ICU Eval

Question 1

General categories of clinical observations to make

Answer 1

Motor function
Movement
Sensory Function
Cognitive Function

Question 2

Assessment of motor function

Answer 2

1. position of client in bed
2. observe face
   - facial droop?
   - eyelid droop?
3. head/trunk
   - is head or trunk positioned to one side?
4. extremities
   - increased flexion or extension?

Question 3

assessment of movement

Answer 3

1. how does client move when introduced to therapist
2. do the head and eyes move in direction of therapist’s voice?
3. observe voluntary and involuntary movement
4. presence of edema?
5. motor control?
6. muscle strength?
   - MCA stroke: more likely motor deficits on UE and face
   - ACA stroke: more likely motor deficits on LE

Question 4

assessment of sensory

Answer 4

1. observe response to auditory, visual, and tactile stimuli
2. formal sensory testing
   - MCA stroke: more likely sensation on UE and face
   - ACA: more likely sensation on LE

Question 5

assessment of cognitive function

Answer 5

1. determine level of arousal (alert, drowsy, stuporous, comatose)
2. observe spontaneous behavior
3. behavior in reponse to external stimuli
4. interaction with others
5. impact of environment

Question 6

formal assessments for cognition

Answer 6

mini mental status

evaluate during ADLs

Question 7

formal assessments for movement

Answer 7

• AROM, AAROM, PROM
• tone assessment
• MMT (often difficult/unsafe to test in ICU, so be careful)

Question 8

assessment of edema

Answer 8

look for:
increased skin temp
moist skin
red skin color= edema, blue=poor circulation
firmness on palpation
pain
weeping of fluid through skin
loss of ROM as a result of edema (rather than muscle weakness)

Question 9

appropriate time from for ICU treatment

Answer 9

15-30 min/day

Question 10

bed mobility post-stroke

Answer 10

bridging
rolling
movements from sidelying to sitting

Question 11

functional activities

Answer 11

if client can sit up in bed, simple ADLs can be addressed

-encourage use of involved limb as able