The professional caregiver is able to autonomously and independently perform mobility measures including patient/client activation according to the treatment plan and individual conditions in all care cases. | The professional caregiver is able to: - change the patient’s/client’s position (e.g. in bed, in wheelchair),
- help the patient/client to stand up (e.g. from bed),
- transfer the patient/client (e.g. into and out of bed, into and out of wheelchair),
- perform passive and active mobilisation,
- implement specific methods of positioning and mobilising patient/client according to clinical pictures,
- recognise the patient’s/client’s needs regarding mobility and transfer aids,
- develop a mobility and movement plan according to clinical pictures and patient’s/client’s needs (see also CA.1.3),
- bring the patient/client into a position that is necessary for interventions and examinations,
- recognise and manage risk situations and changes in the patient’s/client’s condition during a care procedure (e.g. recognise circulatory collapses),
- assess the patient’s/client’s sedation state and determine whether adequate sedatives have been administered (see also CA.3.2),
- collaborate with other professionals regarding mobility and movement and activation of the patient/client,
- document mobility measures used (see also CA.A.2).
| The professional caregiver is able to: - name mental disorders and diseases that influence the mobility of the patient/client (e.g. delirium, psychosis, epileptic attack, dementia),
- describe the influence of mental disorders and diseases that influence the mobility of the patient/client,
- describe the Bobath concept related to special diseases that affect mobility (e.g. stroke, restless patient/client),
- describe physical diseases that lead to movement restrictions and their influence on mobility/transfer of the patient/client (e.g. spinal surgery, pulmonary oedema),
- describe special positions for surgical interventions (e.g. spine surgery),
- name and describe diseases of the motion apparatus that lead to restrictions in self-sufficiency (e.g. ankylosing spondylitis, disc prolapse),
- explain the limitations to mobility measures if patient/client has circulatory problems (e.g. shock, life-threatening condition),
- describe the physiology of pain and differentiate between individual pain experiences,
- describe special positions for examinations (e.g. lumbar puncture, colonoscopy),
- differentiate the patient´s/client´s mobility needs according to clinical picture,
- describe the impact of sedation on mobility,
- name risks of too low/high depth of sedation regarding mobility (see also CA.3.1),
- describe the development of mobility and movement plans and their reasoning (see also CA.1.3),
- list necessary steps to prepare the patient/client for transportation (e.g. securing drains, use of straps).
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