In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, individuals’ experience and clinical reasoning frequently guides interventions rather than current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this Vision, an evidence-based clinical pathway was developed for the occupational therapists at Mills-Peninsula Medical Center. The clinical pathway facilitates patients’ return to their highest level of function during post cardiac surgery rehabilitation. The proposed clinical pathway includes physical recovery, early detection of cognitive impairment, and psychosocial health for patients post cardiac surgery. The final clinical pathway was compiled into a clinical manual, entitled Clinical Pathway for Post Cardiac Surgery – Progression of Occupational Therapy in Intensive Care Unit, and adapted into a pocket guide.
","abstract_html":"<p>In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, individuals’ experience and clinical reasoning frequently guides interventions rather than current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this Vision, an evidence-based clinical pathway was developed for the occupational therapists at Mills-Peninsula Medical Center. The clinical pathway facilitates patients’ return to their highest level of function during post cardiac surgery rehabilitation. The proposed clinical pathway includes physical recovery, early detection of cognitive impairment, and psychosocial health for patients post cardiac surgery. The final clinical pathway was compiled into a clinical manual, entitled <em>Clinical Pathway for Post Cardiac Surgery – Progression of Occupational Therapy in Intensive Care Unit,</em> and adapted into a pocket guide.</p>","abstract_has_math":false,"creators":["Colombini, Kelsie","Henderson, Kristen M.","Huie, Michelle","Malachowski, Courtney"],"institution":null,"degree_name":"Master of Science in Occupational Therapy","degree_level":"Master's Thesis","degree_discipline":"Occupational Therapy","degree_department":null,"school":null,"contributors":["Kitsum Li, OTD, OTR/L, CSRS","Shad St. Louis, MS, OTR/L"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2017,"date_issued":"2017-05-01T07:00:00Z","date_published":"2017-05-01T07:00:00Z","updated_at":"2026-07-24T02:04:44Z","subjects":["Occupational therapy","post cardiac surgery","clinical pathway","evidence based practice","cognition","psychosocial","rehabilitation","Rehabilitation and Therapy"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://scholar.dominican.edu/masters-theses/245","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Kitsum Li, OTD, OTR/L, CSRS","Shad St. Louis, MS, OTR/L"]},{"key":"dc:creator","label":"Author","values":["Colombini, Kelsie","Henderson, Kristen M.","Huie, Michelle","Malachowski, Courtney"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2016-12-06T08:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Occupational Therapy"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Master's Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science in Occupational Therapy"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Occupational therapy","post cardiac surgery","clinical pathway","evidence based practice","cognition","psychosocial","rehabilitation","Rehabilitation and Therapy"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://scholar.dominican.edu/masters-theses/245"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, individuals’ experience and clinical reasoning frequently guides interventions rather than current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this Vision, an evidence-based clinical pathway was developed for the occupational therapists at Mills-Peninsula Medical Center. The clinical pathway facilitates patients’ return to their highest level of function during post cardiac surgery rehabilitation. The proposed clinical pathway includes physical recovery, early detection of cognitive impairment, and psychosocial health for patients post cardiac surgery. The final clinical pathway was compiled into a clinical manual, entitled Clinical Pathway for Post Cardiac Surgery – Progression of Occupational Therapy in Intensive Care Unit, and adapted into a pocket guide.
"]},{"key":"dc:title","label":"Title","values":["Occupational Therapy in the Intensive Care Unit"]}]}],"canonical_facts":{"dc:contributor":["Kitsum Li, OTD, OTR/L, CSRS","Shad St. Louis, MS, OTR/L"],"dc:creator":["Colombini, Kelsie","Henderson, Kristen M.","Huie, Michelle","Malachowski, Courtney"],"dc:date.available":["2016-12-06T08:00:00Z"],"dc:description.abstract":["In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, individuals’ experience and clinical reasoning frequently guides interventions rather than current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this Vision, an evidence-based clinical pathway was developed for the occupational therapists at Mills-Peninsula Medical Center. The clinical pathway facilitates patients’ return to their highest level of function during post cardiac surgery rehabilitation. The proposed clinical pathway includes physical recovery, early detection of cognitive impairment, and psychosocial health for patients post cardiac surgery. The final clinical pathway was compiled into a clinical manual, entitled Clinical Pathway for Post Cardiac Surgery – Progression of Occupational Therapy in Intensive Care Unit, and adapted into a pocket guide.
"],"dc:identifier":["https://scholar.dominican.edu/masters-theses/245"],"dc:subject":["Occupational therapy","post cardiac surgery","clinical pathway","evidence based practice","cognition","psychosocial","rehabilitation","Rehabilitation and Therapy"],"dc:title":["Occupational Therapy in the Intensive Care Unit"],"thesis:degree_discipline":["Occupational Therapy"],"thesis:degree_level":["Master's Thesis"],"thesis:degree_name":["Master of Science in Occupational Therapy"]},"updated_at":"2026-07-24T02:04:44Z"}