Physiotherapist In The ICU Case Study

3.1 The role of physiotherapist in the ICU

Physiotherapy in the ICU is a separate specialty. The clinical decision in this area is based on three main principals: a) knowledge of underlying pathophysiology and base for general care, b) normal and scientific evidence for therapeutic interventions, c) clinical experience.

The physiotherapist who works in the intensive care unit should have the capabilities and the experiences that are characterized by:

i. Detailed and comprehensive knowledge of cardiopulmonary pathology, pathophysiology and pharmacology ii. Knowledge of the recording systems like the electronic monitor that is used and their result (arterial blood gases, ECG, chest drainage tube, hemodynamic data) All these informations are

The infection control plays an important role for the prevention from bacteria and other microorganism that may affect the condition of the patient.

Washing of the hands with antiseptic soap after a contact with saliva, open wounds, blood, urine, vomitus or stools. The washing should last for at least 30 seconds. Because of the risk of infection with HIV, protection of the physiotherapist should also include work wear, plastic medical gloves and mask. The physiotherapist should be able to treat each patient as an individual. Human dignity must be respected. Small details such as the use of the first name of the patient, the complete explanation of the whole treatment details and continuous guidance for the patient’s orientation at the place and time are widely applied. The recovering environment of the intensive care unit should include the presence of windows to make the accommodation of the patient more pleasant and help him orientate in time. Applying all that non clinical aspects during the treatment will give a positive outcome on the treatment and together with the experience will make the work much more