Ambulation Procedure

AMBULATIONPROCEDURE Understanding : Early ambulation is a up stage ofsitting activities carried out immediately in post-operative patients starting from getting and until the patient gets out of bed and starts walking with the help of equipment according to the patient's condition (Asmadi, 2008). Objective : a. Prevents decubitus, elimination patternsdecreased cardiac reserve, prevents constipation, changes in Policy: a. Helping patients who experience impaired activity needs Tools and materials : a. crutches, cane, walker Procedure: Pre-Interaction a. Check taken the patient's status and assess the patient's needs regarding the actions to be b. Prepare tools c. Providing and approaching tools d. Wash your hands 6 steps e. Orientation f. Give greetings g. Name clarification h. Explain the purpose of catheter care i. Explain therapeutic communication procedures j. Delivering time contracts k. Give clients the opportunity to ask questions l. Maintain the environment: Adjust lighting, maintain client privacy, close doors and windows/curtains a. Work a. Sit on the bed b. Explain to the patient the procedure to be performed c. Place the client in the supine position d. Move all the pillows e. Position facing the head of the bed f. Stretch other leg.the nurse's legs apart with the leg closest to the head of the bed behind the g. Place the hand farther head and cervical spine.from the client under the client's shoulder, supporting his h. Place the nurse's other hand on the surface of the bed. i. Lift client to aofsitting position by shifting the nurse's weight from the front of the footthe to the back the foot. j. Push against the bed with your hands on the bed surface. b. Sit on the edge of the bed a. Explain to the patient the procedure to be performed b. Place the patient on his side, facing the nurse on the side of the bed where he will sit. c. Install the bed rail on the 2. opposite side. d. Elevate the head of the bed to a height the patient can tolerate. e. Stand on the opposite side of the client's pelvis. f. Turn bed. diagonally so the nurse is facing the patient and away from the corner of the g. Stretch other legthe nurse's legs with the leg closest to the head of the bed in front of the h. Place the arm to theneck head of the bed under the patient's shoulders, supporting hiscloser head and i. Place the nurse's other hand on the patient's thigh. j. Move the client's lower legs and feet to the edge of the bed. k. Place the pivot toward the back of the leg, allowing the patient's upper leg to rotate downward. l. At the same time, shift the nurse's weight to the back of the leg and lift the patient. m. Stay in front of the patient until you reach balance. n. Lower the height of the bed until your feet touch the floor c. Transferring Patients from Bed to Chair a. Assist the patient tothea sitting position on the edgemake of thesure bed.that Position the chair atisain 45 degree angle to bed. If using a wheelchair, the wheelchair the locked position. b. Install transfer belts if necessary, according to agency policy. c. Make sure that clients wear shoes that are stable and non-slip. d. Stretch the nurse's legs. e. Flex the nurse's hips and knees, aligning the nurse's knees with the patient f. Grasp theontransfer belt fromscapula. below or reach through the patient's axilla and place the hand the patient's g. Raise thethe patient standing on the count of 3 while straightening the hips and legs, keeping kneestoslightly flexed. h. Maintain stability of the weak leg or align it with the nurse's knee. i. Pivoting the chairon the leg farther from the chair, move the patient directly to the front of j. Instruct patient to use hand rests on a chair for support. k. Flex the nurse's hips and knees when lowering the patient into the chair. l. Assess client for proper alignment. m. Stabilize the limb with a bath blanket n. Thank the patient for his efforts and praise him for his progress and appearance. d. Helps Walk a. Instruct the patient to place his hands at his sides or hold the nurse's palms. b. Stand next to the patient and hold the patient's palms and shoulders. c. Help the patient walk e. Moving the Patient from Bed to Brancard Itfrom is athe nursing by moving a patient who cannot or should not walk independently bed toaction the branch. 1) Position the branch in the locked position 2) Help the patient with 2 ‒ 3 nurses 3) Stand facing the patient 4) Cross your arms in front of your chest 5) Bend your knees, then put your hands under the patient's body. 6)second The first nurse places hands under the patient's neck/shoulders andthebelow the waist, the nurse places hands under the patient's waist and hips, while third nurse places hands under the hips and legs. 7) Lift them together and move them to the branchard f. Train to walk using a walking aid 1. Crutches anda walking canes areaidoften necessary toof improve patient mobility. Training tothe walk using is the authority the physiotherapy team. However, nurse remains responsibleisforcarried follow-up complete documentation out. to ensure that appropriate care and 2. 3. 4. 5. 6. 7. 8. Termination Evaluate client response Tidy up the patient properly Arrange tools neatly Carrying out the next contract (time, place, topic/activity) Therapeutic greetings are delivered in a friendly manner Wash your hands properly Documentation a. Patient's name b. Day, time, date of interaction with the patient c. Data from the study results d. Nursing problems e. Nursing actions f. Evaluation of client capabilities (SOAP) g. Nurse's signature