Guideline Update: Addressing Immobility and Sleep Disruption

Part of AACN Critical Care Webinar Series

Presenter(s): Brenda T Pun, DNP,RN

Contact Hours 1.00

CERP A 1.00

Expires Apr 30, 2025

Topics: Delirium, Evidence-Based Practice

Population: Adult, Geriatric

Role: Staff

CE Fee
Member: Free
NonMember: $10.00

Added to Collection

Webinar Summary

This webinar is the second in a two-part series discussing application of the 2018 PADIS guidelines (“Clinical Practice guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility and Sleep Disruption in Adult Patients in the ICU”) to critical care nursing practice. The updated PADIS guidelines incorporate recommendations related to enhancing patient mobility and sleep. In this webinar, Brenda Pun – a leader in ABCDEF bundle implementation and 2018 PADIS guidelines committee member – explores the guidelines’ recommendations for managing immobility and sleep disruption. Pun will also present a case study and discuss integrating mobility and sleep promotion as part of the ABCDEF bundle. A separate on-demand webinar from Feb. 2019 reviews the guideline recommendations for pain, agitation and delirium.


  • Discuss how the five components of the new PADIS guidelines (pain, agitation, delirium, immobility and sleep disruption) are interrelated.
  • Apply the criteria for starting or stopping mobilization to the care of patients in your unit.
  • Identify two factors that commonly disrupt sleep for patients in the intensive care unit and at least one strategy for mitigating each one.


Brenda T Pun, DNP,RN

Brenda T Pun, DNP,RN

Brenda Truman Pun, DNP, RN, is an advanced practice nurse with a special interest in critical care. She conducts and participates in patient-oriented, health services research at Vanderbilt University Medical Center in Nashville, Tennessee. Pun received a bachelor’s degree from Wheeling Jesuit University in Wheeling, West Virginia, a master degree in nursing from Vanderbilt University School of Nursing and a doctor of nursing practice degree from University of North Carolina – Chapel Hill. She serves as a program clinical manager in the Vanderbilt Coordinating Center, where she is involved in the creation and design of studies, grant writing, data collection and analysis, and communication of results. Her research has focused on improving the care and outcomes of critically ill patients with a special emphasis on delirium, sedation, long-term outcomes and teamwork.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

Refund Policy

Continuing Education Activities are nonrefundable.