclusions:
- Virtual reality offers a promising, novel approach to enhance early mobilization in critically ill patients.
- VR can help overcome common challenges associated with ICU patient mobility, such as invasive lines and prolonged hospitalization.
- This case suggests VR is an easily implementable tool for improving physical activity and recovery in the ICU.
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