Table 2 Summary of recommendations from National Institute for Health and Care Excellence clinical guideline 83
General recommendations | Rehabilitation should be undertaken by individuals with relevant skills and knowledge communication between teams and professionals over the rehabilitation pathway should occur |
|---|---|
Pathway-specific recommendations | Â |
During critical care stay | Assess risk of post-ICU disability |
Commence goal-oriented rehabilitation early | |
Involve families and carers | |
Provide illness-related information to patient and family | |
Optimise provision of nutrition | |
At ICU discharge | Screen patient for physical and psychological issues |
Plan individualised rehabilitation programme with defined goals | |
Provide information to patients and families about rehabilitation pathway, likely morbidity, ICU stay, and transition to general ward environment | |
During ward based care | Repeat screening for physical and psychological issues |
Offer individualised rehabilitation programme with defined goals, provided by a multidisciplinary team | |
Regularly update rehabilitation programme and goals, making specialist referral where appropriate | |
Offer structured self-directed and supported rehabilitation manual for at least 6Â weeks to appropriate patients | |
Prior to hospital discharge | Perform a functional assessment including physical and psychological elements, evaluating the impact on patient activities of daily living and participation |
Ensure support for outstanding issues are arranged, including ongoing rehabilitation by community services | |
Provide patient and family with relevant information, including information about their ICU stay | |
At 2–3 months post-ICU discharge | Review patient as outpatient and perform functional assessment |
Refer for ongoing rehabilitation and/or specialist support according to individual need | |
Adapted from [36] | |