Reflection on Mobility - Biomechanics #7

   According to the textbook, mobility is defined as the ability to move about the home and in the community (Radomski & Latham, 2014). Mobility can either be functionally based or community-based. The hierarchy of mobility goes as follows: bed mobility à mat transfer à wheelchair transfer à bed transfer à functional ambulation for ADL à toilet and tub transfer à car transfer à functional ambulation for community mobility à community mobility and driving. I agree with the hierarchy of mobility because we want to ensure that the client is safe at all times to prevent any risks to injury. This sequence is ideal because we want our clients to be competent in a task before building on to the next. Bed mobility has a large base of support and doing simple tasks in the bed can help a client build confidence to do more complicated tasks. It also allows them to participate in self-care activities. be mobility can help with sleep, posture, and reducing pressure which in turn can help with pain management and lead to the client being able to manage other tasks. 
   
   From what I have observed in the past, safety is the most crucial part of mobility tasks. It’s important for the client to do basic functional tasks before going out in the community and participating in something like driving. I’ve learned in labs that proper body mechanics and posture and when doing these mobility tasks help prevent injury and that educating the clients is the most beneficial. I’ve learned that is also critical to consider the client’s home life and client factors when working on mobility and customizing techniques for that client. It’s important for occupational therapists to have a client-centered approach when working with a client in mobility.



References:

Radomski, M. V. & Trombly Latham, C. A. (2014). Occupational Therapy For Physical Dysfunction (7th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

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