title: A mobility program for an inpatient acute care medical unit.
abstract: For many patients, hospitalization brings prolonged periods of bed rest, which are associated with such adverse health outcomes as increased length of stay, increased risk of falls, functional decline, and extended-care facility placement. Most studies of progressive or early mobility protocols designed to minimize these adverse effects have been geared toward specific patient populations and conducted by multidisciplinary teams in either ICUs or surgical units. Very few mobility programs have been developed for and implemented on acute care medical units. This evidence-based quality improvement project describes how a mobility program, devised for and put to use on a general medical unit in a large Midwestern academic health care system, improved patient outcomes.
authors.affiliation: Winnie Wood is a clinical nurse specialist, Dana Tschannen is a clinical assistant professor, Alyssa Trotsky is a physical therapist, Julie Grunawalt is a nurse manager, Danyell Adams is a nursing assistant, Robert Chang is a clinical assistant professor of internal medicine, Sandra Kendziora is clinical nurse supervisor, and Stephanie Diccion-MacDonald is director of patient care services, all at the University of Michigan Health System and/or the University of Michigan School of Nursing, Ann Arbor. Contact author: Winnie Wood, winniewo@med.umich.edu. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
authors.forename: Winnie
authors.initials: W
authors.lastname: Wood
authors.forename: Dana
authors.initials: D
authors.lastname: Tschannen
authors.forename: Alyssa
authors.initials: A
authors.lastname: Trotsky
authors.forename: Julie
authors.initials: J
authors.lastname: Grunawalt
authors.forename: Danyell
authors.initials: D
authors.lastname: Adams
authors.forename: Robert
authors.initials: R
authors.lastname: Chang
authors.forename: Sandra
authors.initials: S
authors.lastname: Kendziora
authors.forename: Stephanie
authors.initials: S
authors.lastname: Diccion-MacDonald
mesh_terms: D000046:Academic Medical Centers; D001510:Bed Rest / Q000009:adverse effects; D015444:Exercise; D006801:Humans; D007297:Inpatients; D007902:Length of Stay; D008124:Locomotion; D051346:Mobility Limitation; D010348:Patient Care Team / Q000458:organization & administration*; D026741:Physical Therapy Modalities / Q000458:organization & administration*; D004856:Postural Balance; D015397:Program Evaluation; D011787:Quality of Health Care