Skip to main content

Mobility

Mobility plays a key role in the overall well-being and quality of life of residents in post-acute and long-term care (PALTC) settings.  

Understanding Mobility in Older Adults

  • Physiological Changes: Aging is often accompanied by muscle mass decline (sarcopenia), decreased bone density (osteopenia or osteoporosis), and joint issues (such as arthritis), which can all affect mobility.
  • Concurrent Medical Conditions: Neurological conditions like stroke, Parkinson's disease, or neuropathies, and other comorbidities like heart failure or chronic obstructive pulmonary disease (COPD), can significantly impede movement.
  • Environmental Factors: Inadequate footwear, cluttered living spaces, and lack of assistive devices can pose challenges to free movement.

Optimizing Mobility in PALTC

  • Comprehensive Assessment: A thorough evaluation to ascertain the root causes of mobility limitations, encompassing physical exams, functional tests, and reviewing medical histories, is foundational.
  • Tailored Interventions: Based on the assessment, interventions can range from physical therapy exercises, occupational therapy for adaptive techniques, or even pharmacological management for underlying conditions.
  • Use of Assistive Devices: Walkers, canes, or wheelchairs can provide essential support. Ensuring these devices are customized to the patient's size and need is vital.
  • Safety Precautions: Adequate lighting, non-slip floors, handrails, and decluttering common areas can make PALTC environments conducive to movement while minimizing fall risks.
  • Mobility-Focused Programs: Initiatives like walking clubs, balance exercises, or strength training sessions can instill a culture of mobility among residents.
  • Education: Patient, family and staff education about the importance of mobility in maintaining strength, dignity and independence as much as possible is key.