MOBILITY AND

EXERCISE
Bea Mercado
Sweet cerlyn Lazaga

POSITION
A bodilypostureorattitude.

SUPPORTING CLIENT IN FOWLERS

POSITION
Elevation of upper part of the body without knee
flexion.
It is an intervention used to promote oxygenation via
maximum chest expansion and is implemented during
events of respiratory distress
In low Fowlers position, head is elevated to 30 degree.
In semi Fowlers position, head is elevated up to 45
degree.
In high Fowlers position, head is elevated up to 60 to
90 degree.

SUPPORTING A CLIENT IN DORSAL

RECUMBENT POSITION
The clients head and shoulders are slightly elevated on
a small pillow.
PURPOSE :
1. To reposition the client and
offset the possibility of skin
breakdown.
2. To enhance client comfort.
3. For vaginal inspection and
digital examination.

SUPPORTING A CLIENT IN PRONE

POSITION
The client lies on the abdomen with the head turned to
side. The hips are not flexed.
PURPOSE:
1. To prevent flexion contractures of the knees and
hips.
2. To promote drainage from the mouth and
bronchioles.
3. To reposition the client and offset the possibility
of the skin.
4. To examine the back and for spinal examination
and procedures.
5. Improves arterial oxygenation.

SUPPORTING A CLIENT IN LATERAL

POSITION
In the lateral or side-lying, the person lies on one side
of the body. By having the client flex the top hip and
knees and placing this leg in front of the body, a
wider, triangular base of support is created and
greater stability as achieved. The greater the flexion
on the top hip and knee, the greater the stability and
balance in this position.

PURPOSE:

SUPPORTING A CLIENT IN SIMS

POSITION
The Sims' position, named after the gynaecologist
James Marion Sims, is usually used for rectal
examination, treatments and enemas. It is performed
by having a patient lie on their left side, left hip and
lower extremity straight, and right hip and knee bent.
It is also called lateral recumbent position.

MOVING A CLIENT UP IN BED

Assistance to a client to move up toward the head of
the bed with less exertion and less discomfort.
PURPOSE:
For lesser exertion of effort and
discomfort on the part of the
patient.

MOVING A CLIENT TO THE SIDE OF

THE BED IN SEGMENT
This movement is used in preparation for moving the
client onto a stretcher, in preparation for turning the
client to the lateral position, or when changing the
clients bed.
PURPOSE:
1. In preparation for moving the client onto
a stretcher.
2. In preparation for turning the client to the
lateral position.
3. In changing clients bed.

TURNIG A CLIENT TO A LATERAL OR

PRONE POSITION IN BED
Movement to a lateral side lying position may be
necessary when placing a bedpan beneath the client,
when changing clients bed linen, or when
repositioning the client.
PURPOSE:
1. Placing a bedpan beneath the client.
2. Changing clients bed linen.
3. Repositioning the client.

LOGROLLING A CLIENT
is a maneuver used to move a patient without flexing the
spinal column. Patient's legs are stretched, the head is
held, to immobilize the neck.
PURPOSE:
1. To maintain straight alignment of the
spinal cord while moving the patient.
2. To prevent additional injury of the spine
for patients who has spinal injuries.

MOVING A CLIENT TO A SITTING

POSITION ON THE EDGE OF THE BED
SPECIAL CONSIDERATIONS:
Assess the client for orthostatic hypotension before the
transfer.
Lock the wheels of the bed and the wheelchair before the
client transfers in or out of them.
Use appropriate assistive devices such as transfer belt or
board.
Apply a seat belt to a helpless client in a wheelchair .

Motion

Mobility
Ability to move freely and
purposefully.
Essential, in order for people
to meet their basic needs,
maintain independence, and
have a good self-concept.

Mobility
Normal movement and stability require intact
musculoskeletal and nervous system and intact
inner ear structures that control equilibrium.
BODY MOVEMENT:

A. Posture (Body Alignment)

B. Joint Mobility
C. Balance (Stability)
D. Coordination

ACTIVE ROM Exercise

ISOTONIC
Client moves each joint
through its complete range of
motion.
INCREASE muscle strength
and endurance.

PASSIVE ROM Exercises

Maintain joint flexibility but is
of no value in maintaining
muscle strength.
Should be used only for
movements that the client
cannot achieve independently.

ACTIVE-ASSISTIVE
ROM Exercises
The client moves the joint as
much as he or she is able and
the nurse then continues the
movement passively to its
maximal degree.

Assisting a Client to Walk

The act of walking:
-In

a normal walking posture, the head

erect, the cervical, thoracic, and
lumbar vertebrae are aligned, the hips
and knees have appropriate flexion,
and the arms swing freely in alternate
with the legs.

Assisting a Client to
use a Cane
Canes are Lightweight, easily
movable device about waist high,
made of wood or metal with rubber
tips.
TYPES of Canes:
A.Simple straight-legged cane
B.Tripod or crab cane

Assisting a client to
use Crutches
Crutches are wooden or metal staff
with a handgrip in the form of
crossbar and a forearm crutch, often
needed t increase mobility.
Temporary or permanently needed by
the client.