Psychological Impact
Physical Effect
Barriers
Interventions
Putting It into Play
100
Poor appetite, low social activity, express desire to die.
What is Depression?
100
"Lime draining from his bones"
What is bone demineralization?
100
HTN, Heart Failure, Diabetes
What are chronic illnesses?
100
Sitting on the side of the bed, using the rest room rather than the bed side commode, Ambulating in the room.
What is starting mobility in small steps?
100
Team members Early Mobility Plan
Who are the patient, the family, PT, RN, NCA, MD, dietary?
200
Unwilling to ambulate due to the possiblity of broken bones, subdural hemaotma, syncopy
What is Fear of falling?
200
Positive Homan's sign, complication of prolonged bedrest
What is a DVT?
200
Maintain the ability to perform ADL's, Maintain preadmission activity level, Decreased length of stay
What is the importance of mobility while hospitalized?
200
Set a mobility goal for the day. Create an mobility schedule and placing it on the white board.
What is communicating the plan for the day to the team?
200
Baseline mobility and functionality.
What is maintaining preadmission activity level determining functionality (self care)?
300
Lack of enthusiam or inspiration, no driving force
What is lack of motivation?
300
Low blood pressure upon standing, syncopy
What is Orthostatic intolerance?
300
Obstacles in the hall way, Physician rounding in the halls, EVS cart. Lack of walkers.
What are hurdles of ambulation?
300
Initial and ongoing assessment of patients mobility, identify risks for functional decline, maximaize safety, Support Dignity, Maintain vigiliance. Improve access.
What is establishing early mobility and a culture of caring?
300
Setting Criteria
Who is the patient at risk of declining functionality while hospitalized?
400
Go to attachment
What is a patient's view point on bed rest?
400
Weakness, decreased physical functionality
What is loss of muscle strength?
400
Cath lab, Cardioversion, X-Ray, MRI
What are time constraints related to procedures?
400
Encouraging family invovlment in patient activities such as ADL's, assistance to the rest room, patient OOB to chair.
What is having the family as a member of the early mobility team?
400
Stragtegies
What is .......?
500
Lonliness and seculsion, no social interactions
What is a sense of isolation?
500
Diminished protein and glycogen synthesis, glucose intolerance, increase doseage of insulin.
What is insulin resistance?
500
Waiting on PT, The next shift will do it, The family can do it
What is the perception it's someone else's responsiblity?
500
Lift equpimnent, walkers, chair, staff, Hilrom Sport Care beds, assistive devices
What are the tools for early mobility?
500
Not reinventing the wheel?
What protocols are already developed?