Emphasize Authenticity

Ensure learners understand the practice setting and conditions of the client in which the case is situated.  This assists learners to reflect on the case, identify learning opportunities of the case, and encode the case for future retrieval and revision.

Authenticity in the ICU

Authenticity is important in the ICU setting, as the complexity of the equipment and environment is difficult to describe in a didactic classroom, and access to simulation labs may be limited. 

Search the ICE Video Library for video titles in the examples, below.

ICU Treatment Begins, Part 1: Preparing the Room

ICU Treatment Begins, Part 1: Preparing the Room

related ice video

Video Title: ICU Treatment Begins, Part 1: Preparing the Room

Patient ID: 002

Patient Name: Tom


  • What information does each line or monitor provide?

  • How does the therapist determine if it is safe to disconnect each line?

  • For each monitor, what is the acceptable level or reading that indicates that the client may participate in therapy?

  • How might the ICU environment influence a client and their family members?

  • How does the ICU environment influence intervention?

  • Reflect on your initial reaction to seeing a medically complex client in the ICU environment. Do you feel competent to work in this setting? How could you prepare to work effectively in the ICU?

Authenticity During Co-Treatment

Authenticity in the ICU environment is critical to developing the complex skills of the therapists required to manage lines and tubes, work collaboratively with other professionals, ensure safety of the medically complex client, and provide appropriate interventions to achieve goals. 

related ice videos

Video Title: ICU, Co-treatment, Part 3

Video Title: ICU, Co-treatment, Part 4

Patient ID: 002

Patient Name: Tom


  • How do the therapists position themselves to facilitate progress toward client goals while utilizing standard precautions and effective body mechanics?

  • What makes communication effective in this environment? How do therapists ensure client understanding?

  • What are the advantages of working as a team in this setting? What are the disadvantages?

  • How is safety addressed in the ICU setting? How might this be different in other settings?