1. Natural Opportunities For Mobility
Collaborating to move our patients

2. 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.

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

4. 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

5. 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

6. 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

7. 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