Mobilization

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Mobility support

As mobilization , all nursing measures carried out in professional nursing are described that serve to promote and maintain the mobility of the person being cared for. The loss of the skills necessary for this, in addition to a loss of physical function, leads to limitations in independence and can lead to complete dependence and social isolation. The mobilization measures are intended to reduce or eliminate these restrictions in accordance with the resources available to the person in need of care , and to avoid problems caused by immobility such as contractures , bedsores or reduced respiratory function within the framework of planned care .

Goal setting

The goals of mobilization are defined in nursing standards. The basic objective is to maintain the independence of the well-groomed, taking into account its existing possibilities. The basic aim of mobilization is to maintain and promote physical mobility, the highest possible degree of individual safety in movement, independent dressing and undressing and personal hygiene, correct application and wearing of the necessary prostheses , independent or assisted movement within the home and that Safe and as independent as possible leaving and finding the living environment and thus maintaining social contacts.

restrictions

Mobility restrictions arise partly as a natural consequence of increasing age and the pain associated with certain movements caused by diseases of old age. Other restrictions arise, for example, from the consequences of surgical interventions, the loss of body parts, from paralysis or from depressive moods. The limitations range from minor, independently compensable impairments (such as not being able to lift one's arm over one's head when getting dressed) to being completely bedridden and fully dependent on the support of the caregiver.

Determination of the need for care

As part of care diagnostics , the need for care with regard to mobility is recorded with a conversation or an examination . This is done on the one hand through discussions with the person in need of care, their relatives and in some cases also the attending physician, on the other hand classification systems such as the geriatric assessment , the Barthel index or Norton scale are used, which in addition to an assessment of mobility and the corresponding resources also record the nursing problems and necessary prophylaxis resulting from immobility . On this basis, a care plan is created that records individual problems and resources and defines the care goals and describes the measures necessary to achieve them.

Mobilization measures

Group skill exercise as a physiotherapy offer in a nursing home

Mobilization is carried out based on the measures described in the care plan. This can include, for example, a change of position such as sitting up and transferring the patient from the bed to a wheelchair , assistance with largely independent personal hygiene or assistance with leaving the apartment. In activating care , which encourages the person being cared for to participate in the care, for example asking an immobile person in need of care to perform individual steps, mobilization is part of many care activities. In the context of other care measures, such as pressure ulcer prophylaxis or breathing stimulation , mobilization is also incorporated.

Mobilization includes advice and information for the person being cared for and their personal environment, but also the accompanying observation of the person in need of care and the organization of any additional measures such as occupational or physiotherapy in consultation with the treating doctor.

documentation

All nursing measures carried out for mobilization are recorded in the nursing documentation and compared with the defined nursing goals. This is used to document the care process and enables continuous adjustment to the current care situation and, if necessary, a correction of the planned measures.

literature

  • Walter Maletzki, Angelika Stegmayer: Clinic Guide Care. Elsevier, Urban & Fischer Verlag, 2008, ISBN 978-3-437-26162-6 .
  • Angelika Zegelin: Being nailed down - the process of becoming bedridden. Verlag Hans Huber, 2005, ISBN 3-456-84211-2 .
  • Ingrid Völkel, Marlies Ehmann: Special care planning in elderly care. Elsevier, Urban & Fischer Verlag, 2006, ISBN 3-437-47940-7 .
  • Elisabeth Höwler: Preventing bedridden elderly people: Breaking the fateful cascade. In: Care magazine. 59, 2006, p. 2.
  • Claudia Wessel: When the body no longer obeys. Whether it is a tumor or a muscle disease - parents who can hardly move also suffer from children. In: Süddeutsche Zeitung. November 25, 2005.

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