BURN CARE

Prolonged Immobility has significant and long-term negative health consequences in physical psychomotor and quality of life domains. Burn victims experience additional psychological and physical impairments especially when the burns are extensive or involve the lower extremities and their ability to walk and perform activities of daily living. The socioeconomic costs of these impairments are high, including costs to the patient and family, to the caregiver(s) and to the healthcare facilities where the care is provided. In addition to the physical difficulty of mobilizing these patients, additional quality care and patient satisfaction considerations include protection of skin graft sites, limited tolerance for activity, and emotional trauma of working through pain that can be severe, as burned and healing tissues are stretched and moved.

The TLB is now available that can accomplish the health benefits of standing, upright positioning and pre-gait activities, without the risks to the patient and/or caregiver. Tilt tables are routinely used in caring for burn patients, but the risks and time involved in performing transfers from the bed to the tilt table and back can be avoided with the Vitalgo Total Lift Bed.

Amazingly, and much to our surprise, after just two weeks of treatment with TLB, the patient was able to make his first steps walking!
-Dr.Joseph Haik

References

1. Morris PE, GriffinL, Berry M, Thompson C, Hite RD, Winkelman C, Hopkins RO, Ross A, Dixon L, Leach S, & Haponik E. Receiving Early Mobility During an Intensive Care Unit Admission Is a Predictor of Improved Outcomes in Acute Respiratory Failure The American Journal of the Medical Sciences, 2011; 341(5); 373-377 2. Engel HJ, Needham DM, Morris PE, Gropper MA. ICU Early Mobilization: From Recommendation to Implementation at Three Medical Centers. Critical Care Medicine, 2013; 41(9) Page S69-S80. available at www.ccmjournal.org. 3. Herridge MS, Cheung A, Tansey CM, Matte-Martyn A, Diaz-Granados N, Al-Saidi F, Cooper AB, Guest CB, Mazer D, Mehta S, Stewart TE & Barr A. One-Year Outcomes in Survivors of the Acute Respiratory Distress Syndrome. The New England Journal of Medicine, 2003; 348(8); 683-693. 4. Hopkins RO, Spuhler VJ. Strategies for Promoting Early Activity in Critically Ill Mechanically Ventilated Patients. AACN Advanced Critical Care, 2009; 20(3); 277-289 5. Perme C & Chandrashekar R. Early Mobility and Walking Program for Patients in Intensive Care Units: Creating a Standard of Care. American Journal of Critical Care, 2009; 18(3); 212-221. 6. Morris PE, Goad A, Thompson C et al; Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med 2008; 36;2238-2243. 7. Davydow DS, Desai SV, Needham DM, et al: Psychiatric morbidity in survivors of the acute respiratory distress syndrome: A systematic review. Pscychosom Med 2008; 70; 512-519. 8. Herridge MS, Tansey CM, Matte A, et al: Canadian Critical Care Trials Group: Functional disability 5 years after acute respiratory distress syndrome. N. Engl J Med 2011; 364;1293-1304. 9. Hopkins RO, Suchtya MR, Farrer TJ, et al: Improving post-intensive care unit neuropsychiatric outcomes: Understanding cognitive effects of physical activity. Am J Resir Crit Care Med 2012; 186;1220-1228.

See It For Yourself

Burn Recovery beyond expecations
> With A VitalGo Total Lift Bed
Weight bear and position burn patients upright without the problematic transfer