The purpose of this document is to provide recently graduated or returning clinicians working in acute care settings with guidance on safe and effective mobilization of the hospitalized patient with an acute exacerbation of COPD. This decision-making tool is evidence- and expert-informed. It is not intended to replace the clinician’s clinical reasoning skills and interprofessional collaboration. Prior to any patient mobilization, ensure there are enough qualified staff available, the patient has consented to the treatment plan, and the patient’s goals have been identified and effectively communicated between patient, staff and family.
Prior to any patient mobilization, ensure there are enough qualified staff available, the patient has consented to the treatment plan, and the patient's goals have been identified and effectively communicated between patient, staff and family.
WHAT TO MONITOR DURING MOBILIZATION FOR PATIENT SAFETY
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:
Patient -- Objective:
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
IMPLICATIONS OF CO-EXISTING CHRONIC CONDITIONS
Diabetes:
Osteoarthritis and musculoskeletal pain:
Stable Heart Failure:
WHAT TO CONFIRM PRIOR TO DISCHARGE
Patient status, Home Services
Mobility
Education -- consistent information, in laymans's terms to patient and family
AECOPD-Mob developed by Dr. P. Camp, Dr. D. Reid, F. Chung, Dr. D. Brooks, Dr. D. Goodridge, Dr. D. Marciniuk, and A. Hoens. The project was supported by the Canadian Institutes of Health Research, the UBC Faculty of Medicine Department of Physical Therapy, the Physiotherapy Association of British Columbia, Vancouver Coastal Health Research Institute, Providence Health Research Institute and the COPD Canada Patient Network. Contact: Dr. Pat Camp pat.camp@hli.ubc.ca
More information on AECOPD-Mob can be located at https://prrl.rehab.med.ubc.ca.
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