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Table 3 List of intervention therapy provision

From: A comparison of standard occupational therapy versus early enhanced occupation-based therapy in a medical/surgical intensive care unit: study protocol for a single site feasibility trial (EFFORT-ICU)

Outcome measure Occupation-based task Cognitive stimulation task
GCS RASS MSQ CAM Function Cognition
3–8 − 2 to 0 0 +ve or −ve • Hand over hand facilitation of
o Wiping face
o Brushing teeth
o Skincare
o Oral care
o Brushing hair
o Washing upper body
o Moisturising upper body
• Orientation prompts
• Sensory stimulation—visual and auditory search and locate games
• Communication/yes /no to simple biographical/physiological details—use adapted communication methods (visual, gestural based on ventilation status)
8–12 − 1 to +2 0 +ve or −ve • Hand over hand facilitation of
o Wiping face
o Brushing teeth
o Skincare
o Oral care
o Brushing hair
o Washing upper body
o Moisturising upper body
• iPad activities including facetime relatives
• Active assisted facilitation of
o Wiping face
o Brushing teeth
o Skincare
o Oral care
o Brushing hair
o Washing upper body
o Moisturising upper body
o Dressing while seated
o Table top activities including games, creative work, cognitive stimulation, iPad challenge games
o Upper limb activity programmes (e.g. theraputty, colouring in, creative work)
• Orientation
• Sensory stimulation—visual and auditory search and locate games
• Communication/yes/no
• Reminiscence/recall therapy
• Goal planning/structured day planning (participation and idea generation)
13–14 0 to +2 1–10 +ve or −ve • Hoist transfer to commode for assisted showering or grooming at basin in ICU bathroom
• Standing transfer to commode for assisted showering or grooming at basin in ICU bathroom
• Stand transfer onto shower bench for assisted or supervised showering with task set-up depending on physical and cognitive abilities
• Orientation
• Sensory stimulation—visual and auditory search and locate games
• Communication/yes/no
• Reminiscence/recall therapy
• Goal planning/structured day planning (participation and idea generation)
15 0 to +2 1–10 +ve or −ve As above but increasing choice making, initiation and independence required through task set-up, environmental challenges and attention / cognition challenges (rate of task performance, number of distractors, error recognition) • Reminiscence/recall therapy
• Goal planning/structured day planning (participation and idea generation)
• Problem solving challenges, e.g. games, iPad use including facetime