559 Verticalization Therapy for ICU-Level Burn Patient: A Case Study

Abstract Introduction The entire interdisciplinary team can be faced with many challenges when treating a bariatric, critically ill patient significant burn injuries. Some studies suggest that the care of these patients increases staff workload and leads to need for increased assistance proper turning, positioning, completion wound care. When caring types patients, safety should considered, as well what will ensure best outcomes. Our rehab initiated use verticalization therapy on unit 28% TBSA full-thickness burns back, chest, BUEs BMI 45.8 in order promote improved healing, cognitive status, pulmonary function. While is described issues or invasive cardiac support devices, this was first time used our busy ABA-verified center. Methods Once deemed appropriate participation PT/OT, collaborative protocol nursing, therapy, provider developed. transitioned into specialized bed allowing up 90 degrees. incrementally verticalized by 10 degrees at while monitoring vitals, assessing pain response. Ultimately, reached 40 vertical maintained position 2 hours. This intervention utilized both specialists nursing taught performed daily until able actively participate tolerate edge out activity. Results Use positioning weight bearing activity, improve function, status through upright pressure relief graft areas specifically offloading back wounds grafts. 1 month. During time, successfully liberated from mechanical ventilation shock state mobilized assistance. demonstrated strength, active therapies, decreased agitation month progressed. Autograft split-thickness skin grafts autologous cell suspension epithelial autografts patient’s posterior torso healed were fully closed discharge inpatient rehabilitation. Conclusions beds implemented injuries safely successfully. Further research regarding healing related injured conducted. Applicability Research Practice all sizes soon hospital day one, if medically