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Mobility Program Trial
Why Consider Mobility and Function In Our Older Patients? ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Negative Effects of Bed Rest
Decline Can Happen Quickly! ,[object Object]
The Costs of Functional Decline Are Both Human and Financial ,[object Object],[object Object],[object Object],[object Object],[object Object]
Positive Effects of Mobility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
So Let’s Get Moving!! ,[object Object],[object Object]
Program Goals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Target Population ,[object Object],[object Object]
Prior Functional Assessment ,[object Object],[object Object],[object Object],[object Object]
Katz Independence of  ADL’s Scoring Tool Score of 0 = Low, Patient is very dependent Score  of 6 = High, Patient is independent Total Points: ____________ (0 POINTS) Needs partial or total help with feeding or requires parenteral feeding. (1 POINT) Gets food from plate into mouth without help.  Preparation of food may be done by another person. FEEDING   Points:______ (0 POINTS) Is partially or totally incontinent of bowel or bladder. (1 POINT) exercises complete self control over urination and defecation. CONTINENCE   Points:______ (0 POINTS) needs help in moving from bed to chair or requires a complete transfer. (1 POINT) Moves in and out of bed or chair unassisted.  Mechanical transfer aids are acceptable. TRANSFERRING   Points:______ (0 POINTS) Needs help transferring to the toilet, cleaning self or uses bedpan or commode. (1 POINT) Goes to toilet, gets on and off, arranges clothes, cleans genital area without help. TOILETING   Points:______ (0 POINTS) Needs help with dressing self or needs to be completely dressed. (1 POINT) Get clothes from closet and drawers and puts on clothes and outer garments complete with fasteners.  May have help typing shoes. DRESSING   Points:______ (0 POINTS) Needs help with bathing more than one part of the body, getting in or out of the tub or shower.  Requires total bathing. (1 POINT) Bathes self completely or needs help in bathing only a single part of the body such as the back, genital area or disabled extremity. BATHING   Points:______ Dependence  (0 Points)  WITH supervision, direction, personal assistance or total care Independence  (1 Point)  NO supervision, direction or personal assistance Activities  Points (1 or 0) Katz Index of Independence in Activities of Daily Living
Daily Mobility and Functional Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mobility Cards  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mobility Card Levels ,[object Object],3   = / > 5 2   3 to 4 1   < 1 = 2 Mobility  Card Falls Risk  Assessment Score
Mobility Card – Level I
Mobility Card – Level II
Mobility Card – Level III
Nursing Assessment Key Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Assessment Key Points  Continued… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Let’s Get Moving! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mobility Nursing Care Plan Sticker
SBAR
Bed Rest ,[object Object],[object Object],[object Object],[object Object],[object Object]
Up To Chair ,[object Object],[object Object],[object Object],[object Object]
Ambulation ,[object Object],[object Object],[object Object],[object Object]
Lift Equipment ,[object Object],[object Object]
Nursing Intervention Key Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Intervention Key Points Continued…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tips from PT/OT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Tips for Continence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tips for Continence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tips for Continence ,[object Object],[object Object],[object Object],[object Object]
Tips From Nutritionist ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tips From Nutritionist ,[object Object],[object Object],[object Object],[object Object],[object Object]
Working Smarter to Meet the Needs of Our Elder Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Working Smarter to Meet the Needs of Our Elder Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scripting – Patient & Caregiver ,[object Object],[object Object],[object Object]
Scripting – Patient & Caregiver ,[object Object],[object Object],[object Object],[object Object]
Scripting – Patient & Caregiver ,[object Object],[object Object],[object Object],[object Object]
Educate Elders and Family ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient and Family Flyer
Patient and Family Education ,[object Object],[object Object]
Teach Back for Patient Education ,[object Object],[object Object],[object Object],[object Object],[object Object]
Teach Back for Patient Education ,[object Object],[object Object],[object Object],[object Object],[object Object]
Teach Back for Patient Education ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Documentation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mobility Program Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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mobility program cbl (2).pptfinal

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  • 11. Katz Independence of ADL’s Scoring Tool Score of 0 = Low, Patient is very dependent Score of 6 = High, Patient is independent Total Points: ____________ (0 POINTS) Needs partial or total help with feeding or requires parenteral feeding. (1 POINT) Gets food from plate into mouth without help. Preparation of food may be done by another person. FEEDING Points:______ (0 POINTS) Is partially or totally incontinent of bowel or bladder. (1 POINT) exercises complete self control over urination and defecation. CONTINENCE Points:______ (0 POINTS) needs help in moving from bed to chair or requires a complete transfer. (1 POINT) Moves in and out of bed or chair unassisted. Mechanical transfer aids are acceptable. TRANSFERRING Points:______ (0 POINTS) Needs help transferring to the toilet, cleaning self or uses bedpan or commode. (1 POINT) Goes to toilet, gets on and off, arranges clothes, cleans genital area without help. TOILETING Points:______ (0 POINTS) Needs help with dressing self or needs to be completely dressed. (1 POINT) Get clothes from closet and drawers and puts on clothes and outer garments complete with fasteners. May have help typing shoes. DRESSING Points:______ (0 POINTS) Needs help with bathing more than one part of the body, getting in or out of the tub or shower. Requires total bathing. (1 POINT) Bathes self completely or needs help in bathing only a single part of the body such as the back, genital area or disabled extremity. BATHING Points:______ Dependence (0 Points) WITH supervision, direction, personal assistance or total care Independence (1 Point) NO supervision, direction or personal assistance Activities Points (1 or 0) Katz Index of Independence in Activities of Daily Living
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  • 15. Mobility Card – Level I
  • 16. Mobility Card – Level II
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