Figure 1.
Safetycriteria_
| Conditions | Mobilization in bed (mobility scale 0–2) | Mobilization out of bed (ICU mobility scale 3–10) | Date | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 5/06 | 6/06 | 7/06 | 8/06 | 9/06 | 10/06 | 11/06 | 12/06 | |||
| Hemodynamic status | ||||||||||
| Unstable, with changes ≥ during bed exercises | ◊ | ◽ | √ | |||||||
| Stable with vasopressors | + | ◊ | ||||||||
| Addition of antiarrhythmics in the last 24 h | ◽ | ◽ | √ | √ | ||||||
| Hematological status | ||||||||||
| Hemoglobin > 7g/dL | + | + | ||||||||
| Hemoglobin ≤ 7g/dL | ◽ | ◽ | √ | √ | ||||||
| Platelets ≤ 20,000/mm3 | ◽ | ◽ | √ | |||||||
| Other | ||||||||||
| Prone position | ◽ | ◽ | √ | √ | ||||||
Neurological and motor assessment results_important because it is the technical-scientific knowledge and the respective alignment between theory and evidence-based practice that enables the development of various non-pharmacological nursing interventions, always based on clinical decisions and responsibilities, which subsequently translate into the results obtained by the critically ill patient_
| Assessments | Date | ||||||
|---|---|---|---|---|---|---|---|
| 13/06 | 15/06 | 19/06 | 22/06 | 24/06 | 28/06 | 30/06 | |
| Neurological assessment | |||||||
| Agitation and sedation (RASS) | –4 | –2 | –1/+1 | +1 | 0 | 0 | 0 |
| Pain (ESCID scale; numerical scale) | 3 | 3 | 3 | 3 | 0 | 0 | 0 |
| Delirium (CAM ICU scale) | NA | NA | S | S | S | N | N |
| Cooperation (S5Q scale) | 0 | 0 | 4 | 4 | 4 | 5 | 5 |
| Motor assessment | |||||||
| Muscle strength (6 degrees MRC scale) | NA | NA | NA | 24 | 24 | 36 | 46 |
| ICU mobility (ICU mobility scale) | 0 | 0 | 2 | 2 | 2 | 5 | 6 |