What is Ambulation?
Ambulation refers to the act of walking or moving from one place to another. In a healthcare context, it is crucial for patients who are recovering from surgery, illness, or injury. Assisting with ambulation helps in improving
circulation, preventing complications such as
deep vein thrombosis (DVT), and promoting overall physical and emotional well-being.
Assessment: Evaluate the patient’s physical condition, including
strength, balance, and coordination.
Proper Equipment: Use appropriate devices such as walkers, canes, or gait belts.
Environment Check: Ensure the path is clear of obstacles and hazards.
Patient Education: Inform the patient about the process and encourage them to communicate if they feel uncomfortable or experience pain.
Steps to Assist with Ambulation
Follow these steps to assist a patient with ambulation: Hand Hygiene: Wash your hands and wear gloves if necessary.
Positioning: Help the patient to a sitting position on the edge of the bed. Let them sit for a few minutes to prevent
dizziness.
Gait Belt: Apply a gait belt around the patient’s waist for extra support.
Stand Assistance: Assist the patient to stand by holding the gait belt while they push off the bed or chair.
Walking: Walk beside or slightly behind the patient, holding the gait belt or providing support as needed. Monitor their balance and strength continuously.
Rest Periods: Allow the patient to rest if they become tired. Ensure they are safely seated before taking a break.
Return to Bed/Chair: Assist the patient back to the bed or chair safely, ensuring they are comfortable.
Common Challenges and Solutions
Assisting with ambulation can present various challenges, such as: Fear of Falling: Reassure the patient and provide a steady hand or mobility aid.
Weakness: Use a wheelchair or walker if the patient is particularly weak.
Obstacles: Ensure the environment is free of trip hazards like loose rugs or clutter.
When to Seek Additional Help
It is important to seek additional help in certain scenarios: Unsteady Gait: If the patient is consistently unsteady, consult a physical therapist.
Pain: If the patient experiences significant pain, stop the activity and consult a healthcare provider.
Medical Conditions: Certain conditions may require specialized techniques or equipment.
Documentation and Follow-Up
After assisting with ambulation, it is essential to document the activity: Patient's Response: Note how the patient responded to the ambulation, including any difficulties or symptoms.
Distance: Record the distance ambulated and any breaks taken.
Recommendations: Include any recommendations for future ambulation activities.
