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Editorial
. 2020 Nov;48(11):1690-1692.
doi: 10.1097/CCM.0000000000004603.

Functional Loss and Resilience in Intensive Care

Affiliations
Editorial

Functional Loss and Resilience in Intensive Care

Lauren E Ferrante et al. Crit Care Med. 2020 Nov.
No abstract available

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Figures

Figure.
Figure.
Functional decline. The light gray triangle lists the three main categories of functional activity. Activities of daily living (ADLs) are basic self-care activities. Instrumental ADLs (IADLs) are higher order functional activities that require more complex thought and organization. Mobility activities are higher order physical activities that help maintain independent living. The dark gray inverted triangle represents levels of functional decline and includes examples of activities in each category. In general, patients become disabled in higher order activities (mobility or IADLs) first, followed by disability in ADLs. The hierarchy of ADL disability has been studied extensively and is listed in order of disability progression.

Comment on

References

    1. Ingraham NE, Vakayil V, Pendleton KM, et al.: National Trends and Variation of Functional Status Deterioration in the Medically Critically Ill. Critical Care Medicine 2020; 48:1556–1564 - PMC - PubMed
    1. Dunlop DD, Hughes SL, Manheim LM: Disability in activities of daily living: Patterns of change and a hierarchy of disability. Am J Public Health 1997; 87:378–383 - PMC - PubMed
    1. Gill TM, Guo Z, Allore HG: The epidemiology of bathing disability in older persons. J Am Geriatr Soc 2006; 54:1524–1530 - PubMed
    1. Kingston A, Collerton J, Davies K, et al.: Losing the ability in activities of daily living in the oldest old: A hierarchic disability scale from the Newcastle 85+ study. PLoS One 2012; 7:e31665. - PMC - PubMed
    1. Pun BT, Balas MC, Barnes-Daly MA, et al.: Caring for critically ill patients with the ABCDEF bundle: Results of the ICU liberation collaborative in over 15,000 adults. Crit Care Med 2019; 47:3–14 - PMC - PubMed