(2)
Keep nursing care treatments and procedures to a minimum during
sleep hours.
l.
Report and record significant nursing observations.
4-16. RATIONALE FOR GETTING THE PATIENT OUT OF BED
a. Preserve or improve muscle tone.
b. Improve circulation, particularly in the lower extremities.
c. Preserve pulmonary tissue and airway function.
d. Preserve muscle and joint mobility.
4-17. PRINCIPLES OF ASSISTING PATIENTS OUT OF BED
a. Reassure the patient of his personal safety against injury and over-exertion.
b. If necessary, get additional help to assist you in ambulating the patient.
c. Support the affected side or extremities of the patient when ambulating or
moving.
d. Do not overtire the patient; increase time up in the chair and ambulation
gradually.
e. Lock all wheelchair or litter wheels before transferring the patient from the
bed.
f. Stabilize the footstool, when it is utilized.
g. Place a signal cord or call-light button within easy reach of the patient while
he is up.
h. Check on the patient frequently.
4-18. STEPS IN PREPARING TO AMBULATE THE PATIENT
a. Review the patient's medical record for an authorizing physician's order.
b. Review the patient's nursing care plan for information regarding the following:
(1)
Physical limitations.
MD0905
4-24