The Importance of Positioning, Play and Purpose for Babies and Children In The PICU

Credit

Handouts/Brochure

Speaker

Molly Rejent, MOT, OTR/L Related seminars and products

---

Molly Rejent, MOT, OTR/L, is a pediatric specialist who has provided pediatric occupational therapy for over 18 years. Experienced in a broad range of pediatric settings including school-based, home health/early intervention, outpatient, acute care and inpatient rehabilitation, Molly combines her passion for working with the whole child and her expertise in creative and individualized treatment of most medically complex cases.

Molly resides in St. Louis, MO and is a senior member of the rehabilitation services team at SSM Health Cardinal Glennon Children’s Hospital. There she manages a full acute care caseload with medical teams in critical care, neurosurgery/neurology, cardiothoracic surgery/cardiology, and general pediatrics, while also balancing three hand-specialty outpatient clinics per week.

She is a member of the clinical team who launched an innovative pediatric cardiac rehab program, as well as a former adjunct professor in the program in occupational therapy at St. Louis University. Molly received a BA in psychology and a Master of occupational therapy from Duquesne University in Pittsburgh, Pennsylvania. She is a member of the American Occupational Therapy Association.

Speaker Disclosures:
Financial: Molly Rejent has an employment relationship with SSM Health Cardinal Glennon Children's Hospital. She receives a speaking honorarium, a consulting fee, and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Molly Rejent has no relevant non-financial relationships.

Additional Info

Access never expires for this product.

For a more detailed outline that includes times or durations of time, if needed, please contact cepesi@pesi.com  

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info

Objectives

1. Develop understanding of importance and value of early mobility in the PICU.
2. Demonstrate why play in children must go on, despite illness.
3. Recognize the side effects of illness and medications and integrate safe therapeutic interventions to promote activity.

Outline

• Comparative Analysis of the PICU vs Adult ICU to identify similarities and differences
• Exploring the type of patients encountered

• Joey R (preschooler)
  • 5yo male born with Trisomy 21 h/o CHD s/p complete repair and h/o duodenal reconstruction s/p ladds procedure with h/o small bowel obstruction and multiple abdominal surgeries. A few years had passed since these surgeries. Several days of viral symptoms, lethargy and diarrhea leading to ER. Decompensated within 10 min of arrival in ED, leading to code and CPR, placed on VA-ECMO for cardiac and severe multi-organ failure … lead to long term PICU stay with interventions in mobility and plan.
• Barry E (baby)
  • Born with DeGeorge Syndrome: this led to repair of CHD, cleft lip palate, consistent pulmonary issues, intestinal issues requiring colostomy bag as well as gtube placement for GI feeding issues … lead long term hospitalization from PICU to stepdown unit. Main interventions were localized around mobility, positioning and basic developmental intervention..
• Will S (preschooler)
  • 5yo polytrauma s/p MVA, suffered TBI with R subdural hematoma IVH, subarachnoid hemorrhage , skull fx, faial fx, Pulmonary contusion, and several other orthopedic fractures/injuries. Increased social piece to this case as the family happen to be travelling home through our town when the accident occurred, leading to the death of the sibling in our PICU as this patient recovered from TBI.
• Katie (6yo)
  • 6-year-old born with Prader Willi Syndrome, dx with posterior fossa tumor, s/p resection, extended respiratory needs, leading to longer PICU stay. She was one of best examples of the benefits to early mobility for improved recovery.
• Ethics in caregivers in the PICU
  
  Questions

Target Audience

• Physical Therapists
• Physical Therapy Assistants
• Occupational Therapists
• Occupational Therapist Assistants
• Speech Language Pathologists
• Critical Care Nurses
• Nurse Practitioners
• Physician Assistants