Lecture 7: Progressive mobility

Question 1

Progressive mobility:

Answer 1

Readies the patient for ventilation weaning***

Reduces ICU and Hospital LOS

Prevents de-conditioning

Prevents VAP and pressure ulcers

Maintains pre-admission activity

Question 2

Progressive mobility: Criteria 6

Answer 2

No arterial groin catheters

FiO2 <50%, with PEEP <10cmH20

SaO2 > 90% at rest or 88% with activity

Stable neurologic status

No major orthopedic injuries/issues

Hemodynamically stable

Question 3

Progressive mobility: Multi-Level approach

Answer 3

1- for those not meeting the above mentioned criteria:
- Turning Q2, active ROM, Passive ROM, splinting extremities, HOB 30 degrees

2- For those meeting above criteria:
- HOB 45-65, Seated position in bed (If bed allows), Out of bed with assistance 2x daily for <1 hr.

3- meeting level 2 objectives:
- Sitting on side of bed, Advancing to standing position

4- meeting level 3 objectives:
- Out of bed, standing, ambulation