Early mobilization

Challenges

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

Solutions

LEVEL 0: BED IMMOBILE

Criteria

Clinically stable, but not able to cooperate in care

Solutions

Lateral Tilt
HOB
Reverse Trendelenburg
Vascular leg position
 
 

LEVEL 1: BED ACTIVE

Criteria

Able to cooperate in self-care and bedbound

Solutions

Lateral Tilt
HOB
Reverse Trendelenburg
Vascular leg position
Mobi-Grips
Cardiac chair*

LEVEL 2: ABLE TO SIT

Criteria

Strong enough to sit upright and able to move leg against gravity

Solutions

Mobi-Grips*
Cardiac chair*
 
 
 
 

LEVEL 3: ABLE TO STAND

Criteria

Increased strenght for standing activities and actively participates in transfers to chair

Solutions

Mobi-Grips*
Lateral tilt*
 
 
 
 

LEVEL 4: ABLE TO WALK

Criteria

Tolerates walking in the room and independently transfers to chair

Solutions

Mobi-Grips*
Lateral tilt*
 
 
 
 



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(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 cohortstudy. 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-surgery-costs/#:~:text=Hospital%20 costs%20averaged%20%242%2C607%20per%20day%20 throughout%20the,distant%20second.%20If%20 you%20stay%20overnight%2C%20 costs%20soar