Healthcare delivery
essential for addressing deconditioning, enhancing joint flexibility, muscle strength, and overall endurance. These interventions play a vital role in helping patients regain functional capabilities and improve their quality of life. There is a growing recognition of the importance of identifying effective behaviour change approaches, sharing best practices, and implementing mobility strategies to prevent deconditioning at scale and speed.12
Promoting
reconditioning through these methods is essential for sustainable health improvements. Considerations can include: l Developing and promoting behavioural change strategies that encourage patients to stay active and engaged in their rehabilitation process. This can include motivational interviewing, goal setting, and providing education on the benefits of mobility.
l Encouraging collaboration among healthcare professionals to ensure coordinated and comprehensive care. Facilitate the sharing of best practice and interventions to ensure that the most effective methods are widely adopted across the healthcare system. This can be achieved in the care setting by promoting patient and family advocacy, multidisciplinary meetings to embed a cultural change. Externally best practice can be shared through professional networks, conferences, and publications.
l Establishing measurable mobility strategies, objectives, protocols, and guidelines that promote normal movement through early and consistent mobilisation of patients. This includes the use of assistive devices, repositioning and transfer activities, tailored exercise programmes, and environmental
modifications to support the patient to achieve safe and effective movement as part their recovery process.
In addition, it is crucial for healthcare facilities to transition from traditional disease-focused care to redesigned care systems that recognise frailty status as a significant clinical predictor of functional improvement.16
By focusing on these
areas, healthcare providers can significantly reduce the risk of deconditioning, enhance patient outcomes, and improve overall care quality; while improving quality of work for the caregiver. The integration of these strategies into daily practice ensures that patients receive comprehensive and effective care, ultimately leading to better health and well-being for all.
Philosophy of mobility Mobility plays a fundamental role in a patient’s quality of life. The NHS emphasises the importance of maintaining mobility to prevent deconditioning and improve patient outcomes. Initiatives like the “Sit Up, Get Dressed, Keep Moving” campaign15
support care facilities in
delivering high-quality care to patients. The Mobility Gallery17
is a communication tool
designed to assess a patient’s functional mobility level, ranging from independent to dependent. It outlines the specific support required for each individual, evaluates the risk of physical overload to caregivers, and recommends appropriate equipment provision to minimise the risk of harm.18
By promoting
mobility this tool also supports the “Sit Up, Get Dressed, Keep Moving” reconditioning campaign among other initiatives. The Positive 8 philosophy19
is founded on three
main tenets: care skills, appropriate equipment, and a supportive environment. By adhering to these three principles facilities can enhance clinical outcomes for patients, streamline workflow efficiencies for caregivers, and achieve financial optimisation for the organisation. Educating caregivers on best practices in person-centred care, ensuring they receive the right care at the right time, supports the well- being, dignity, and comfort of patients. Education can lead to better outcomes for patients, while optimising the cost-effectiveness of their care. This includes investing in comprehensive risk management processes, incorporating thorough assessments, implementing effective control measures, and conducting root cause analysis. Continuous professional development of care staff is also essential to enhance their knowledge and skills.
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www.clinicalservicesjournal.com I October 2024
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