Bed Mobility — 37 Free Note Templates

BED MOBILITY TRAINING - (Rolling: ----- assistance, Supine <-> Sit: ----- assistance) Patient was instructed on proper rolling technique and required verbal ---- tactile cues to perform. Patient was coached through proper side lying to sit transfer, lead through proper sequencing of LE and UE utilization to assume the seated position. Patient made effort to follow commands, but further training is required.

In order to improve bed mobility and hygiene, patient was instructed through bridging and rolling to R and L exercises in supine for improved sequencing and tolerance to activities. Patient required min A and maximal verbal and tactile cueing for correct performance of tasks. Patient was coached through gait exercise x 100 feet using R/w to increase tolerance to activity for improved functional mobility. Patient required min A to come to standing and CGA during ambulation with assistance with guiding walker around curves. Patient's BP was 110/73 mmHg and HR was 56 bpm in sitting before ambulation. After ambulation exercise, patient's BP was 102/62 mmHg and HR was 62 bpm.

In order to increase participation in hygiene, grooming, dressing and feeding, patient was lead through the following functional activities: bridging, rolling to L/R, supine to/from sit, and sit-to-stands. Focus of treatment was to improve BLE strength, coordination, static/dynamic balance, and sequencing of activities. Patient required maximal verbal/tactile/visual facilitation for correct and safe performance of all exercises.

Pt was provided with seated exercise today at EOB sitting with emphasis to hamstring, quadriceps, and hip flexion strengthening necessary to improve dynamic stability for transfers and bed mobility tasks. Pt was provided with verbal and tactile cueing in order to improve participation with PNF techniques for stretches as well as to aid with isolation of muscle strengthening/stretches.

Pt was able to participate with bed mobility tasks requiring verbal and tactile coaching for effective sequencing using UE as pt tolerates and B LE constant repositioning for improved leverage and active participation with bed mobility. Supine to sit functional task at CGA was performed with pt requiring B shoulder support as well as cervical support to facilitate neuromuscular activation of core and upper abdominal musculature for effective trunk flexion. Pt was also able to tolerate rolling side <> side rolling and turning at CGA today with verbal cueing for effective usage of UE to aid with trunk movement. Note: segmental rolling for upper body vs lower body trunk was provided today prior to bed mobility to promote improved trunk flexibility and facilitate functional movement pattern.

Pt instructed in functional bed mobility and repositioning from supine to SL with PNF D1 flexion exercises to facilitate muscle synergies to roll to SL and minimize need for therapist assistance. Pt continues with max A and VCs to improve participation.

Pt progressed in functional bed mobility and transfer strategies to transition from supine to sitting EOB at MI with VCs to increase safety and promote proper body mechanics. Pt noted increase alertness this day however continues with intermittent hallucinations and drowsiness this day.

Patient performed rolling supine <> R/L SL x --- reps using bed rail for B UE assist at ---A. TC at scapula and pelvis to sequence segmental rolling; VC to initiate with head/neck flexion.

Patient performed supine <> sit EOB x --- reps at ---A with a leg lifter for LE management. Patient required ---A to clear B LE over the edge.

Patient performed scooting up and down in bed x --- reps at ---A with bridging to unload the sacrum and reduce shear.

Patient performed bridging x --- reps holding --- sec to facilitate hip extensor activation needed for repositioning and bedpan use.

Patient performed supine <> sit x --- reps from the R and L to assess directional asymmetry; patient required --- to R and --- to L.

Patient performed rolling x --- reps with PNF D1 flexion of the leading UE to facilitate the trunk rotation needed to initiate the roll.

Patient performed sit <> supine x --- reps at ---A with controlled eccentric lowering; PT cued against dropping into supine.

Patient performed bed mobility x --- reps with the head of bed flat, progressed from --- degrees, to grade the task toward the home setup.

Patient performed scooting laterally in bed x --- reps at ---A to prepare for slide board transfer positioning.

Patient performed supine <> sit EOB x --- reps observing --- spinal precautions with log roll technique. Patient verbalized precautions with --- accuracy.

Patient performed rolling x --- reps with a trapeze bar; PT educated patient that overreliance on the trapeze limits carryover to the home bed.

Patient performed bed mobility x --- reps; sitting balance at EOB maintained --- sec unsupported before requiring UE support.

Patient performed supine <> sit x --- reps at ---A with TC at the inferior scapula to facilitate trunk elongation on the weight bearing side.

Patient performed rolling to R and L x --- reps for pressure relief; nursing educated on a --- hour turn schedule and positioning wedges.

Patient performed bed mobility x --- reps observing --- WB precautions to the R UE; patient used the L UE and B LE to complete the transition.

Patient performed supine <> sit x --- reps with elevated head of bed at --- degrees 2/2 orthostatic symptoms; BP monitored at --- supine and --- sitting.

Patient performed rolling x --- reps with a pillow between B LE for --- precautions; patient verbalized rationale with --- accuracy.

Patient performed sit <> supine x --- reps with PT fading TC from the trunk to the gait belt, reducing assist from --- to ---.

Patient performed scooting to EOB x --- reps with a hip hitch technique to reduce shear at the sacrum where a stage --- ulcer is present.

Patient performed supine <> sit x --- reps and c/o --- of 10 pain at ---; PT modified the sequence and pain reduced to --- of 10.

Patient performed bed mobility x --- reps in the home-simulated low bed at --- inches to prepare for d/c to home.

Patient performed rolling x --- reps without bed rail, progressing from rail-assisted, to prepare for a home bed without rails.

Patient performed bed mobility x --- reps with a satin sheet to reduce friction; PT educated the patient this will not be available at home.

Patient performed supine <> sit x --- reps with the sequence broken into --- discrete steps and backward chaining used to build independence.

Patient performed bed mobility training x --- reps; total time to achieve EOB sitting decreased from --- to --- sec.

Patient performed rolling with TC at the R shoulder to address pushing behavior toward the hemiplegic side.

Patient performed supine <> sit EOB x --- reps with B UE support faded to one UE, progressing toward independence.

Patient performed bridging with unilateral LE support x --- reps to progress hip extensor demand for scooting.

Patient performed bed mobility x --- reps with mirror feedback to improve midline awareness during rolling.

Patient performed sit <> supine x --- reps with caregiver present; caregiver returned demonstration of guarding technique with --- accuracy.