SKILLSL: Ambulation, Position & turning, Safe transfers, sequential compression devices (SCDs), Anti-embolism stockings

risks of immobility in patients

• decreased muscle strength

• deep vein thrombosis

• paralytic ileus

start the client ambulating and exercising early on in the recovery process

What conditions can patients develop after being on bed rest or immobile for some time

orthostatic hypotension or vertigo

Ambulating process procedure

Remember to always ensure patient can tolerate positioning before moving onto next step

1. have patient sit up for a few mins

2. have them dangle feet on the edge of bed for a few mins

3. have them stand by the side of the bed

4. if all steps are tolerated, start ambulation

5. if patient gets dizzy or begins to fall, grab onto gait belt to help them to the floor

6. place one leg forward to allow them to support as they go down

7. bend at the knees as you help the client to the floor to protect lower back ​

Three-point gait ambulating with crutches

When performing a three-point gait, the correct procedure is to advance the crutches while bringing the affected left forward. The client then advances the unaffected leg.

Arthroplasty

is a surgical procedure to restore function in a damaged joint by resurfacing or replacing it with an artificial prosthesis