WHAT TO MONITOR DURING MOBILIZATION FOR PATIENTS
Staff should be available to monitor patient signs and symptoms, and the need for O₂
Ensure supplemental oxygen and tubing are nearby to administer if SpO₂ drops below 88%
Patient — Subjective:
· Dizziness, vertigo,
· Dyspnea, fatigue
· Nausea, pain
· *Consider use of scales e.g., Borg Dyspnea Scale or Rating of Perceived Exertion.
Patient — Objective
· Cognition, balance
· Perspiration, cyanosis, heart rate, oxygen saturation, respiratory rate and blood pressure
· Other factors relevant to patient and mobility task, e.g., cardiac rhythm in patient when ECG is essential during mobilization or blood pressure monitoring in patient that is prone to postural hypotension.
WHAT TO MONITOR AND HOW TO PROGRESS MOBILIZATION TO ENHANCE EFFECTIVENESS
Written communication regarding daily targets for exercise activities and a record of exercise activities accomplished should be posted at bedside and documented
· Type of exercise activities match patient’s functional needs upon discharge e.g., walk distance, stairs, balance, strength sufficient to carry and unpack groceries.
· Targets for progression are determined daily e.g. increase walk distance and/or increase number of walks, stair climbing, standing balance, U/E exercises.
· Pertinent exercise parameters e.g. heart rate and breathlessness increase proportionately with incremental activity and recover to baseline within 5 minutes post activity