Early therapeutic mobility and changes in scores for pain and fatigue

Chris Winkelman; Abdus Sattar; Hasina Momotaz; Kimberly D. Johnson; Peter Morris; Sheryl Feeney; Alan Levine

doi:10.4037/ccn2019488

Early therapeutic mobility and changes in scores for pain and fatigue

Chris Winkelman, Abdus Sattar, Hasina Momotaz, Kimberly D. Johnson, Peter Morris, Sheryl Feeney, Alan Levine

Internal Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

This report is a secondary analysis of data from a larger study of a nurse-led early therapeutic mobility intervention among patients receiving mechanical ventilation. This analysis evaluated whether intervention frequency or intensity was associated with pain or fatigue. Frequency was defined as once-daily versus twice-daily interventions. Intensity was defined as low (in-bed activities) or moderate (out-of-bed activities). Thirty-nine patients self-reported pain and fatigue immediately before and after the intervention. Neither pain nor fatigue increased significantly (mean increase, <1 [scale of 0-10] for 95% of inter-ventions). Four patients reported decrements in pain; 1 reported a decrease in fatigue. Less than 5% of enrolled patients indicated a score change of +4 to +6 for pain or fatigue, typically with the first intervention that included sitting at the edge of the bed. Future research could examine the distress associated with these symptoms in critically ill adults receiving early therapeutic mobility interventions.

Original language	English
Pages (from-to)	30-37
Number of pages	8
Journal	Critical Care Nurse
Volume	39
Issue number	5
DOIs	https://doi.org/10.4037/ccn2019488
State	Published - Oct 1 2019

Bibliographical note

Funding Information:
Financial support for this study was provided by the National Institutes of Health (NIH), ICU Mobility 1R21 NR10781-01A1; MetroHealth Clinical and Translation Science Collaborative, NIH funding UL1 TR00439; and the Dahms Clinical Unit laboratory staff at UH CMC, NIH funding UL1TR 00439-06. ClinicalTrials.gov identifier: NCT00999011.

Funding Information:
Blood samples were stored at the laboratory of the MetroHealth Clinical and Translation Science Collaborative and were stored and analyzed by the Dahms Clinical Unit laboratory staff at University Hospitals Cleveland Medical Center. Study data were collected and managed with REDCap electronic data capture tools hosted at University Hospitals Cleveland Medical Center. We acknowledge James R. Rowbottom, MD, FCCP, professor of anesthesiology and perioperative medicine at University Hospitals Cleveland Medical Center; John Daryl Thornton, MD, MPH, Pulmonary and Critical Care, MetroHealth Medical Center; and Jeffery Claridge, MD, Surgical Critical Care and Trauma, MetroHealth Medical Center, for access to patients for this study. Financial support for this study was provided by the National Institutes of Health (NIH), ICU Mobility 1R21 NR10781-01A1; MetroHealth Clinical and Translation Science Collaborative, NIH funding UL1 TR00439; and the Dahms Clinical Unit laboratory staff at UH CMC, NIH funding UL1TR 00439-06. ClinicalTrials.gov identifier: NCT00999011.

Publisher Copyright:
© 2019 American Association of Critical-Care Nurses.

ASJC Scopus subject areas

Critical Care

Access to Document

10.4037/ccn2019488

Cite this

@article{65d97422af554ee7b71d88501535ac8b,

title = "Early therapeutic mobility and changes in scores for pain and fatigue",

abstract = "This report is a secondary analysis of data from a larger study of a nurse-led early therapeutic mobility intervention among patients receiving mechanical ventilation. This analysis evaluated whether intervention frequency or intensity was associated with pain or fatigue. Frequency was defined as once-daily versus twice-daily interventions. Intensity was defined as low (in-bed activities) or moderate (out-of-bed activities). Thirty-nine patients self-reported pain and fatigue immediately before and after the intervention. Neither pain nor fatigue increased significantly (mean increase, <1 [scale of 0-10] for 95% of inter-ventions). Four patients reported decrements in pain; 1 reported a decrease in fatigue. Less than 5% of enrolled patients indicated a score change of +4 to +6 for pain or fatigue, typically with the first intervention that included sitting at the edge of the bed. Future research could examine the distress associated with these symptoms in critically ill adults receiving early therapeutic mobility interventions.",

author = "Chris Winkelman and Abdus Sattar and Hasina Momotaz and Johnson, {Kimberly D.} and Peter Morris and Sheryl Feeney and Alan Levine",

note = "Funding Information: Financial support for this study was provided by the National Institutes of Health (NIH), ICU Mobility 1R21 NR10781-01A1; MetroHealth Clinical and Translation Science Collaborative, NIH funding UL1 TR00439; and the Dahms Clinical Unit laboratory staff at UH CMC, NIH funding UL1TR 00439-06. ClinicalTrials.gov identifier: NCT00999011. Funding Information: Blood samples were stored at the laboratory of the MetroHealth Clinical and Translation Science Collaborative and were stored and analyzed by the Dahms Clinical Unit laboratory staff at University Hospitals Cleveland Medical Center. Study data were collected and managed with REDCap electronic data capture tools hosted at University Hospitals Cleveland Medical Center. We acknowledge James R. Rowbottom, MD, FCCP, professor of anesthesiology and perioperative medicine at University Hospitals Cleveland Medical Center; John Daryl Thornton, MD, MPH, Pulmonary and Critical Care, MetroHealth Medical Center; and Jeffery Claridge, MD, Surgical Critical Care and Trauma, MetroHealth Medical Center, for access to patients for this study. Financial support for this study was provided by the National Institutes of Health (NIH), ICU Mobility 1R21 NR10781-01A1; MetroHealth Clinical and Translation Science Collaborative, NIH funding UL1 TR00439; and the Dahms Clinical Unit laboratory staff at UH CMC, NIH funding UL1TR 00439-06. ClinicalTrials.gov identifier: NCT00999011. Publisher Copyright: {\textcopyright} 2019 American Association of Critical-Care Nurses.",

year = "2019",

month = oct,

day = "1",

doi = "10.4037/ccn2019488",

language = "English",

volume = "39",

pages = "30--37",

number = "5",

}

TY - JOUR

T1 - Early therapeutic mobility and changes in scores for pain and fatigue

AU - Winkelman, Chris

AU - Sattar, Abdus

AU - Momotaz, Hasina

AU - Johnson, Kimberly D.

AU - Morris, Peter

AU - Feeney, Sheryl

AU - Levine, Alan

N1 - Funding Information: Financial support for this study was provided by the National Institutes of Health (NIH), ICU Mobility 1R21 NR10781-01A1; MetroHealth Clinical and Translation Science Collaborative, NIH funding UL1 TR00439; and the Dahms Clinical Unit laboratory staff at UH CMC, NIH funding UL1TR 00439-06. ClinicalTrials.gov identifier: NCT00999011. Funding Information: Blood samples were stored at the laboratory of the MetroHealth Clinical and Translation Science Collaborative and were stored and analyzed by the Dahms Clinical Unit laboratory staff at University Hospitals Cleveland Medical Center. Study data were collected and managed with REDCap electronic data capture tools hosted at University Hospitals Cleveland Medical Center. We acknowledge James R. Rowbottom, MD, FCCP, professor of anesthesiology and perioperative medicine at University Hospitals Cleveland Medical Center; John Daryl Thornton, MD, MPH, Pulmonary and Critical Care, MetroHealth Medical Center; and Jeffery Claridge, MD, Surgical Critical Care and Trauma, MetroHealth Medical Center, for access to patients for this study. Financial support for this study was provided by the National Institutes of Health (NIH), ICU Mobility 1R21 NR10781-01A1; MetroHealth Clinical and Translation Science Collaborative, NIH funding UL1 TR00439; and the Dahms Clinical Unit laboratory staff at UH CMC, NIH funding UL1TR 00439-06. ClinicalTrials.gov identifier: NCT00999011. Publisher Copyright: © 2019 American Association of Critical-Care Nurses.

PY - 2019/10/1

Y1 - 2019/10/1

N2 - This report is a secondary analysis of data from a larger study of a nurse-led early therapeutic mobility intervention among patients receiving mechanical ventilation. This analysis evaluated whether intervention frequency or intensity was associated with pain or fatigue. Frequency was defined as once-daily versus twice-daily interventions. Intensity was defined as low (in-bed activities) or moderate (out-of-bed activities). Thirty-nine patients self-reported pain and fatigue immediately before and after the intervention. Neither pain nor fatigue increased significantly (mean increase, <1 [scale of 0-10] for 95% of inter-ventions). Four patients reported decrements in pain; 1 reported a decrease in fatigue. Less than 5% of enrolled patients indicated a score change of +4 to +6 for pain or fatigue, typically with the first intervention that included sitting at the edge of the bed. Future research could examine the distress associated with these symptoms in critically ill adults receiving early therapeutic mobility interventions.

AB - This report is a secondary analysis of data from a larger study of a nurse-led early therapeutic mobility intervention among patients receiving mechanical ventilation. This analysis evaluated whether intervention frequency or intensity was associated with pain or fatigue. Frequency was defined as once-daily versus twice-daily interventions. Intensity was defined as low (in-bed activities) or moderate (out-of-bed activities). Thirty-nine patients self-reported pain and fatigue immediately before and after the intervention. Neither pain nor fatigue increased significantly (mean increase, <1 [scale of 0-10] for 95% of inter-ventions). Four patients reported decrements in pain; 1 reported a decrease in fatigue. Less than 5% of enrolled patients indicated a score change of +4 to +6 for pain or fatigue, typically with the first intervention that included sitting at the edge of the bed. Future research could examine the distress associated with these symptoms in critically ill adults receiving early therapeutic mobility interventions.

UR - http://www.scopus.com/inward/record.url?scp=85072847622&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072847622&partnerID=8YFLogxK

U2 - 10.4037/ccn2019488

DO - 10.4037/ccn2019488

M3 - Article

C2 - 31575592

AN - SCOPUS:85072847622

VL - 39

SP - 30

EP - 37

IS - 5

ER -

Early therapeutic mobility and changes in scores for pain and fatigue

Abstract

Bibliographical note

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this