The order for restoring confidence in mobility is as follows from first to last: bed mobility, mat transfer, wheelchair transfer, bed transfer, functional ambulation for ADL, toilet and tub transfer, car transfer, functional ambulation for community mobility, and community mobility and driving. For the most part the order is what I expected. I am not sure I could justify changing the order of any of these. I think the hierarchy is in this sequence because professionals researched different orders and found this to be the most effective. I think each steps builds on the step before it in small increments and this is the logical sequence from the hospital bed to return to normal mobility. I observed most of this sequence in my limited time in a hospital inpatient facility. The occupational and physical therapist worked together to make sure each patient was being properly assisted, trained on the proper techniques, provided with the appropriate equipment, and informed on the importance of mobility before being discharged. I agree with the this approach and feel it is the best possible order, however I think as therapist we should be willing and ready to adjust this hierarchy on a client to client basis cause not every client is the same.
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