Patient Ambulation | Preventing Pneumonia | Hospitalists |
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When a patient refuses to walk, tell them, "Ok, we can walk now or I will be back in 20 minutes and we can walk then." If someone is working with them, tell the patient you will be back to walk with them in about 20 minutes.
What should you do if your patient refuses to walk, or if someone is working with them at the time you are wanting to ambulate them?
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Head of Bed elevated 30 degrees, ambulation, CDB, Incentive Spirometer and Oral cares.
What five pneumonia prevention measures are included in the pneumonia bundle?
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Never. When a patient refuses to walk, tell them, "Ok, we can walk now or I will be back in 20 minutes and we can walk then." If someone is working with them, tell the patient you will be back to walk with them in about 20 minutes.
1.) When your patient is unable to walk because they are working with someone (or refuses to walk) at the determined time, when is it okay to not return a little later to complete their walk? 2.) Based on these scenerios, what should you say to your patient to encourage them to walk?
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At least every two hours while awake.
How often should the Incentive Spirometer and CDB be performed?
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Most patients should walk 4 times per day.
How many times should a patient walk per day?
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Yes. Encourage them to do their breathing exercises during commercial breaks.
1.) Is it okay to encourage your patient to do their breathing exercise throughout the day while you are not with them? 2.) How can you encourage them on the frequency of doing this?
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Sit at the edge of the bed for a period of time. Walk with them a few steps, trying to increase the amount of steps each time. Also do active or passive range of motion with them.
If a patient is unable to walk (perhaps only able to stand-pivot), what are some things you should do to help improve their strength and their ability to do more?
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Prevent Hospital Acquired Pneumonia and improve the Community Acquired Pneumonia they may have been admitted with.
What is the Pneumonia Bundle's purpose? There are essentially two.
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Circulation, prevents pneumonia, prevents blood clots, builds strength, builds endurance
What are five positive things ambulating does for patients?
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Inform your nurse and she can administer Chlorahexadine.
What option is available if the patient refuses to do their oral cares?
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