Natural Opportunities For Mobility Collaborating to move our patients

Natural Opportunities: creating ways to encourage mobility in everyday practice. When possible, encourage activities that the patient experienced before admission. Promoting participation in activities of daily living will help prevent functional decline. For Instance: encourage dressing in everyday clothes participating in daily hygiene activities (brushing teeth, showering, brushing hair, shaving, making the bed) encourage activities the patient enjoyed prior to admission such as reading, crossword puzzles, watching TV … in a chair Tip: Consult the occupational therapist on your floor for advice on this slide. This is their area of expertise.

A Review of the ABC’s of Mobility Ambulates with or without assistance A Bed to chair transfers B Cannot stand to transfer C

Ambulates Natural Opportunities Patient out of bed while linens being changed For a test: walk to stretcher or wheelchair or walk to test if A1 Nursing/OT/PT could collaborate to walk patient to shower if assist x 2 Educate/encourage patient to walk with family/friends if appropriate Encourage walks to the lounge when visitors are present Walk to bathroom Walk up to counter with mirror for self-care activities

Bed to Chair Natural Opportunities Up to chair during linen change Up to commode chair Nursing/OT/PT collaborate to get patient up to chair if Assist x 2. Coordinate timing for opportunities to mobilize Up to wheelchair and out of room when family/friends visiting Encourage self care activities while up in chair (dressing, brushing teeth, brushing hair Encourage/educate patient to regularly reposition in chair and to move limbs Up to chair for tests rather than stretcher Encourage reading, writing, watching TV while in chair

Cannot Stand to Transfer Natural Opportunities Roll side to side for linen change Bridging for bedpan Participating in gown change, putting on slippers if able Bridging and roll side to side to help with positioning hoyer lift pad Time with PT/OT treatment to assist with hoyering a patient to a chair Encourage patient to do their own self care, reach for items at bedside, answer the phone, eating independently. Educate family regarding the importance of enabling the patient to do as much as possible on their own Sit up at edge of bed for meals if possible

Patients who Cannot stand to transfer: Hoyer to Chair at least 1x daily Upright or side of bed for meals Active Range of Motion 3x per day Encourage patient to be as active as possible in bed (personal hygiene, turning, self-feeding) Turn every 2 hours when unable to participate in care