Mobility and Immobility

Mobility is necessary for a patient to perform different activities. If mobility is affected, the patient may not be able to function properly or perform activities of daily living. It can result in mental and emotional disturbances such as frustration or depression in the patient. The patient may even start losing self-esteem. There can be physical changes such as body deformities which can result in further complications.

The CNAs can assist such patients by helping with different exercises that can maintain muscle condition and function. Such exercises are prescribed by a physical therapist and are called range of motion (ROM) exercises. Some patients may need assistance when performing the exercises. On the other hand, some patients can perform full joint movement without any assistance.
Other than ROM, the patients can be encouraged to perform routine exercises and mobilization as prescribed. This will promote circulation and prevent complications.

The other way of assisting immobile patients is by using assistive devices. For instance, a mechanical lift is used to lift a patient safely. Special attention should be paid to positioning devices to ensure that the patient is correctly positioned while lifting or transferring to another bed. If the patient’s body parts are not correctly positioned, there is a risk of injury or accident.

Immobilization increases the risk of skin breakdown and sores. To avoid this, the patient should be repositioned every two hours. This will avoid pressure on bony prominences and avoid friction and skin breakdown. Pressure relieving mattresses can also be used to avoid pressure sores.