Walking Home From The ICU Episode 53: ICU Early Walking with Heidi Engel
How do we bring changes to the ICU? What barriers impede the progress of our culture? Heidi Engel, PT, DPT, shares with us her continuous journey to humanizing her ICU. Episode Transcription Kali Dayton 0:29 Welcome to the Awake and Walking ICU podcast, I can tell that we have a lot of new listeners.
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Walking Home From The ICU Episode 52: Haunted Beyond the ICU
What truly happens during delirium? When do the hallucinations and terror stop? Survivors give us a sobering reality check of what caused the deep psychological trauma during their ICU stays and how their lives are forever impacted Episode Transcription Kali Dayton 0:28 Throughout this podcast, we have explored the reality that prolonged deep sedation causes
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Walking Home From The ICU Episode 51: Post-ICU PTSD: Fact vs. Fallacy
What does research reveal about the most common contributing factors of post-ICU PTSD? Does sedation prevent or inflict trauma? Dr. Jackson shares with us his decades of research and experience with post-ICU PTSD. Episode Transcription Kali Dayton 0:27 Hello, and welcome back. This episode, we’re going to discuss what truly traumatizes our patients during their
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Walking Home From The ICU Episode 50: The Reality of Post-ICU PTSD
What causes Post-ICU PTSD? What is it like to live with this trauma? How does it impact life after the ICU? Spencer Freeman shares with us intimate insight into living with Post-ICU PTSD. Episode Transcription Kali Dayton 0:27 Throughout the podcast, we have talked a lot about delirium in the sense of what causes it,
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Walking Home From The ICU Episode 49: The Cost of Rot
How do Hospital Acquired Pressure Injuries (HAPI) impact patient outcomes and quality of life? How can they be better prevented? Cami, our wound care specialist, shares with us penetrating insight into the reality of rotting in the ICU. Episode Transcription Kali Dayton 0:28 Today, we’re going to talk about hospital acquired pressure injuries (HAPIs). I
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Walking Home From The ICU Episode 48: Q&A
What do you want to know about the Awake and Walking ICU? Episode Transcription Kali Dayton 0:28 Hello again, I hope you were all staying safe out there as COVID is hitting our ICU world hard right now. I was recently contacted by Chelsey Rogers, who is the founder of the Facebook group, “Tribe RN”
Walking Home From The ICU Episode 46: Waking Up After Decades of Sedation
What is like for a seasoned ICU nurse with decades of valuable experience to completely change their sedation practices? What is like to then re-enter a “normal” environment and strive to continue the best practice? Paula shares with us her personal shock and conversion. Episode Transcription Kali Dayton 0:28 Hello, and welcome back. New listeners,
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Walking Home From The ICU Episode 45: Physical Therapy In the ICU During COVID19
What roles do physical and occupational play in helping COVID19 patients survive and thrive? How have they changed their approaches during the challenges of COVID19? Why should we never remove their therapies from ICU care? Episode Transcription Kali Dayton 0:28 When COVID-19 came our way with concerns about isolation, patient load, and PPE immediately physical
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Walking Home From The ICU Episode 44: Walking Home From the ICU after COVID19
When 69-year-old Dr. Ken Hurwitz was intubated for COVID19, how was his life saved and even preserved? After 3 weeks on the ventilator, why was he able to walk away and go straight home? Episode Transcription Kali Dayton 0:28 In the past few episodes, we learned about the conditions, treatments and outcomes experienced during the
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Walking Home From The ICU Episode 43: Trapped In My Body As An ARDS Survivor
Now that we know what happens to patients after sedation and immobility, do we know what it is really like? Do we understand what happens to patient dignity, autonomy, and identity when they lose control of their bodies? Eileen Rubin shares with us what it was like as a 33-year-old trial attorney to wake up
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As an RN in the Medical-Surgical ICU at the hospital I work at, I began my interest in ICU Liberation through an Evidence-Based Practice project.
While I was initially grabbed by what the literature has to say about over-sedation and patient outcomes, it wasn’t until I discovered Kali’s Walking Home From The ICU podcast that a culture of sedationless ICU care sounded tangible. The group I worked with on the project was both inspired, devastated, and intrigued by the stories Kali illuminates on the podcast, and we were able to bring her to our hospital for a virtual Zoom Webinar, where she presented on the practices in the Awake and Walking ICU.
This webinar was an incredible way to draw attention toward this necessary culture shift as Kali shared stories of patients awake and mobile in the ICU despite the complexity of their illness. The webinar inspired our final draft for the new practice guideline on analgesia and sedation management in the ICU, and since then we have seen intubated COVID patients playing tic tac toe on the door with staff members on the other side, taking laps around the unit, performing their own oral care using a hand mirror, and most importantly, keeping their autonomy and integrity while fighting to leave the ICU to resume the life they had before coming in.
Nora Raher, BSN, RN, MSICU
Virginia, USA
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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