Situation: The PT and I saw an elderly female patient in the wards who was recovering from a fractured pelvis. It was only a small fracture however she had the expected mobility issues, as well as a complain of pain in her toes. Her hip caused a great deal of pain on movement, specifically sit to stand and vice versa.
Task: We had to get the pt out of bed and ambulating using a ZF. To finish off the session we aimed to get her to perform bed ex's.
Action: Using the correct manual handling techniques I helped the pt sit on the edge of the bed. I had to advise her on how to stand up (i.e. pushing off the bed, not pulling on the ZF). The pt only required minimum assist while ambulating in the corridors. We walked with her for approx. 20m. Once returning to her room I helped her perform bed exercises - ankle pumps, SLRs, glut squeezes and bridging.
Result: The pt reported a slight increase in pain after ambulating but this is to be expected. She needed a rest post exercise.
Evaluation: I think the pt walked an appropriate distance but the exercises I gave her were probably too easy. I should have increased the reps to make it a little harder for her.
Strategies: While I have to listen to the pt's feedback regarding their exercises I should try and work out if they just aren't motivated enough to perform the ex's or if they really are too tired.
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