Walking Home from The ICU Episode 11: Rehabilitate Rehabilitation
When we send patients to LTAC or SNF to relearn how to walk, what is that like? Susi Rimkus, DNP, shares with us her experience with rehabilitating rehabilitation. Episode Transcription Kali Dayton Now that we’ve heard about the months it took for a patient like Jim, to be able to walk again, let’s look at
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Walking Home from The ICU Episode 10: I Can’t Move
In this episode, Kali talks with Jim and Cheryl Rettinger about what it’s like to be sent to LTAC with no expectations of returning home and what happens when patients have not moved for weeks+. What does their journey to recovery looks like? Plus, they discuss the psychological effects on survivors and loved ones. Episode
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Walking Home from The ICU Episode 9: The Big Picture of Immobility
What happens down the road to patients that are on bedrest during their time on the ventilator? Is there another way? Let’s put it into the big picture. Episode Transcription Kali Dayton 0:28 Now I want to talk about some things that will make us as ICU providers a little uncomfortable. So buckle up and
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Walking Home from The ICU Episode 6: Broken Brains
In this episode, survivors tell us what “cognitive deficits” really look like and the impact they have on their function and lives. Episode Transcription Kali Dayton Today, I want to talk about cognitive deficits. Dr. Ely gave us insight into the brain injury that happens as a result of ICU delirium. For a while, I
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Walking Home from The ICU Episode 5: The Big Picture of ICU Delirium with Dr. Wes Ely
Kali talks to Dr. Wes Ely, sub-specialist in pulmonary and critical care medicine, and creator of the cam scoring tool and the ABCDE F bundle. Episode Transcription Kali Dayton Today, we’re going to be talking to Dr. Wes Ely. Dr. Ely is a sub specialist in pulmonary and critical care medicine, and has been a
Walking Home from The ICU Episode 4: Sedation is NOT Sleep
Kali talks about what prolonged sedation is really like and survivors share their stories about what they really experienced under sedation. Episode Transcription Kali Dayton Today I want to talk about what prolonged sedation is really like. A nurse once told me, “I love to get and give propofol”. So I asked if she had
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Walking Home from The ICU Episode 3: DNS = Do NOT Sedate Me
Kali talks to Susan East, three-time “ARDS” or “ARDS” survivor, about acute respiratory distress syndrome – the most severe forms of lung failure. Episode Transcription Kali Dayton Hello, and welcome back. Today we’re going to talk to Susan East who is a three time “ARDS” or “ARDS” survivor, which represents acute respiratory distress syndrome, which
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Walking Home from The ICU Episode 2: How Did We Get Here??
Kali talks about the history of ventilators and sedation with Dr. Terry Clemmer, one of the first pioneers in the founding of critical care. Episode Transcription Kali Dayton Hello. Today we’re going to be talking about the history of ventilators and sedation. To understand where we are as a critical care world. And where we
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Walking Home from The ICU Episode 1: Start Here
Kali shares the variation in sedation and mobility practices she witnesses in critical care throughout the USA. ICU survivors changed her perspective and belief in what is right and best for patients. Episode Transcription You are listening to “Walking Home From the ICU”. We will be exploring how to save and preserve lives in the
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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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