Bed Mobility

What should be completed before beginning bed mobility?

Chart review

Introduction/Patient Interview

Systems screen

What should be assessed before initiating bed mobility?

Environment safety

Gather needed equipment

Set up for success (ADs, shoes, wheelchair, etc)

What should you do before ggetting into or onto a patient’s bed?

Ask permission

Consider hygiene/contact precautions

What should always be checked before beginning bed mobility?

Bed is locked

What body mechanics should the therapist use during bed mobility?

Position yourself for optimal body mechanics

What should never be done during bed mobility?

Never force a limb

Never pull on a weak limb

What patient safety protocols should be addressed during bed mobility?

Pressure points

Fingernails

Jewelry

Hair

How should movement be coordinated during bed mobility?

Explain the plan

Count down (1, 2, 3, go)

How should the therapist communicate during bed mobility?

Don’t rush

Maintain eye contact

Monitor for signs of distress

How much should the patient participate during bed mobility?

As much as possible

Facilitate normal and safe movement patterns

Why should shearing always be considered before performing bed mobility?

To protect the patient’s skin

What should always be considered before performing bed mobility?

Precautions and contraindications

What is hook lying?

Supine with hips and knees flexed and feet flat on bed

What is bridging?

Lifting the pelvis off the bed while in hook lying?

What movements are included in supine scooting?

Side to side

Up/down in bed

What two types of rolling are taught?

Segmental roll

Log roll

What initiates rolling from supine to side lying?

Turn the eyes and head first

What naturally follows head movement during rolling?

The trunkt

Why is the shoulder abducted during rolling?

Provides stability

Positions the arm for sidelying

Which knee is flexed during rolling?

Bend the knee in the opposite direction of the roll

Roll right—>Bend left knee

Roll left—>Bend right knee

How does the patient generate the roll?

Reach across the body

Push with the foot of the bent leg

How should the patient generate the roll?

Trunk fully sidelying

Extremities positioned comfortably