Improving Long-Term Outcomes Research for Acute Respiratory Failure: Johns Hopkins Outcomes After Critical Illness & Surgery(OACIS) project funded by NIH/NHLBI
Baltimore, MD
Joined June 2017
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ImproveLTO retweeted
Myth: a score of 4 or more on the 4AT means the person has delirium.
Fact: a score of 4 or more suggests delirium and should lead to a clinical assessment. A clinician makes the diagnosis, using judgement and the whole picture.
People with severe dementia can score 4 without delirium, because they may be unable to do the age and months questions. Staff then look at whether there has been a recent change.
ImproveLTO retweeted
Ten years ago, I couldn’t walk, speak, or scratch my own face.
Today, I spoke at Johns Hopkins about the extraordinary people who helped me reclaim my life.
Rehabilitation is more than movement. It’s dignity, connection, and freedom.
Grateful for @KellyCasey_OT @DrDaleNeedham @icurehab
Great oral abstract presentation by
@SGFesquire at @icurehab conference
A vivid discussion of the
patient perspective of
severe critical illness including
delirium & mobility
ImproveLTO retweeted
Great oral abstract presentation by
@SGFesquire at @icurehab conference
A vivid discussion of the
patient perspective of
severe critical illness including
delirium & mobility
ImproveLTO retweeted
Some of the OACIS team at 15th Annual ICU Rehab Conference
@icurehab
@DrDaleNeedham
@improvelto
@HopkinsPCCM
ImproveLTO retweeted
I was unable to return to work following my #ARDS/#ECMO event and as a single parent to three children and the only income stream into my household, I was placed in a financial straitjacket from which I am yet to emerge.
An under-recognised aspect of #PICS
Now speaking is Ann Parker MD PhD
One of her topics is
financial toxicity after ICU
part of @icurehab conference
Ping @HopkinsPCCM
ImproveLTO retweeted
Dr. Parker and Maggie Glass-Lane highlighting the post-ICU recovery, and financial toxicity related challenges in ICU survivors!
@ 15th Johns Hopkins ICU Rehab Conference!
@icurehab
@DrDaleNeedham
@annparker_JHU
ImproveLTO retweeted
Now speaking is Ann Parker MD PhD
One of her topics is
financial toxicity after ICU
part of @icurehab conference
Ping @HopkinsPCCM
ImproveLTO retweeted
Day 1 of conference started with ICU patient perspective sharing experiences of being in the ICU and post-ICU survival
Lots of learning happening at the 15th Annual ICU Rehab Confrence!
@icurehab
@DrDaleNeedham
ImproveLTO retweeted
Next @icurehab speaker:
an amazing social worker from our @HopkinsPCCM ICU follow up clinic:
Maggie Glass Lane, LCSW
…Understand social issues for ICU survivors
ImproveLTO retweeted
If a patient has LVAD, learning to change battery is an ADL that is essential to life at home
OTs to the rescue with this LVAD rehab!
See below from @KellyCasey_OT at @icurehab conference
ImproveLTO retweeted
Ten years ago, I was just a few weeks removed from this photograph. I couldn’t walk, speak, or scratch my own face.
Tomorrow at Johns Hopkins, I’ll speak about what happens after survival—and the extraordinary people who help us reclaim our lives.
Rehabilitation is more than movement. It is dignity, humanity, and hope.
Grateful for @DrDaleNeedham @icurehab @KellyCasey_OT
My goal: Making the Invisible Visible.
What is critical care medicine really like for the Patient?
@EmoryRollins @CIBScenter @Walk4Pics
Our #ICUrehab Annual Conference is happening for the next 2 days
Follow & tag @icurehab for tweets
Ping @JHUPCCMFellows @HopkinsPCCM @RehabHopkins @HopkinsAMP @HopkinsMedicine @HopkinsMedNews
ImproveLTO retweeted
House full at Annual Hopkins ICU Rehab Conference happening right now in Baltimore
Litsenting to powerful patient perspective about real challenges of recovery after an ICU stay!
#15th ICU Rehab Conference
@icurehab
@DrDaleNeedham
ImproveLTO retweeted
Our #ICUrehab Annual Conference is happening for the next 2 days
Follow & tag @icurehab for tweets
Ping @JHUPCCMFellows @HopkinsPCCM @RehabHopkins @HopkinsAMP @HopkinsMedicine @HopkinsMedNews
ImproveLTO retweeted
🫁 Extubation is a milestone, but does it mean recovery?
A new article draws attention to an often-overlooked concern: frailty in post-extubated patients.
🔗 ow.ly/EmP05103fYF
#Frailty #ICURecovery #EvidenceBasedPractice #PatientOutcomes
ImproveLTO retweeted
Rehabilitation and the post-intensive care syndrome across the recovery continuum: a narrative review bit.ly/4AeaqkY #icurehab #A2Fbundle
ImproveLTO retweeted
Anyone can use the 4AT without permission, payment or registration. It is licensed under CC BY 4.0, which allows copying and adapting with credit, and it has been translated into more than 20 languages.
The form, the user guide and worked examples are at the4AT.com
ImproveLTO retweeted
The @icurehab literature list is updated again, with more than 4,000 titles about early rehab, mobilization, patient outcome, sedation, delirium, ICU-AW and much more.
All summarised in a word file with links
Thanks to @DrDaleNeedham
icurehabnetwork.org/resource…
ImproveLTO retweeted
One study in Newcastle, England, linked delirium in hospital with faster decline in memory and thinking. Hospital admission without delirium was not linked with faster decline.
205 older people already in a local research study were recruited when admitted to hospital. 82 of them (40%) had delirium. A year later, 135 were retested, along with 100 people matched on age, sex and education who had not been in hospital.
Those who had delirium declined faster than those who did not.
This was a small study from one area (Age and Ageing, 2021), so it does not settle whether a hospital stay alone can affect thinking.
doi.org/10.1093/ageing/afab0…
ImproveLTO retweeted
"A little brainpower goes a long way". Patient and family experience of early cognitive rehabilitation in critical illness: an interview study bit.ly/4gS0o1h #icurehab #A2Fbundle
