Table 3 List of intervention therapy provision
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 |