1. Review of Mobility ABC’s

2. A Review of the ABC’s of Mobility
Assessment of mobility status
Ambulates with or without assistance A
Bed to Chair Transfers B
Cannot stand to transfer C

3. Patients who can Ambulate will be encouraged to:
Ambulate 3 times per day
Participate in personal care to greatest extent possible
Use the bathroom for toileting
Eat meals sitting in a chair

4. Patients who can transfer from Bed to chair will be encouraged to:
Get up to chair 3x/day preferably at meals
Commode for toileting
Active Range of Motion 3x per day
Participate in care to the greatest extent possible

5. 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

6. Effects of acute illness Inability to maintain function in hospital
Loss of Function
Low mobility and bed rest is common during hospitalization
Functional decline from baseline was found to occur at day 2
Every day of immobility = 5% loss of muscle strength

7. Early Mobilization will enhance care by:
Effects of acute illness
Supporting ability to maintain function in hospital
Optimize Function
Covinsky et al: October 2011 JAMA : Although hospital associated disability results in part, from the illness necessitating the admission;
Hospital process may play a role in both inhibiting recovery of functional loss that occurred shortly before the admission and in accelerating functional decline during hospitalization.