Critical Care Rehabilitation and AHP Forum
Background
The optimisation of recovery from critical illness, rather than mere survival, has developed increasing prominence as the physical and psychological effects of a stay in critical care have become widely acknowledged. Research on the longer term consequences of critical illness has shown that significant numbers of patients surviving critical illness have important continuing problems.
"For many, discharge from Critical Care is the start of an uncertain journey to recovery characterised by, among other problems, weakness, loss of energy and physical difficulties, anxiety, depression, post-traumatic stress (PTS) phenomena and, for some, a loss of mental faculty (termed cognitive function). Family members become informal care givers, and that itself can exert a secondary toll of ill-health; family relationships can become altered and financial security impaired." (NICE 2009)
The WYCCN Rehabilitation & AHP Forum are working collectively to improve the rehabilitation journey patients embark on following critical illness.
Anna Hutchinson and Cat Lloyd are Co Chairs of the Network Rehabilitation & AHP Forum
"For many, discharge from Critical Care is the start of an uncertain journey to recovery characterised by, among other problems, weakness, loss of energy and physical difficulties, anxiety, depression, post-traumatic stress (PTS) phenomena and, for some, a loss of mental faculty (termed cognitive function). Family members become informal care givers, and that itself can exert a secondary toll of ill-health; family relationships can become altered and financial security impaired." (NICE 2009)
The WYCCN Rehabilitation & AHP Forum are working collectively to improve the rehabilitation journey patients embark on following critical illness.
Anna Hutchinson and Cat Lloyd are Co Chairs of the Network Rehabilitation & AHP Forum
Network Resources
The purpose of this resource package is to provide the multi disciplinary team with an overview of the rehabilitation needs of patients recovering from a critical illness. It is intended as an aide memoire for experienced members of the critical care team and an educative resource for less experienced members of the team
Exercise & Rehabilitation BookletThis booklet was developed by West Yorkshire Critical Care ODN Rehabilitation Forum. The exercises will help patients develop strength and fitness after critical illness. The exercises should be explained to the patient while in hospital, and
are designed so that the patient can continue them at home. Hard copies to give to patients are available by emailing [email protected]. WYCCODN Rehabilitation Prescription
WYCCODN Patient Diary Guideline WYCCODN Getting To Know Me This Getting to know me document aims to help health professionals build a better understanding of who the patient really is, which can help them deliver care that is tailored to the patient's needs. This is me should be completed as early as possible on the critical care admission. Getting to know me should be filled in by individual(s) who knows the person best and, wherever possible, with the patient. Click on image to download. Guidance notes - Getting to Know Me WYCCODN Follow up Clinic Measures Follow up Clinic Evaluation Form Health and Trauma Screening EQ5D Tool Health Assessment Form |
Useful Resources |
ICS AHP Guidance |
ICU Steps - Road to Recovery - Critical Care Rehabilitation Guide
ICU Steps - Home Page CPAx Tool The Chelsea Critical Care Physical Assessment (CPAx) is a simple assessment tool designed to measure functional recovery from critical illness. NICE CG83 Rehabilitation after critical illness in adults NICE QS158 Rehabilitation after critical illness in adults. ICU Liberation Bundle (A-F) Framework for assessing early rehabilitation needs following treatment in intensive care (PICUPS) Intensive Care Psychological Assessment Tool (IPAT) |
AHP Professional Development Frameworks including
AHP Capability Framework |