The Aging Population
Safety & Mobility
Week 4
S
Safety and Mobility
Lab 1
The goal of this lab is to practice bed mobility skills and safe
transitions (i.e., lying to sitting and sitting to standing).
You will work in groups of 2 or 3.
Group Readings and Discussion
Readings - Mobility and Safety Millers Nursing for Wellness in
Older Adults- Chapter 22
In your groups, please discuss the readings and how they relate
to age related mobility and safety concerns.
Bridgepoint PP for Reference
Transfer and Lift With Care:
[Link]
ation/Lifts_and_Transfers_June_2013-training_and_quiz.pdf
Bed Mobility and Safe Transfer of
Patients
[Link]
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Safe Patient Handling & Mobility
Safe Patient Handling and Mobility
[Link]
Crutches Canes and Walkers
[Link]
Age Related Changes & Risk Factors That
Affect Mobility
Musculoskeletal Wellness: Risks Factors:
Bones: Physical inactivity- sedentary
Osteoporosis- decrease in lifestyle
bone quality-brittleness Nutritional deficits- vitamin D,
1 in 3 women and 1 in 5 men Calcium
will experience an osteoporotic Poor Diet- low protein intake, low
fracture (occur with little or no B12
trauma- simple fall from Nocturia
standing position) Sensory deficits
Muscle: Medications
Sarcopenia- loss of muscle Depression
mass strength and endurance Cognitive Impairment
Mobility and Falls
Functional consequences:
Age 40- muscle strength declines
Age 80- 30%-50% overall muscle decline
Coordination diminishes
Slower reflexes
Gait changes (typically over age 75)
Risk of falls increase as a person ages
Fall Prevention and Awareness
Interprofessional fall-prevention programs
Heighten staff awareness around reducing fall risks
Clearly identifying clients at risk for falls
Nurses are responsible for questioning whether a
client would benefit from a mobility aid or assistive
device- referrals made to physiotherapist
Focus on reducing fall risks and preventing fall-related
injuries should a fall occur
Addressing Fear of Falling
Fear of falling:
Encourage client to express feelings
Provide education and reassurance about the interventions
that are being implemented
Family should be involved in education and reassurance
Those living alone can benefit from a personal emergency
response system- can be reassuring to client
My Mobility Plan
Centre for Disease Control created a mobility planning tool,
called MyMobility Plan
Helps to guide you in protecting your mobility and
independence as you get older.
MyMobility Plan shows how you can act today to keep yourself
—or your friends and family—safe, mobile, and independent
tomorrow.
My Mobility Plan- cont.
Planning for mobility changes in the years to come is important for
older adults who want to stay independent in their own homes and
communities
Falls and motor vehicle crashes, which are related to mobility, are
leading causes of injury and injury death in older adults (age 65+)
When older adults stop driving or fall, they often experience reductions
in their health, social interactions, and the ability to get around
CDC has found that working through MyMobility Plan helps many older
adults identify what they can do today to help maintain their mobility
and plan for any potential changes that might come tomorrow.
Https://[Link]/injury/features/older-adults-mobility/[Link]
Patient Safety
Senior Mobility
Active Aging
Client Safety:
[Link]
Five Exercises to Improve Mobility for Seniors:
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Preventative Activities:
[Link]
References
Millers Nursing for Wellness in Older Adults https
://[Link]/watch?v=IgIz4D4ecv0
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ucation/Lifts_and_Transfers_June_2013-training_and_quiz.pdf
[Link]
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Safe Patient Handling and Mobility
[Link]
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seniors/