Bed Mobility

Purpose of bed mobility

Encourages ind movement

Prevent skin problems/contractures

Dec risk of developing PNA

Dec effects of immobility on overall strength

Dec affects of immobility on endurance

Position and bed mobility activities

Move upward, downward, side to side

Roll to side lying or prone

Move from recumbent position to sitting

Ind assistance

Pt does 100% of the task w/o any vc or physical assistance

Supervision assistance

You are a distance away from pt and watching them or giving vc

Stand by assist (SBA)

You are standing next to the pt and giving vc only

Contact guard assist (CGA)

Pt needs you to hold or touch them during activity

Minimal assist

Pt performs 75% or more of activity (you do 25%)

Moderate assist

Pt performs 50-74% of activity (you do half the work)

Maximum assist

Pt performs 25-49% of activity (you are doing almost all the work)

Dependent/total assist

Pt is not able to assist with the activity at all and/or you need additional assist from someone else or equipment

Trendelenburg

Body is supine with the feet higher than the head by 15-45dg

Why use Trendelenburg

Moving heavy pts up in bed, can be used when place a central line

Reverse Trendelenburg

Body is in a position with the head higher than the feet

Why use reverse Trendelenburg

Minimizes blood pressure changes, improves oxygenation