Rehabilitation
Melissa K. Trovato
Glendaliz Bosques
Robert J. Graham
Megan E. Kramer
Frank S. Pidcock
Suzanne V. Prestwich
Cristina L. Sadowsky
Scott C. Schultz
KEY POINTS
Basic Concepts of Rehabilitation
A physiatrist should be consulted early in the course of the illness.
Palliative care and rehabilitation are not mutually exclusive.Prevention and Treatment of Clinical Complications
Positioning is important for the prevention of contractures and decubitus ulcers.
Prolonged bed rest negatively impacts multiple systems.
Bowel and bladder programs should be initiated in the PICU.Psychological Issues
Children hospitalized in the intensive care setting are at risk for acute distress and adverse psychological symptoms.
Factors specific to the injury/illness, child and family, and the PICU environment all appear to play a role in a child’s risk for poor psychological outcome.
Early identification of children at risk and the provision of developmentally appropriate and family-inclusive interventions are essential.Rehabilitation of Specific Critical Illnesses
Children with acquired brain injury or spinal cord injury (SCI) often have related dysfunction in multiple other systems.
Agitation is a natural phase of recovery from traumatic brain injury (TBI).
