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Early Mobilization - Rehabilitation

Hospitalized persons spend most of the day in bed which may result in severe health consequences.

 

Immobility increases the risk of pulmonary embolisms and skin complications, as well as loss of muscle mass and strength, which influences length of hospitalization and life functions after discharge.

 

Immobility in hospitalized patients increases the risks for:

  • Respiratory consequences: pneumonia, atelectasis and pulmonary embolism
  • Constipation
  • Incontinence
  • Tissue injury and pressure sore
  • Deep vein thrombosis
  • Reduced muscle strength and muscle mass
  • Reduced physical fitness
  • Reduced balance especially for the aged patient

It is therefore a high priority to mobilize patients very early, often during their hospital stay.

 

Early mobilization will enable the patient to start rehabilitating sooner and will enhance recovery after surgery by improving circulation and reducing the risk of infection and other complications.

 

 

Challenges to this goal include risks such as patient falls, high level of assistance required and risk of injury, to name a few.

 

Ceiling lifts with the correct slings can support early mobilization and training of the hospitalized patient in a safe way for both the patient and staff. ICU, medical, orthopaedic and bariatric patients can all benefit from using the ceiling lift and slings.

 

What is mobilization and rehabilitation?

Early mobilization and rehabilitation is defined as positioning/repositioning, exercise and physical activity, increased out of bed time or sitting tolerance time, standing and walking. The condition and tolerance of the patient to activity will determine the length of the mobilization session and which additional activities could be performed. 
Additional activities could include the performance of gentle ADL's such as combing hair, washing face and hands with wet face towel, gentle exercises, balance training, walking around the bed, all with the assistance of the equipment.
 

Early mobilization in ICU

The ICU patient is characterised by critical illness, having a low level of mobility and function. They are often intubated and ventilated, drips, IVs, monitoring and interventional equipment, more or less sedated. They can be fearful, have altered sleep pattern, confusion or delirium.
By using the ceiling lift the patient can be positioned on the bedside or in a wheelchair frequently during the day. The patient may just sit for a short time e.g. 10 minutes. The variation of position may increase the ventilation.
It is also possible to transfer the ICU patient from bed to a couch and start balance training in seated position or other exercises and activities.
Again, by not undertaking early mobilization, the risk will be as mentioned above, e.g. losing muscle strength and muscle mass or increase chance of pressure sores.
 

Solutions

The Guldmann Basic Sling is ideal for checking whether the patient is stable, e.g. when seated on the edge of the bed.
If the patient becomes dizzy, they can quickly be moved back into bed without manual lifting.
 
When a patient needs to be mobilized the Guldmann Active Trainer Sling will ensure safety at all stages.
Having the Active Trainer sling in a ceiling lift can make balance training safer for the carer as well as the patient. It is possible for the patient to get full weight bearing - making them feel secure and also allowing them to move about without falling.
 
The staff can help and supervise without any risk of spinal injury caused by sudden falls or loss of balance.

 

 

Frequent lifting and moving operations

  • Helping patients into a sitting position to test reactions, reflexes, protective responses
  • Supported sitting
  • Transferring patients out of bed
  • Bed-to-chair and chair-to-bed patient transfers
  • Lifting up the upper body for positioning of bolsters
  • Lifting up the hips placing a sheet under the patient
  • Lifting, lowering and positioning legs from sitting at edge of bed / table to supine position
  • Lifting of extremities
  • Assistance with perineal access
  • Commode / toilet visits
  • Transitional postures
  • Sit-to-stand / stand-to-sit transfers
  • Stand balance / sit balance
  • Reactions, reflexes, protective responses while standing
  • Weight shifting
  • Gait training
  • Exercises in bed
 

Products

Ceiling Lift
GH3+ Ceiling Lift (max lifting capacity 825 lbs lifted in one strap, built in scale module)

GH3 Twin Ceiling Lift

 

Rail Systems

Positioning Lock

 

Lifting Hanger

4 point Lifting Hanger

Horizontal Lifter, foldable

Horizontal Lifting support

 

Slings

Multi Support Sling
Basic High Sling 

Active Trainer

Bariatric Gait Trainer

Twin Turner

Basic Low

 

Video 

 

 

For more information about early mobilization with a ceiling hoist please contact us

Toll Free: 800 664 8834

info@guldmann.net

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Contact

Guldmann Inc.
Region North America Office
14401 McCormick Dr.
Suite A
Tampa, FL 33626

Toll Free: 800 664 8834
Fax: (813) 880 9558
info@guldmann.net


 

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