Individuals and teams are transforming patient outcomes through the adaptation of the ABCDEF bundle. Hear a compilation of their inspiring successes in this episode!

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Sedation and immobility impact more than patient outcomes in the ICU. Family members also suffer the isolation, burden, trauma, and loss from sedation and immobility in and after the ICU. Families are also at risk of developing post-ICU syndrome themselves.Nonetheless, they are left unprepared to care for their loved ones who are suffering the damage of sedation, delirium, and ICU-acquired weakness while struggling through their own personal trauma. Stefan Becker, a professional psychotherapist, shares intimate insight into the journey he and his wife have suffered in the ICU. Episode transcription and citations at:www.daytonicuconsulting.com

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What if we were as worried about "brain-protective strategies" as "lung-protective strategies" in the ICU? Such an approach will never be standardized until the ICU community truly recognizes the brain injuries survivors are left with after sedation and immobility. Until post-ICU syndrome is widely known and the impact is deeply appreciated, we will continue to fall short of evidence-based sedation and mobility practices. Only true experts can help us understand.

The real experts on post-ICU syndrome (PICS) are those that live with it. Carol Billian joins us now to share her personal expertise.

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We know that stroke patients are at high risk of poor cognitive, physical, and psychological outcomes. How does delirium impact their outcomes and how can we better protect patients from additional brain injury from delirium?

Rosa Hart, BSN, RN, SCRN from the "Stronger After Stroke" joins us now to explore the struggles, barriers, and importance of the ABCDEF bundle for stroke patients in the neuro ICU.

Check out the "Stronger After Stroke Podcast" here!

Episode transcription and citations found at: www.daytonicuconsulting.com

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We know that critical illness, sedation, delirium, etc., can leave patients with deep psychological trauma. How can we help them recover? What resources are available to treat post-ICU PTSD?Dr. Brian Peach shares with us his exciting developments and research. Contact information for Dr. Brian Peach found with the transcription for this podcast episode at: www.daytonicuconsulting.com

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Critical illness in the ICU is a battle.

It is a fight for life.

Sedation is often given with the hopes of sparing patients the discomfort and awareness of the struggles of the ICU.

Yet, does that ultimately prevent harm and suffering?

Antonette Montalvo, APRN shares with us what it meant to her to be able to fight for her life with her eyes open.

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Is early mobility safe and feasible in the burn ICU?

Considering the significant barriers such as pain, dressing changes, variable device securement, delicate position needs, etc., how can an ICU team continue to practice early mobility?

Physical therapist, Audrey O'neill, DPT, shares with us her recent publication and years of expertise.

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It goes without saying that nurses are the gatekeepers of patient outcomes in the ICU.

Do ICU nurses *really* aspire to care for unresponsive and atrophying bodies?

How does the ABCDEF Bundle impact the nursing role, skillset, and job fulfillment?

James Fletcher, BSN, RN seems to fit the mold of a nurse that would thrive solely with the flashy skills of an ICU RN. He shares with us the impact nurses can make by using "soft-skills" and human touch in the ICU. He is brining joy back to nursing with the ABCDEF bundle.

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We know that early mobility is a potent tool to prevent and treat ICU delirium. How does it impact cognitive function 1 year after discharge? What do "Early" and "Mobility" REALLY mean? How has drastic variation in methodology in the research led to the confusion and conflict we now see in early mobility practices?How can we optimize early mobility in the ICU? Is it safe and feasible to mobilize most patients within 48 hrs after intubation?Is there evidence to support restrictive mobility parameters by ventilator settings, vasopressors, etc.? How can intensivists lead and support their teams to master the full ABCDEF bundle? Dr. Bhakti Patel shares with us her recent research and invaluable insights. See transcript and citations for this episode at: www.daytonicuconsulting.com

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Occupational and Physical Therapists save lives in the ICU with their unique and complementary expertise. Bryan Lohse, DPT, CCS and Paul Arnold, OTR/L, CLT share with us how their Awake and Walking CVICU has developed their therapy teams. They address the question of PT & OT cotreatments in the ICU.

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