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Background Post–intensive care syndrome (PICS) is a constellation of new or worsening impairments in physical, mental, or cognitive abilities or a combination of these in individuals who have survived critical illness requiring intensive care. Purpose The 2 purposes of this systematic review were to identify the scope and magnitude of physical problems associated with PICS during the first year after critical illness and to use the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework to elucidate impairments of body functions and structures, activity limitations, and participation restrictions associated with PICS. Data Sources Ovid MEDLINE, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, CINAHL Plus with Full Text (EBSCO), Web of Science, and Embase were searched from inception until March 7, 2017. Study Selection Two reviewers screened titles, abstracts, and full text to independently determine study eligibility based on inclusion and exclusion criteria. Data Extraction Study methodological quality was assessed using the Newcastle–Ottawa Scale. Data describing study methods, design, and participant outcomes were extracted. Data Synthesis Fifteen studies were eligible for review. Within the first year following critical illness, people who had received intensive care experienced impairments in all 3 domains of the ICF (body functions and structures, activity limitations, and participation restrictions). These impairments included decreased pulmonary function, reduced strength of respiratory and limb muscles, reduced 6-minute walk test distance, reduced ability to perform activities of daily living and instrumental activities of daily living, and reduced ability to return to driving and paid employment. Limitations The inclusion of only 15 observational studies in this review may limit the generalizability of the findings. Conclusions During the first year following critical illness, individuals with PICS experienced physical impairments in all 3 domains of the ICF.

The religious practices and traditions that mark the Jewish Sabbath set it apart as a day different from everyday occupations and routines. Sabbath values focus on spirituality, respite, relationships and community, promoting a more balanced lifestyle. Sabbath keeping continues to have relevance in modern times as it is an oasis or counterbalance to the harried pace of modern life, with its exposure to incessant stimuli, technological innovations and our reliance on electronic devices. Understanding the form, function and meaning of Sabbath keeping may help occupational scientists have a better understanding of the place of religion and spirituality in occupational choice, cultural identity, and well-being.

Date Presented 3/31/2017 Using action research, acute care occupational therapists explored current discharge planning practices and through consensus implemented and evaluated several strategies to improve their discharge planning skills. Increased visibility and good communication were the primary focus of the selected action plans. Primary Author and Speaker: Helene Smith-Gabai