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Early Mobility Walkers for Hospitals and Rehabilitation Clinics. The benefits of early and progressive mobility programs are well-established in the acute care setting.

ICU Cardiac Walker for Early Mobility the SPH Medical RoWalker
Categoriesearly mobility

SPH Medical RoWalker: The Superior Cardiac Platform Walker for ICU Early Mobility Programs

by sphmedicaladmin

In the realm of healthcare safety and mobility, SPH Medical stands at the vanguard of innovation. Today, we spotlight a product that exemplifies our commitment to excellence the SPH Medical RoWalker, the unrivaled cardiac platform walker for ICU early mobility programs.

The Imperative of Early Patient Mobility in ICUs and Rehab Settings

The critical role of early patient mobility in Intensive Care Units (ICUs) and rehabilitation settings is a well-documented fact in contemporary medical research. A growing body of evidence strongly emphasizes the substantial impact of early mobilization post-treatment in expediting recovery times.

A study published in Springer’s Intensive Care Medicine journal underscores the importance of initiating physical rehabilitation within a few days after ICU admission source. Similarly, research featured in ScienceDirect reveals that a controlled trial using a dedicated mobility team significantly enhanced the effectiveness of early mobilization in the ICU setting.

Furthermore, an article in the American Journal of Nursing demonstrates the efficacy of early mobility in an ICU setting, revealing improved patient outcomes following the implementation of an early mobility program source. Another study in the Physical Therapy Journal found that a nurse-driven mobility protocol provided significant benefits to ICU and intermediate care unit patients.

Moreover, research published in Sage Journals associates the implementation of an early rehabilitation program with a reduced length of stay in multiple ICUs source. A systematic review in PLOS ONE also suggests that early mobilization during ICU stay may lead to more considerable benefits, particularly in settings where there is currently no early intervention.

However, despite the overwhelming evidence supporting early patient mobility, implementing these critical protocols can present significant challenges. This is particularly true when accommodating the diverse needs of patients of different sizes. It is in this context that the RoWalker emerges as a game-changer, providing an innovative solution to address and overcome these challenges.

Introducing the SPH Medical RoWalker

The RoWalker is nothing short of a revolution in the field of early mobility. Designed with meticulous precision to overcome the hurdles of ICU early mobility programs, it places patient safety and comfort at the forefront, catering to patients of all sizes with unerring ease. It’s the definitive solution for early patient mobility.

Standout Features of the SPH Medical RoWalker

The RoWalker’s design marries functionality with cutting-edge innovation. It boasts an adjustable height setting to accommodate a wide range of patients. Integrated seat flaps not only prevent falls but also allow patients to rest when necessary, fostering a sense of autonomy and dignity in care.

What truly sets the RoWalker apart is its impressive weight capacity of up to 400lbs, making it an all-encompassing choice for patients of all sizes. Furthermore, it offers optional accessories such as an IV Pole, Oxygen Tank Holder, and a front basket, ensuring that even the most complex ICU patients have all necessary equipment during ambulation.Features of the SPH Medical RoWalker

  • Boasting a remarkable weight capacity of 400 lbs
  • Facilitate early patient mobility and expedite hospital discharge times
  • Encourage patients to surpass their mobility milestones
  • The RoWalker accommodates all essential equipment for complex patients; IV Pole, O2 tank holder, basket for cardiac monitor
  • Minimize the risk of falls with superior safety features including seat flaps
  • Padded Table / Arm Rests are width adjustable
  • Directional Locking castors allow the RoWalker to track in a straight line down hallways

Directional casters are standard on the SPH Medical RoWalker

The Unrivaled Benefits of the SPH Medical RoWalker

The RoWalker transcends the definition of a mobility aid; it’s a watershed moment in patient care. By enhancing patient mobility, reducing injury risk, and improving comfort levels, the RoWalker is redefining standards of care. Real-world case studies bear testament to these benefits, demonstrating a marked improvement in patient recovery times with the integration of the RoWalker into care routines.

The RoWalker at Work: Empowering Patients of All Sizes

Patients of all sizes often grapple with unique mobility challenges, necessitating specialized care and equipment. The RoWalker, with its robust construction and accommodating design, is tailor-made to meet these needs. Our data unequivocally shows a significant surge in early patient mobility among patients of all sizes following the introduction of the RoWalker, underlining its unmatched effectiveness.

Conclusion: The Game-Changing Impact of the SPH Medical RoWalker

The RoWalker represents a seismic shift in early patient mobility. Its innovative design, coupled with its extraordinary safety features, cements its position as the gold standard of early mobility platform walkers. We extend an invitation to healthcare professionals committed to enhancing patient outcomes to experience the transformative power of the RoWalker firsthand.

In conclusion, the RoWalker by SPH Medical is more than a product it’s a pledge. A pledge to enhanced patient mobility, unparalleled care, and expedited recovery times. Embrace the future of patient care with the RoWalker today.

Physical Therapists are supportive of Safe Patient Handling to promote functional improvement without risk of injury
Categoriesearly mobility,  Patient Handling,  Slings and Lifts

Championing Safe Patient Handling Practices and Early Patient Mobility

by sphmedicaladmin

The American Physical Therapy Association: Championing Safe Patient Handling Practices and Early Patient Mobility

The American Physical Therapy Association (APTA), founded in 1921, has been instrumental in transforming lives and strengthening the physical therapy profession for over a century. With a mission rooted in improving the health and quality of life of individuals and communities, the APTA has consistently championed safe patient handling and early patient mobility practices across healthcare settings in the United States.

The Importance of Safe Patient Handling

Safe patient handling is crucial for both healthcare providers and patients. For providers, improper patient handling can lead to serious injuries, including musculoskeletal disorders. According to the Bureau of Labor Statistics, healthcare workers suffer from back injuries more than any other occupation2.

Patients are also at risk. Improper handling can result in falls, discomfort, and incorrect positioning, leading to potential complications and longer recovery times.

The APTA’s Role in Promoting Safe Practices

Recognizing these challenges, the APTA has devoted significant effort towards promoting safe patient handling. Their strategies encompass education, advocacy, and the promotion of innovative tools and techniques.

The APTA provides robust educational resources to healthcare professionals, including guidelines, webinars, and workshops. These resources focus on proper patient handling techniques, injury prevention, and the use of assistive equipment3.

In terms of advocacy, the APTA works tirelessly to promote policies and regulations that prioritize safe patient handling. They collaborate with healthcare organizations, policymakers, and other stakeholders to influence change at both the systemic and practice levels.

As part of their commitment to innovation, the APTA promotes the use of modern equipment and interventions that facilitate safe patient handling. These include lift aids, transfer devices, and other ergonomic solutions that reduce the physical strain on healthcare workers and enhance patient safety.

Reinforcing the Mission of the APTA

The APTA’s mission to improve patient safety through safe patient handling practices is more than just an organizational goal – it’s an essential component of a stronger, safer healthcare industry. By educating providers, advocating for better policies, and promoting innovative solutions, the APTA is leading the way towards safer patient handling and enhanced healthcare outcomes.

The work of the APTA serves as a reminder of the power of collective action in transforming healthcare practices. As we move forward, let us continue to support and champion these efforts, ensuring a safer and healthier future for all.

Early Mobility Walkers and Sit to Stand Lifts: Revolutionizing Patient Care

In recent years, there has been a significant increase in the use of Early Mobility Walkers and Sit to Stand lifts in care facilities and hospitals. These devices are being championed by the American Physical Therapy Association (APTA) and physical therapists across the nation as they work tirelessly to promote their patients’ functional goals.

The Power of Early Mobility Walkers

Early Mobility Walkers are designed to support patients who need assistance with weight-bearing. These devices are incredibly beneficial, providing stable support that enables patients to safely practice walking and balance training. They are particularly effective for individuals recovering from surgery or those with conditions that affect balance and mobility. By using these walkers, physical therapists can help patients regain confidence in their movements, promoting faster and safer recovery.

Sit to Stand Lifts: Promoting Independence

On the other hand, Sit to Stand lifts offer a lifeline for patients who may struggle with the simple yet critical task of standing up from a seated position. These lifts provide a safe and supportive mechanism that aids patients in achieving a standing position independently. This not only boosts the patient’s confidence but also helps maintain muscle strength and joint flexibility, which are crucial for overall mobility. The MiniLift 160 and MiniLift 200 offered by SPH Medical are two examples of powered sit to stand lifts used in healthcare facilities today.

Physical therapists leverage these devices to support their patients’ functional goals, enabling them to make strides towards independence in a safe and controlled manner. The use of Early Mobility Walkers and Sit to Stand lifts is a testament to the APTA’s commitment to advancing patient care through innovative solutions. SPH Medicals complete line of platform walkers like the Rise and Go, EVA Walker and, Bure XL Walker are good examples of early mobility walkers used in hospitals.

A Win-Win Scenario with Safe Patient Handling and Early Patient Mobility

The introduction of these interventions has proven to be a win-win scenario. They not only reduce hospital stays and associated costs but also significantly enhance the quality of life for patients. By promoting independence and mobility, these devices empower patients to reclaim their daily routines, marking a vital step in their journey towards full recovery.

In conclusion, the APTA and physical therapists continue to lead the way in revolutionizing patient care. Through the use of Early Mobility Walkers and Sit to Stand lifts, they are helping patients achieve their functional goals, underlining the power of innovation in enhancing healthcare outcomes.

SPH Medical Early Mobility Walkers
Categoriesearly mobility

Early Mobility Walkers Improving Outcomes

by sphmedicaladmin

Early Patient Mobility (EPM) is a practice that focuses on the early mobilization of patients, especially post cardiac surgery, to improve their outcomes. This practice has gained traction in recent years as its advantages and benefits have become known. By using an appropriate device such as the Rise and Go Platform Walker, RoWalker, or the Early Mobility EVA Walker nurses can help reduce hospital stays by encouraging movement and mobility earlier than would be otherwise possible.

Early mobility walkers provide a great advantage to nurses and patients alike. They allow for the patient to easily stand from a sitting position, which is especially beneficial post cardiac surgery when strength and energy levels are low. This standing frame also provides stability as the patient takes steps, making it safer than trying to take these early steps without proper support. Additionally, by providing an appropriate device such as the Rise and Go Platform Walker, RoWalker or Early Mobility EVA Walker, nurses can help reduce hospital stays by encouraging movement and mobility earlier than would be otherwise possible.

Overall, early patient mobility has many advantages that benefit both patients and nurses. By using appropriate devices such as those mentioned previously nurses can ensure that their patients are able to move about safely and effectively, thus improving patient outcomes whilst reducing hospital stays. With the right device and proper guidance from nurses, early patient mobility can help patients return to their everyday activities sooner than expected.

Benefits of the Rise and Go Platform Walker

The SPH Medical Rise and Go platform walker is an affordable, safe, and comfortable solution for early patient mobility and ambulation. It comes with a patented electric power rise function that enables patients to move from sitting to standing with ease while minimizing the strain on caregivers. The walker has lockable castors, an IP65 waterproof rating, and a unique power rise harness that promotes a natural standing action, making it easier and safer to move from sitting to standing. The electric walking frame widening feature makes it easier for patients to stand up from a sitting position, even if they are in a wheelchair, bed or chair.Early Mobility Walker Rise and Go

The Rise and Go platform walker has an open, reinforced design for optimal stability during the standing maneuver, providing caregivers and patients with greater peace of mind. The sustainable design includes additional reinforcement bands that extend around the armrest cushion, reducing strain and warding off wear and tear. This feature increases lifespan and reduces costs for nursing homes, hospitals, private individuals, and other facilities.

The Rise and Go platform walker is suitable for early patient mobility, with height-adjustable shin supports that assist patients in achieving the right leverage and an anatomical cushion that enhances overall stability, providing support and relief to the arms, neck, and shoulders while shifting weight to the more powerful leg and chest muscles.

The hand controller on the walker is accessible to caregivers and patients, with ergonomic handles that can be adjusted in every direction for stroke patients who need to find the right positioning for their hands quickly. The flexible strapless adjustment makes it easy to set up the walker ahead of time, while folding armrests make it easy to store.

In summary, the SPH Medical Rise and Go platform walker is an excellent investment for anyone looking to provide patients with a safe, comfortable, and reliable solution for early mobility and ambulation. With features like electric power rise function, lockable castors, IP65 waterproof rating, and electrically driven frame widening, this walker provides optimal support and patient care. The sustainable, durable design ensures a long lifespan, making it a cost-effective solution for nursing homes, hospitals, private individuals, and other facilities.

Benefits of the Rowalker, “Early Mobility Walkers”

The SPH Medical RoWalker is a highly effective mobility device that enhances patient safety, particularly during walking. Featuring state-of-the-art designs, this mobile standing frame is perfect for low-functioning patients, post-cardiac and/or abdominal surgery patients, and nursing and rehab patients. The RoWalker is equipped with numerous features that make it ideal for patients in a variety of settings, including ICU’s, Med Surg, Ortho, Rehab, and more.SPH Medical RoWalker

One of the main advantages of the RoWalker is the built-in seat pads that offer exceptional comfort and fall prevention. The unique split seat pads allow patients with weak legs to rest comfortably and safely while preventing falls. With adjustable settings that cater to individual users, the RoWalker is suitable for anyone, including short to very tall patients.

Moreover, the RoWalker provides excellent support for both walking and standing training, and it is perfect for early mobilization. It also enables staff to provide extra support to patients who are taking their first steps with the RoWalker. The seat flaps offer an excellent safety feature for patients as they walk, providing the opportunity to rest and challenge themselves to take more steps.

In addition to its other features, the RoWalker is fitted with padded forearm supports that are adjustable, ensuring an optimal fit for each patient. The soft knee pads offer patients extra support during standing while also protecting them during walking. The width-adjustable base allows for easy access to chairs and wheelchairs, making it easy and convenient to maneuver. The RoWalker comes with rear castors that enable straight walking, and front wheel brakes that lock and unlock easily.

Finally, the RoWalker is equipped with numerous accessories to enhance its effectiveness. The hospital’s nursing, therapy, and respiratory staff can take advantage of the telescoping IV pole, customized basket to support cardiac monitors, multiple attachment options for oxygen tanks, and supports for drainage bags. With all these features and benefits, it is no wonder that the RoWalker is widely regarded as the gold standard of early patient mobility devices.

Benefits of the Early Mobility EVA Walker

The Early Mobility EVA Walkers are available in manual (pneumatic) and electric raising versions. Both models offer post-op patients maximum comfort and stability during their rehabilitation process. With an ergonomic design, these walkers provide unparalleled support to those undergoing early walking exercises, ensuring a safe and effective recovery. The walkers come with padded, molded arm pads featuring sculpted forearm cutouts to prevent arms from sliding off, convenient round-shaped, forward-facing handgrips for an improved ergonomic grip, and an adjustable width between armrests (12″-19″), making it perfect for institutions with multiple users.

The height adjustment lever mechanism located under the front armrest support frame allows easy customization of the walker, accommodating users up to 6’5″/198cm tall. EVA Walkers also include non-marring casters with step-on wheel locks, making them an ideal aid for indoor use. For added safety, Step-on locking brakes are present on two rear casters, while the Handbrake model includes a locking brake on the hand grips.

Electric EVA Walkers come with directional steering casters that enable the user to control the direction of the walker. Front brakes engaged when the patient stands or gets in or out of the walker, while rear casters lock in a straight line with the frame, keeping the walker from drifting sideways, making it especially helpful for patients who have difficulty walking in a straight line. The caster locks can be disengaged to enable a 360-degree swivel and tight turns, promoting independence and building patients’ confidence.Pendant Hand Control for the Electric EVA Platform Walker

The Electric EVA Platform Walker offers further convenience, with battery-operated height adjustment that adjusts between 36 1/2″ and 50″, and lifting capacity of 220 lbs (100 kg) for supporting patients during active standing. The walker comes equipped with an independent pendant hand control for easy operation and two 12v 2.9 rechargeable batteries that provide up to 6 minutes of continuous use per hour and a minimum of 50 up/down movements between charges.

SPH Medical Early Mobility Walkers provide safe, customizable, and effective mobility solutions for post-op patients during their rehabilitation process, maximizing their chances of a full recovery. Invest in the well-being of patients by working with SPH Medical to mobilize your patients.

Mobility Walkers by SPH Medical

Overall, the portfolio of Early Mobility Walkers from SPH Medical offer a wide arrange of options for use by nurses and Physical Therapists when attempting to implement early patient mobility practices. They offer optimal safety and support to patients, while providing improved outcomes and reduced hospital stays. With adjustable height settings, nurses can ensure that their patients are able to move about safely and effectively with minimal risk of injury or over-exertion. These unique Early Mobility Walkers also provide options for improved fall prevention with the RoWalker’s built-in seat flaps and the harness options available on the Rise and Go Platform Walkers.

Functional Progression Made Easy with SPH Medical's Nested Foot Stools
Categoriesearly mobility

Ambulation Training Using Modular Steps

by sphmedicaladmin

Ambulation Training Using Modular Steps

Physical therapists know that the key to helping their patients recover from an injury or illness is to provide them with safe and effective ambulation exercises. In a rehab gym setting, modular steps can be used as an effective way for physical therapy staff to help their patients gradually increase endurance, balance control, and strength while remaining safe in their movements. By starting with smaller sizes of steps and progressing through large ones, physical therapist can create customized training plans tailored to each patient’s strength level and progress rate. Read on find out how else modular steps are revolutionizing the way physical therapists approach ambulation training!

Modular steps can be used to create a variety of ambulation exercises. For example, physical therapists may have their patients practice walking up and down the steps in both directions for a greater challenge. They can also incorporate upper body strength and stability drills by having their patients stand on the modular steps and perform arm raises, leg lifts, squats or other body weight exercises. Additionally, because the modular steps are adjustable in size and height, they can be used to simulate different terrains that a patient may need to negotiate in everyday life.The Rolling Step by SPH Medical is perfect for ambulation training in small clinics or any rehab gym

Lastly, when physical therapists use modular steps for ambulation training, they know that their patients are training on a safe surface. Modular steps provide superior traction and allow for better stability, reducing the risk of slips or falls during exercises. They are also lightweight and easy to transport so physical therapists can move them around the rehab gym as needed.

Overall, modular steps are an invaluable tool for physical therapists who are looking to provide their patients with safe, effective ambulation training. With adjustable sizes and heights, they can create a variety of exercises tailored to each patient’s individual needs. In addition, they offer greater stability than other surfaces do which allows for safer movements during recovery. Give your patients the best chance at success by incorporating modular steps into your facility!

There is a new trend in physical therapy rehabilitation called overground training. Overground gait training can be defined as a physical therapists’ observation and cueing of the patient’s walking pattern along with related exercises, but does not include high-technology aids such as functional electric stimulation or body weight support. That being said, researchers at USC University in Southern California are using SPH Medical’s overhead patient lift system for overground training. This innovated lab environment uses an X-Y patient lift system to support a patient only if they fall while walking over ground. Utilizing a variety of harness options, the research team can evaluate and observe the subjects walk over normal and uneven surfaces that mimic the real world.  The design team at SPH Medical worked with the USC researchers to design a system that provided very little impact on the subject that is walking while offering the fall protection to catch the subject if they were to fall.  The purposes of the research being performed is to look at how the body reacts or anticipates potential falls while walking over uneven surfaces. The results may provide clues to how the body reacts and any early precursors to falls that can be measured and predicted.  This research may benefit post stroke patients and many others.

Regardless of the setting, modular steps are a great way to provide ambulation training for patients. Whether using them in a traditional gym environment or with more innovative overground approaches, physical therapists can help their patients get the most out of their recovery by incorporating the use of modular steps into their rehabilitation plan. Modular steps offer stability and support

SPH Medical offers a variety of modular steps and ramps to meet your facility’s needs. Browse our selection today and find the perfect one for your ambulation training!

If you have any questions or would like more information, please contact us at any time. We look forward to helping you find the best solution for your rehab gym. Visit our product pages here to order your steps today.

Early Patient Mobility and the SPH Medical RoWalker
Categoriesearly mobility

Advancements in Early Mobility

by sphmedicaladmin

As the years go by, more and more patient care programs and trends are making their way into the mainstream. One area that has received a plethora of focus in recent years is the advancements in early mobility benefits for those in the ICU and critical care units. If your hospital doesn’t currently have a formal early patient mobility program, it’s time to consider implementing one.

The Biggest Problems With Bedridden Patients

Any nurse that has ever spent time on the floor can tell you that bedridden patients experience numerous health issues beyond their current diagnosis. A big one is muscle deconditioning or weakness that occurs when the muscles aren’t adequately used. Some other notable issues patients experience include delirium and depression.

Fighting These Problems With Early Mobilization

A major solution that has helped to greatly reduce and even eliminate some of these unhealthy conditions in patients is the implementation of early mobilization. Both patients in the ICUs and critical care units have been noted to enhance all of the following:

  • Functional Recovery
  • Walking Distance
  • Reduced Length of Stay
  • Respiratory Function
  • Cardiac Health
  • Muscular Function

While the benefits of early mobilization can have any nurse or PT excited about being able to help their patients even more, implementing this type of program at your hospital requires some planning and clinical input. Not only do you need to convince staff members and patients alike that early mobilization is the key to their best and fastest recovery, but you need to have the right equipment to get the job done.

The SPH Medical RoWalker Platform Walker Providing Advancements in Early Mobility

This acute care ambulation walker is the product of more than ten years worth of collaboration with physical therapists, interdisciplinary nurses, cardiothoracic surgeons, and respiratory therapists. It’s ergonomically designed and provides patients with optimal physical security so that they’re more confident when getting out of bed for the first time. In many cases patients are afraid to get out of bed and stand for the first time. They don’t trust their own legs to support them and also don’t trust the nurse or therapist to prevent them from falling.

Optimal Patient Security

The RoWalker provides an optimal level of patient security with adjustable hand grips, optional support belt, and other unique features. Now you can support early patient mobility with fewer staff members without compromising patient safety. The RoWalker will be sure to fit perfectly into your safe patient handling program, and you’ll be confident knowing that your patients can ambulate with a proven device that has been used in many evidence based mobility programs across the country.

This helpful device utilizes an optional ambulation belt that can be used to assist a low-functioning during walking for fall prevention. This is a great add on to a device that already has everything. With adjustable height levels, the RoWalker can support patients of all heights and sizes. It features two convenient hand grips complemented by padded arm rests to offer optimal patient support.

Additionally, and perhaps most importantly, there are seat flaps that flip up and can also be rotated outwards 180 degrees so that the RoWalker can be brought right up to the bedside so that patients can feel more comfortable standing and taking their first steps.

The seat flaps go a long way in preventing unwanted falls and providing opportunities for rest for both the patient and your staff members alike. Now with the built in seat flaps you don’t have to drag a wheelchair behind the patient during ambulation and fewer staff are required when ambulating ICU patients.

The SPH Medical RoWalker supports IV and Oxygen

Designed With Patient Needs in Mind

The SPH Medical RoWalker is designed with various components that can easily house patient necessities to ensure that they’re under optimal care throughout their mobilization program. The RoWaker has an integrated IV pole, a convenient oxygen tank holder, and a large front basket that can support a portable ventilator or cardiac monitor. You’ll find adequate room for all of the assistive devices that your patients need.

Advancements in early mobility are becoming more and more prominent as its many benefits for the body continually become cited by medical facilities and practitioners. The SPH Medical RoWalker can be the perfect assistive device to help patients in your ICU and critical care units get up and move sooner. With so much evidence supporting the use of early patient mobilization in hospitals, you simply can’t afford not to integrate this program into your facility.

The SPH Medical Rowalker supports Early and Progressive Mobility
Categoriesearly mobility

Early and Progressive Mobility Essentials

by sphmedicaladmin

Although there are cases where a patient leaving bed is not possible for a variety of reasons, in the majority of cases, encouraging a patient to become mobile is beneficial. Early and progressive mobility essentials are beneficial for both the patient’s physical healing and mental well-being.

Getting patients out of bed early in the healing process reduces:

  • The length of time a patient must be mechanically ventilated
  • The overall length of stay in the intensive-care unit
  • Short-term complications
  • Long-term physical and mental disabilities

Patients also won’t need as many sedatives when they ambulate, and any sedatives they need, for whatever reason, will not be at high dosages. Too, helping a patient be mobile is a bonding process between not only the patient and the staff but also between staff members, which can only improve the level of care. Such improvement is not limited to that of the patient in question, either, as the bonding between the various staff members will affect every patient who is under their care.

In 2015, the Journal of the American Medical Association Internal Medicine published Hodgson et al., a study on the positive impact of early mobility on elderly patients who had been mechanically ventilated. The mobilized patients exhibited higher scores on the Medical Research Council Dyspnea Scale than those who were not mobile. They also lived longer post-discharge than those who could not become mobile.

Some other evidence based benefits of early mobility on patients after discharge include the following:

  • More than a third of patients avoided ICU-Acquired Weakness.
  • If a patient experienced ICU-Acquired Delirium, the duration of such delirium was 50% shorter than in those patients who were not mobile.
  • Patients required 10% less time on a ventilator.
  • More than 50% of patients were independently functional post-discharge.
  • One in eight patients who would have otherwise died survived.

Progressive Mobility Essentials For New Patient Mobility Strategies

Aside from the multidisciplinary approach, there are other strategies for hospital staff regarding early patient mobility. They must assess each patient individually and realize that not every patient will be able to be mobile. Even if a patient cannot get out of bed, for example, there are things that the patient can do with a nurse or physical therapist while remaining in bed. Exercises, turning to different positions to avoid bedsores, and just sitting up can work wonders.

Safety is also obviously a concern. A patient might be willing, but the parameters of the case might make it impossible for the person to be safely mobile. Also, even though you might adopt general safety criteria, each case requires well-reasoned decision making regarding mobility. This highlights the great strength of the multidisciplinary strategy. Throughout the team, there will be enough experience and expertise to make the right decisions regarding early patient mobility.

The Banner Mobility Assessment Tool, or BMAT, as is is now known, is a common tool that is used to asses the mobility level of a patient by going through some simple functional tests. The test are fairly simple but yield validated results. The nurse will have the patient sit and shake, stretch and point, stand, then walk. After going through the BMAT assessment the patient is given a BMAT level, 1, 2, 3, or 4. If after the level 3 standing test the patient can bear weight but if any assistive device (cane, walker, crutches) is needed, patient is determined to be Mobility Level 3, and the appropriate assistive tool should be selected. A validated Nursing mobility assessment is often the cornerstone of a sustainable program. As part of California’s AB1136 (CA LC 6403.5) legislative requirements, a validated patient mobility assessment tool provides valuable documentation about patient mobility status and communication between staff.The Banner Mobility Assessment tool provides validated results

The RoWalker for Early and Progressive Mobility Essentials

After assessing the patients’ mobility level, one of the best ways to get a patient up and moving as part of a safe patient handling program is to use a sturdy and stable platform walker, such as the SPH Medical RoWalker. This kind of walker is the best choice because it has wheels with directional casters and brakes on the wheels. With these features,
the nurse or therapist can safely get a patient standing at bedside with the brakes on, or walk the length of a hallway without drifting from side to side, a key benefit of the directional casters.

Additionally, having a rolling walker with the proper attachments makes it a snap to attach IV bags, various monitors, and even an oxygen tank to it. That way, the patient can get all the benefits of mobility without having to leave vital devices behind. A SPH Medical RoWalker also has a basket attached to the front so that some of this critical care equipment can go with the patient as they progress, move further away from bedside, and take steps towards recovery.

References:

https://www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
https://www.medtronic.com/covidien/en-us/clinical-solutions/icu-early-mobility/about.html
https://ccforum.biomedcentral.com/articles/10.1186/s13054-021-03741-z

Benefits of Early Patient Mobility

Categoriesearly mobility

Benefits of Early Patient Mobility Revealed

by sphmedicaladmin

Benefits of Early Patient Mobility in the ICU

The human body is designed to move regularly and stay active as much as possible. Failure to ambulate can leave you battling several health complications. That is why we see benefits of early patient mobility and it’s continued encouragement even amongst ICU patients. In this article, we have talked about the benefits of early mobility in patients as well as what ICU nurses and physical therapists need to do to make sure it is done safely without exposing patients to injuries.

Why Early Patient Mobility is Important

A study carried out by the Johns Hopkins University School of Medicine states why early patient mobility is important. This evidence based study goes further to demonstrate how the program can significantly improve patient outcomes. Dale M. Needham, M.D., Ph.D., the lead researcher of the university, says, in the study, that patients who get out of bed as soon as possible are less likely to suffer from mental illness, physical impairment or muscle weakness compared to patients who stay in bed a bit too long.

The National Institutes of Health also published another study discussing why early mobilization in patients is important. According to the study, patients who spend less time in bed are less likely to suffer from blood clots, UTIs (urinary tract infections), pneumonia, and bedsores, which are also referred to as pressure ulcers.

An evidence based article written on April 14, 2021, shows that patients who get out of bed sooner are also more likely to enjoy lots of emotional benefits than their counterparts who take a little longer to stay in their hospital beds. The article notes that early mobilization can actually stimulate the mental well-being of patients. It also points out that it can massively improve their emotional well-being. And this, in turn, improves the quality of their lives, while, at the same time, reducing overall recovery time as well as decreasing the serious risk of delirium.

Steps Hospitals Are Taking to Promote Early Mobilization in Patients

Although it is easy to say that patients can enjoy all these benefits simply by starting to ambulate as soon as possible, one thing we must note is that ambulation in patients who have been in their hospital beds for quite some time is not so straightforward. Well, this is where a safe patient handling program comes into play. Under this program, nurse leaders, ICU nurses, or physical therapists help mobilize patients and help them get back to their feet, literally. An early patient mobility program is a specialized program that falls under Safe Patient Handling where a multidisciplinary team of doctors, nurses, therapists, and respiratory therapists collaborate to get patients up and out of bed.

They use assistive mobility devices or rely on trained medical teams to achieve this. This could mean repositioning, lifting, or transferring patients from one bed to another surface like a stretcher, cardiac chair or wheel chair. It might also mean helping patients exercise. Well, patients who exercise have a greater chance of avoiding the health issues discussed early on in this post.

Using SPH Medical RoWalker to Promote Early Mobility in Patients

When it comes to assistive mobility devices, the SPH Medical RoWalker is highly recommended. Yes, there are lots of assistive mobility devices out there. However, the RoWalker is preferred because it carries just about everything a complex patient might need while using it. These include an IV pole, an oxygen tank, and it has a front basket that can carry a portable ventilator or a cardiac monitor.

All of these accessories make the mobility device incredibly convenient to use. Still, on convenience; this ambulation device has innovative features such as soft knee pads that support patients when standing and, when walking, give them much-needed protection. The most innovative feature of the RoWalker are the seat flaps. The seat flaps flip up and rotate outwards so the Rowalker can be brought right up to the bedside to help a patient to stand for the first time. Then the seat flaps can fold down and rotate into position during ambulation so that patient falls are avoided. The seat flaps also eliminate the need for a 2nd nurse or therapist to follow behind with a wheelchair! The several attachment options for oxygen tanks are worth mentioning too. They make RoWalker very easy to use. Moreover, the small footprint allows nurses and physical therapists to effortlessly fit this platform walker in any patient room.

Conclusion

Early patient mobility comes with plenty of benefits that health practitioners can simply not ignore. These include improved muscle mass, improved cardiac function, reduction in the risk of delirium, and improved respiratory function, among others. However, it is not easy to execute. That is why ICU nurses, nurse leaders, and physical therapists are advised to consider the SPH Medical RoWalker.

Mobilize Patients Early with SPH Medical's RoWalker
Categoriesearly mobility

Early Patient Mobility Trends

by sphmedicaladmin

In the past, hospital personnel followed safe patient handling guidelines that primarily focused on the safe movement and transfer of patients with staff assistance from surface to surface or from bed to chair for example. Most safe patient handling programs that were implemented really focused on staff injury prevention. And as we all know today the majority of staff injuries come from repositioning patients up in bed and lateral transfers between bed and gurney or bed to table. In the past, keeping a patient in bed just seemed to make sense as patients getting out by themselves or when manually handled by staff were often at risk of falling. Today however, early patient mobility is now a trending practice across the nation. Professional opinions about this topic have changed drastically in recent years as more doctors, nurses and physical therapists have taken an approach that’s evidence based rather than stuck on traditional practices and norms.

Consider the following evidence and ways early patient mobility benefits both patients and staff:

  • Muscle Atrophy or Deconditioning Isn’t Allowed to Set In

    Many immobilized patients quickly lose muscle mass, strength and tone. The old saying “If you don’t use it, you lose it” definitely applies to recovering patients. Certain biological processes kick in during immobilization that reduce muscle mass. Movement can help prevent and reverse these processes. Patients who have difficulty with standing and walking can benefit from care out of bed that involves any type of movement. They don’t need to rely on physical help from hospital personnel alone. Several types of assistive tools exist, such as the SPH Medical RoWalker, that can help with this type of safe patient handling program to make it easier for patients to move around and stop muscle wasting as quickly as possible.

  • Prevention of Cardiovascular and Respiratory Events

    As the Centers for Disease Control and Prevention notes on its website, immobilized patients are at high risk of experiencing blood clots that can lead to heart and lung problems and strokes. Movement reduces clots by improving circulation. Increased blood flow can improve oxygen levels and respiration. Patients who have suffered a critical illness might also need an oxygen tank to breath when walking. Many assistive tools like the SPH Medical RoWalker have built-in features that make it easier for patients with cardiovascular, respiratory and critical needs to ambulate, such as a telescoping IV pole, a basket that can carry a cardiac monitor or small ventilator, an oxygen tank holder, hand grips and a built-in seat for breaks.

  • Reduction of Hospital and Overall Medical Bills

    Hospitals that implement early patient mobility can actually help patients reduce their medical debt burden. It might seem counterintuitive for any type of business to find ways to stop billing customers, but many patients who can’t pay their immediate medical bills are unable to pay them at all as time passes. Growing medical debt then often forces them to put off preventative care, which adversely impacts hospitals when those same patients seek ER care for emergencies they could have prevented in prior weeks, months and years. Additionally, early mobility during an inpatient stay can prevent costly followup ER visits by reducing the risk of related muscular and cardiovascular events. For example, it can reduce the number and length of physical therapy appointments and in-home exercises required for a full recovery, which decreases the patient’s medical debt burden from recovery treatment and the risk of more debt from an emergency atrophy-related muscle strain.

  • Additional Hospital and Staff Benefits

    The adoption of early mobility in an ICU and other hospital settings can open up beds faster. If patients are capable of getting up and moving around, they’re not going to need to remain in the ICU for long. Movement can even help staff determine if the patient is strong enough to leave the ICU and breathe without assistance. A safe handling plan that includes assistive and supportive equipment means that staff members won’t have to rush around or experience accidents to retrieve items they need while helping patients. If they’re using a sturdy, durable walking system like the SPH Medical RoWalker, they also won’t need to catch falling patients by hand. They can use the equipment to support the patient’s weight. Lastly, early mobility can help improve patient sleep and mental health, which can reduce ER surges and dangers to staff related to a growing national mental health crisis.

Early Patient Mobility improves outcomes
Categoriesearly mobility

Safety Platform Walkers

by sphmedicaladmin

A Practical Solution for Early Mobility in the Acute Care Setting

By Amber Perez MHA, CSPHP

 

The benefits of early and progressive mobility programs are well-established in the acute care setting. Greater than a decade of published research validates the positive patient outcomes associated with implementing an early mobility (ICU-Based) and progressive mobility (acute care inpatient) program as an essential part of the patients plan of care. Marra and Ely of Vanderbilt University published the groundbreaking research establishing an intensive care patient protocol the ABCDE (now the ABCDEFG) method for reducing the risk of Delirium in ICU patients.  Delirium, once under-diagnosed and rarely treated, is now recognized as a primary indicator for mortality and identified early in most ICU’s in the United States. Vanderbilt University’s groundbreaking results contributed to drastic improvements in the quality of life and mortality rates of an immeasurable number of patients as a result of widespread adoption of the methods and tools published in the protocol. One of the key components of the ABCDE method is the ‘E’ or Early Mobility intervention. Subsequent research further identifies benefits of mobility (early and progressive) to include reduced risk of hospital acquired pressure injuries, ventilator acquired pneumonias, patient falls, hospital readmissions, and length of stay. In addition, patients experience an improved discharge disposition1.

Hospitals all over the world are prescribing mobility as a standard component of patient care. While mobility programs offer exciting and promising outcomes and quality improvements for patients, it is not without challenges and risk. Without proper planning and integration with a facility Safe Patient Handling & Mobility (SPHM) program, risk for patient handling injury and patient falls risk increase.

In an independent survey of ICU and Hospital nursing leaders – the barriers reported with early mobility protocol implementation include: lack of caregiver resources, increased risk of patient falls, and risk of patient handling injury. In addition, nursing leaders reported greatest concern with “out of bed activities” specifically, “standing and ambulation”. Many leaders reported having advanced ICU beds capable of assisting with many tasks of the early mobility protocols- including, tilt table/ hemodynamic training, sitting, edge of bed, and early weight bearing. The greatest concerns for staff and caregiver safety emerged around patient standing and walking. Of the nursing leaders surveyed, the equipment used to assist in standing and walking patients ranked as most preferred for mobility activities as follows:

  1. ICU/Inpatient Safety Walkers 66%
  2. Ceiling lift with walking sling 24%
  3. Mobile lift with walking sling 8%
  4. Mechanical stand aid with removable footplate 2%

The following are comments captured on the survey related to each category:

ICU/ inpatient Safety walkers:
“Safest option available”, “Fits well in crowded rooms”, “Allows us to walk patients out of the room”, “Staff prefer this option”, “Intuitive, easy to operate”, “O2, IV and devices have a place to go on the walker”

Ceiling lift with walking sling:
“Not all rooms have ceiling lifts”, “Only works well with a XY ceiling track”, “We do not have dedicated walking slings” “Great option if we can find the walking slings” “limited to in room activity”

Mobile lift with walking sling:
“Mobile lifts are too big and bulky in the ICU room” “Cumbersome”, “No place to put O2 or devices”, “Improved safety, prevents falls”

Mechanical stand aid with removable footplate:
“Footplate not removable on our device”, “Not a good option for an unsteady patient”, “no place to put oxygen or IV”

Based on the majority of feedback, utilizing a safety platform walker is the preferred equipment for accessibility, safety, function, and efficiency.

Below is a decision table to help you identify which safety platform walker is right for you.   

  • Walker
  • Features
  • Patient specific recommendations

RoWalker FeaturesMobilize Patients Early and Safely

  • 400lb weight capacity
  • Fixed seats that rotate and flip
  • Directional locking castors
  • Accessory basket
  • O2 tank and IV pole holder
  • Manual height adjustment
  • Width adjustable platform

RoWalker – Patient specific recommendations

  • Ideal for patients able to come to a standing position independently
  • Consider when sling management is a barrier
  • Simple and intuitive
  • Higher weight capacity
  • Conducive to therapy activities
  • Consider for patients with sternal precautions

Rise & Go Platform Walker Features

  • 330lb weight capacity
  • Safety sling with hygiene strap
  • Accessory basket
  • O2 tank and IV pole holder
  • Power stand assist
  • Directional locking castor available
  • Extra-wide adjustable platform
  • Swing away shin pads
  • Splash/water resistant design

Rise & Go Platform Walker – Patient specific recommendations

  • Ideal for deconditioned ICU level early mobility – power stand assist
  • Hygiene strap on sling allows OT’s to work with patient on ADL’s- water resistant design allows bathing therapy sessions with limited water spray
  • Swing away shin pads allow for progression in ambulation
  • Ideal for taller and smaller patients, longest stroke length on actuator
  • Small footprint for easy storage

XL Platform Walker Features

  • 500lb weight capacity
  • Extra wide frame adjustments
  • O2 tank and IV Pole holder
  • Accessory basket
  • Shin pad accessory- removable
  • Extra wide adjustable platform

XL Platform Walker – Patient specific recommendations

  • Ideal for ambulatory bariatric patients
  • Power rise assists with sit to stand
  • Ideal for patients who are not a high fall risk
  • Patients with O2 and IV’s may be useful with therapy.

References:

  1. Winkleman C, Johnson K, Hejal R, et al. Examining the positive effects of exercise in intubated adults in the ICU: a prospective repeated measure clinical study. Intensive Critical Care Nursing. 2012

 

  1. Vollman K. Early progressive mobility: strategies for successful and safe achievement to impact short and long-term outcomes. 

 

  1. Roberts M, Johnson LA, Lalonde TL. Early mobility in the intensive care unit: Standard equipment vs a mobility platform. American Journal of Critical Care.

 

  1. Marra A, Frimpong K, Ely EW. The ABCDEF Implementation Bundle. Korean Journal of Critical Care Medicine (2383-4870). 2016

 

  1. Pottenger BC, Pronovost PJ, Kreif J, et.al. Towards improving hospital workflows; an evaluation of resources to mobilize patients. Journal of Nursing Management. 2019
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