Responding to COVID-19 and Beyond:
Framework for assessing early rehabilitation needs following treatment in intensive care
The Post ICU Presentation Screen (PICUPS) is a simple 14-item clinical tool developed to support triage and handover of patients stepping down from ITU into the acute wards, and onwards into rehabilitation. The PICUPS Plus represents 10 additional items to identify potential higher-level items that may need to be addressed as the patient progresses during acute care.
Their purpose is:
- To inform the immediate plan for care on the acute ward.
- To identify problems likely to require furthermore detailed assessment / evaluation by members of the multi-disciplinary team and so trigger appropriate referrals.
Together, these help to inform development of a personalised Rehabilitation Prescription as the patient leaves the acute care setting. The RP sets out their needs for rehabilitation and helps to direct their on-going care after discharge from the acute ward. For most patients, this will be to home and community based services, but a small proportion may require a further period of inpatient rehabilitation before they are ready to leave hospital.
As well as guiding decision-making for individual patients, this information will help to identify where their needs are and are not being met. Used at population level, the information will enable us to quantify shortfalls in current service provision and to estimate the gap between capacity and demand for future planning. Developed in the context of the Covid-19 pandemic, the tools are also expected to be useful in future for any patient following prolonged treatment in intensive care.
We have extended national pilot started in December 2020. The aim is to encourage all ICUs in the UK to be using the PICUPS and RP routinely for all patients (COVID-19 and non-COVID) and to submit data to UKROC.
If you would like to become a pilot site, please contact: ICSRehabCollaborative@ics.ac.uk.
The longer term aim is to establish the PICUPS and RP as part of the national data collection for patients who have ongoing needs for rehabilitation after leaving intensive care. A summary of the full dataset is available here: Full dataset collection paper form for PICUPS and RP
You can also download the PICUPS and PICUPS Plus scoring descriptors and the PICUPS and rehabilitation prescription.
For further information please contact UKROC team: LNWHfirstname.lastname@example.org
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