Oorsouw (2023) Embodied Recovery: A Revolutionary Approach to ICU Patient Care

Summary: Hydrotherapy’s Role in Recovery for Critically Ill Ventilated Patients

Introduction: Hydrotherapy in Critical Care

The impact of hydrotherapy on critically ill ventilated patients is significant, especially in mitigating intensive care unit (ICU) acquired weakness. Early activity and progressive mobilisation through hydrotherapy can enhance recovery from a very early stage. It potentially leads to higher self-efficacy, increased activity rates, and faster functional recovery. This study focuses on understanding this impact from the patient’s perspective.

Methodology: A Phenomenological Approach

A qualitative exploration study was conducted using an interpretative phenomenological approach. In-depth, face-to-face, semi-structured interviews were held with patients. The interviews covered a range of topics, including pre-admission physical activity, perceptions of hydrotherapy, emotional connections to water, and experiences during the recovery process.

Key Findings: Themes from Patient Experiences

From the twelve patients enrolled, eight completed the interviews. Analysis revealed five primary themes:

1. Experiencing Critical Illness Consequences: Patients expressed the impact of critical illness on their physical and mental states.
2. Feeling Safe in Water: Many patients felt secure and comfortable in the hydrotherapy environment, aided by skilled staff and a high-tech setting.
3. Ability to Move: Hydrotherapy enabled movements that were otherwise challenging, contributing to a sense of progress.
4. Positive Hydrotherapy Experiences: Patients recalled their hydrotherapy sessions as positive, often looking forward to them.
5. A Turning Point in Recovery: Exercising in water was often seen as a pivotal moment in the recovery journey, instilling hope and trust.

Conclusion: Advancing Hydrotherapy in Critical Care

Hydrotherapy appears to significantly aid in regaining control and belief in recovery among critically ill ventilated patients. Exercising in water marked a crucial turning point for many. This study not only supports the continued use of hydrotherapy in critical care settings but also paves the way for further research in this field.

Keywords: Critical illness, mechanical ventilation, hydrotherapy, physiotherapy, patient experiences