Rehabilitation of the patient with chronic critical illness.
Patients with CCI have continuing profound medical needs, poor prognosis for significant functional recovery, and a high mortality rate. Nonetheless, some survive for months or years, but unfortunately, often with functional skills and quality of life lower than need be. Careful evaluation of each patient's medical condition and potential for functional improvement, early involvement of the rehabilitation team, prevention and treatment of medical conditions associated with prolonged bed rest and immobility, reduction of the emotional and financial burden of family members, and establishment of reasonable goals can increase self-sufficiency and quality of life regardless of discharge destination.
Thomas
David C
DC
Division of General Internal Medicine, Mt. Sinai School of Medicine, One Gustav L. Levy Place, Box 1087, New York, NY 10029, USA. david.thomas@mssm.edu
Kreizman
Isaac J
IJ
Melchiorre
Philip
P
Ragnarsson
Kristjan T
KT
D000203:Activities of Daily Living; D001510:Bed Rest; D002908:Chronic Disease / Q000534:rehabilitation*; D003422:Critical Care; D016638:Critical Illness / Q000534:rehabilitation*; D004568:Electrodiagnosis; D006801:Humans; D010348:Patient Care Team; D012047:Rehabilitation Centers