Table 2.
Deconditioning and weakness | Cognitive impairment |
ICU–acquired weakness Neuropathy Myopathy Sarcopenia Frailty Medication induced |
Dysfunction across multiple domains Impaired decisional capacity/competence |
Psychological disorders | |
Confusion Anxiety Depression Post-traumatic stress Psychosis | |
Feeding and Nutritional Problems | Behavioural |
Oral/dental problems Swallowing disorder Dysphagia Post-intubation damage Reduced intake Anorexia/cachexia Malabsorption Catabolic state |
Psychomotor agitation Sleep disorder Negative disposition/reduced compliance Reduced interaction with environment Withdrawal |
Sensory impairment | |
Hearing Vision Taste Smell | |
Skin and Wounds | |
Breakdown Infections Pressure Sores Delayed Healing | |
Inflammatory status | |
Catabolic state Inflammation Ongoing infections Immunocompromised/suppressed | |
Reduced Physiological Reserve | |
Cardiovascular Hemodynamic Pulmonary Endocrine homeostasis Renal Immunological Bone metabolism | |
Functional Decline | |
Immobility Incontinence Dependence in Basic Activities/Function | |
Pain | Procedure related morbidity |
Musculoskeletal system Contractures/Range of movement Prolonged immobility Invasive procedures |
IV lines Catheters Drains |
Delirium | |
Associated with previous impairment | |
Predicts subsequent impairment |