Mobility

In the Nursing field, the importance of this topic was always a priority. The Nursing field defends that the Nurse must help the person to achieve the independence as quickly as possible: “maintaining the movement and keep the proper posture”.

However, it is and it will always be necessary to assess each situation individually, including the person’s clinic situation, the risks associated with mobility and medical indications, mostly in the elderly age group that is most vulnerable to the effects of mobility changes.

It is the Nurse who, in the scope of his competences and alongside other health professionals, directly intervenes, developing strategies that promote the self-care and family and social reintegration.

The positioning/alternation of decubitus is essential and indispensable in people with alternations in their mobility, once they tend to exert bigger pressure in the bone areas, when subject to long periods in the same position.

The main objectives of the positioning are:

  • Prevent the complications associated to immobility, such as pressure wounds;
  • Provide comfort.

For the relief of the pressure areas and prevention of future wounds, it’s needed to have:

  • Alternation of decubitus (sides): the longer the period of pressure from the body area into a surface, the bigger the risk of developing pressure wounds;
  • Skin surveillance and hydration, with hydrant cream;
  • Adequate nutritional and water support.

The home material used in positioning must be provided by the caregiver.

The nursing material is provided by the Nurse, with exception of the nursing material for continuous use, which must be indicated by the Nurse and provided by the caregiver.

A transfer is a pattern movement from which a person moves from a surface to another. A person can transfer herself or be transferred, from the bed to a wheelchair/ armchair/ sofa, and vice versa.

Transfers must be performed by the Nurse with the support of the operational assistant (direct action assistant) or other care providers, as long as they are informed of the procedure. The technique to use depends on the collaboration that the person in need can give.

The home material used in transfers must be provided by the caregiver.

The nursing material is provided by the Nurse, with exception of the nursing material for continuous use, which must be indicated by the Nurse and provided by the caregiver.

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