4 Mobility and Safe Movement Free Online FlashCards

What is mobility?

Mobility is the ability to change and control body position; it supports independence and the function of multiple body systems.

When should a patient’s mobility be assessed?

Reassess before each mobilization because strength, alertness, symptoms, and assistance needs can change.

Which changes require stopping mobilization?

Stop and reassess if the patient becomes dizzy, weak, unusually short of breath, or unstable.

How should a patient who cannot reposition independently be positioned?

Position the patient in comfortable alignment, supporting the head, limbs, and joints. Reposition patients who cannot move independently according to their skin-risk assessment and care plan.

What safety steps should be completed before a transfer?

Explain the plan, clear the route, prepare the destination, check equipment, lock wheels, and use nonslip footwear.

How should a transfer method be selected?

Match the transfer method and number of helpers to assessed ability. Use a stand-pivot only when the patient can participate and bear weight as required; use an aid or lift when indicated.

What body mechanics help protect caregivers during transfers?

Keep the patient close, maintain a stable stance and neutral back, bend at the hips and knees, and avoid twisting.

How do active, active-assisted, and passive ROM differ?

Active ROM is performed by the patient; active-assisted ROM is performed by the patient with help; passive ROM is performed by a caregiver or device while the patient relaxes.

How should ROM exercises be performed safely?

Support the limb near the joint and move it slowly through its comfortable range. Never force movement; stop for pain, marked resistance, or distress.

What is the usual sequence for walking with a cane?

With a cane, the usual sequence is cane and weaker leg, then stronger leg. Follow device-specific instructions from the care team if they differ.

What should be checked immediately before ambulation?

Before walking, help the patient sit at the bedside and check for dizziness or intolerance to sitting. Use prescribed footwear, the recommended device, and the planned level of assistance.

What complications can prolonged immobility cause?

Prolonged immobility can contribute to pressure injuries, muscle loss, weakness, contractures, venous stasis and deep-vein thrombosis, reduced respiratory function, constipation, urinary problems, and reduced independence or mood.