Early mobilization

Challenges

  • Complications associated with long hospital stay (1)
  • Longer length of hospital stay due to immobility (2)
  • Increased costs for the hospital (3)
  • $9,300 total hospital care costs per stay (3)

Solutions

MOBI-RAIL

The Mobi-Rail combined with the bed height adjustment improves patient stability during egress, reducing lower limb strain by 47% and lower back strain by 41% on average compared to standing without mobilization tools.(4)

Solutions

Brochure

LEVEL 1: BED IMMOBILE

Criteria

Clinically stable, but not able to cooperate in care

Solutions

Reverse Trendelenburg
Vascular leg position
Head of Backrest

LEVEL 2: BED ACTIVE

Criteria

Able to cooperate in self-care and bedbound

Solutions

Reverse Trendelenburg
Vascular leg position
Head of Backrest, Cardiac chair

LEVEL 3: ABLE TO SIT

Criteria

Able to sit upright and move leg against gravity

Solution

Cardiac chair*
Mobi-Grips*
Mobi-Rail*

LEVEL 4: ABLE TO STAND

Criteria

Increased strength for standing activities and participating in transfers to chair

Solutions

Mobi-Grips*
Mobi-Rail*

LEVEL 5: ABLE TO WALK

Criteria

Tolerates walking in the room and independently transfers to chair

Solutions

Mobi-Grips*
Mobi-Rail*
 

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* This tool intends to support the improvement of outcomes for patients and Health Care Professionals. Please be advised that the purpose is to offer guidance and does not replace the need for clinical assessment/judgement.
 
1) Bai AD, Dai C, Srivastava S, Smith CA, Gill SS. Risk factors, costs and complications of delayed hospital discharge from internal medicine wards at a Canadian academic medical centre: retrospective cohort study. BMC Health Serv Res. 2019 Dec 4;19(1):935. doi: 10.1186/s12913-019-4760-3. PMID: 31801590; PMCID: PMC6894295.
2) Cortes OL, Delgado S, Esparza M. Systematic review and meta-analysis of experimental studies: In-hospital mobilization for patients admitted for medical treatment. J Adv Nurs. 2019 Sep;75(9):1823-1837. doi: 10.1111/jan.13958. Epub 2019 Mar 6. PMID: 30672011
3) Fay B. Hospital and Surgery Costs. America’s Debt Help Organization. 12 Oct 2021. Cited: 21 Sept 2022. Available online: https://www.debt.org/medical/hospital-surgerycosts/#:~:text=Hospital%20 costs%20averaged%20%242%2C607%20per%20day%20 throughout%20the,distant%20second.%20If%20 you%20stay%20overnight%2C%20 costs%20soar
4) LINET White paper: Patient mobilization concept of Essenza 200