Early Mobility

The concept that safe and early mobility helps patients recover faster is supported by published clinical evidence.1-6 Hill-Rom is uniquely positioned to provide a total, integrated portfolio of solutions and clinical support that encourages early mobility and facilitates safe, efficient and dignified care.

The consequences of immobility

People who are immobile without regular physical activity are at risk of developing serious physical and psychological problems.  This manifests itself differently in Acute and Long Term Care and can include problems such as ventilator associated pneumonia, delirium, blood clots, pressure ulcers, weak bones, deterioration of muscle mass, constipation and depression.7, 8 In fact, restricted mobility can result in functional decline in up to 50 % of cases.5 In addition, for the caregiver, lifting residents accounts for up to half of all work-related injuries.9

1. Dasta JF, et al. Daily cost of an intensive care unit day: the contribution of mechanical ventilation. Crit. Care Med. 2005; 33:1266-1271.
2. Bailey P, et al. Early activity is feasible and safe in respiratory failure patients. Crit. Care Med. 2007; 35:139-145.
3. Morris PE, et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit. Care Med. 2008; 36:2238-2243.
4. Schweickert WD, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomized controlled trial. Lancet. 2009; 373:1874-1882.
5. Titsworth WL, et al. The effect of increased mobility on morbidity in the neuro- intensive care unit. J. Neurosurg. 2012; 116:1379-1388.
6. Winkelman C. Bed rest in health and critical illness: a body systems approach. AACN Adv. Crit. Care. 2009; 20:254-266.
7. Cumming T. et al. 2008. The effect of very early mobilization after stroke on psychological well-being.
8. Nigam Y, et al. Effects of bed rest 3: musculoskeletal and immune systems, skin and self-perception. Nurs. Times. 2009; 105:18-22.
9. Brophy et al. Reducing incidence of low-back injuries reduces cost. Jul/Aug 2001.

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