06. Independence in Mobility and Prevention of Complications of Immobility

Learning Objective:

6.1 Discusses the importance of early mobilization in stroke.

Suggested Evaluation Methods:

Successful completion of SWO Acute Stroke Unit Orientation Module 7.5 and quiz.

Learning Objective:

6.2 Identifies that the quality of the stroke survivor’s movement can be affected by the following changes that accompany a stroke:

  • Muscle tone
  • Posture
  • Balance
  • Muscle weakness/motor loss
  • Sensory loss
  • Cognitive, perceptual, behaviour changes
  • Fatigue

Suggested Evaluation Methods:

Successful completion of SWO Acute Stroke Unit Orientation Module 7 and quiz.

Learning Objective:

6.3 Demonstrates safe proper handling, positioning, and transferring of the stroke patient while considering complication such as hemiplegic shoulder, decreased balance, paralysis and muscle weakness.

Suggested Learning Resources:

SWO Acute Stroke Unit Orientation: Module 7

Heart and Stroke Foundation: Taking Action for Optimal Community and Long-Term Stroke Care (TACLS): A Resource for Healthcare Providers Chapter 6.3

Optional Learning Resources:

SEO Tips and Tools for Everyday Living: A Guide for Stroke Caregivers: Putting it into Practice Video Series (Click on Mobility Video on the Video Series Dropdown)

Suggested Evaluation Methods:

Successful completion of SWO Acute Stroke Unit Orientation Module 7 quiz

Learning Objective:

6.4 Applies a rationale and understanding of indicators for selecting different transfer approaches and techniques (e.g., 1 or 2 man pivot, independent mechanical lift).

Suggested Learning Resources:

Heart and Stroke Foundation: Taking Action for Optimal Community and Long-Term Stroke Care (TACLS): A Resource for Healthcare Providers Chapter 6.3

SEO Tips and Tools for Everyday Living: A Guide for Stroke Caregivers: Putting it into Practice Video Series (Click on Mobility Video on the Video Series Dropdown)

Suggested Evaluation Methods:

Develop a reference sheet after collaboration with the Physiotherapist regarding selection of different transfer approaches and techniques (e.g., 1 or 2 man pivot, independent mechanical lift) that could be used by nursing staff during every day work positioning and transferring of stroke patients.

Learning Objective:

6.5 Identifies the proper use of correct walking aids (e.g., Quad cane, walker), positioning equipment, and assistive devices (e.g., splints, slings, assistive feeding devices).

Suggested Learning Resources:

Heart and Stroke Foundation: Taking Action for Optimal Community and Long-Term Stroke Care (TACLS): A Resource for Healthcare Providers Chapter 6.4

Stroke Engine: Assistive Devices

Suggested Evaluation Methods:

Provide care together with the OT and/or PT on your team for a patient and write a summary of your learning about different walking aids, positioning equipment, or assistive devices available to support stroke survivors.

Learning Objective:

6.6 Collaborates with physiotherapy and/or team members to contribute to a comprehensive plan of care regarding mobilization and positioning.

Suggested Learning Resources:

Shadow a physiotherapist and discuss the care plan of at least one patient as it relates to mobilization and positioning.

Suggested Evaluation Methods:

Provide a care plan (with identifiers removed) for which you have contributed to the mobilization and positioning section.