MOBILITY

Mobility is linked across the four subject disciplines of the HCM.
INTERPERSONALinterpersonal icon caduceus - science iconSCIENCE
Negative experiences - falls - loss of self-confidence, insecurity, apprehension, uncertainty, frustration, fear outside or even indoors, avoidance of essential tasks, loss of independence. Use of personal alarm. Weekly check. Balance - sitting, standing, moving. Knowledge of home environment - using furniture as an aide. Accidents, treatments, duration of restricted mobility? Walking aids. Physiotherapy and O.T. assessment. Discharge planning. Ability to self-care. Gait assessment. Posture. Aetiology. Pathological changes. Investigations - X-rays. Disease processes. Infection. Podiatry. Signs and symptoms - at risk groups - #femur. Paediatrics. Elderly. Non-accidental injury. Ability to drive. Footwear. Effects of (new) environment - non-activity; (plus zero gravity?). Disruption of regular routines. Lack of exercise - constipation.
Availability of support /assistance. Social isolation. Pressure on carers, coping strategies, need for carers needs to be assessed. Diurnal variation in ability. Home assessment with carer present. Education - safe moving and handling. Information to patient and carers on resources. Access to resources. Stroke clubs. Alternative transport. Autonomy, choices. Provision of stairlifts/special vehicles. Mobility benefit / allowances. Policy on bus / train passes. Access to buildings. Lack of access facilities - ramps, rails, makes people 'disabled'. Politics of disability - "Does he take sugar."
SOCIOLOGYsocial icon political iconPOLITICAL

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