Today our topic of discussion is Intervention Phase.
Intervention Phase
Intervention (Action) Phase
Turning and Sitting
- Raise head end of the bed by 40-60° angle.
- Assist patient by supporting back and shoulder.
- Bring patient legs to the edge of the bed.
- Allow feet to rest on foot stool.
- Check for dizziness or drowsiness and pain.
Standing and Limited Walking
- Instruct the patient to slowly stand on the foot stool
- Give support with assistance on either side of the patient
- Make the patient climb down from the foot stool gradually Instruct him to keep his head erect, vertebral column straight, toes persisting forward and elbows slightly flexed.
- Instruct the patient to walk with even gait, and walk with the same speed of the patient.
Standing and Extended Walking
- Check whether patient wants to stand for a while or sit on a stool
- If no complaints, ensure the comfort of the patient Instruct him to walk for few more steps to reach the outside corridor of the ward or inside around the ward .
- Help him to sit on the chair provided with extra pillows for a short while (5 minutes).
Post Ambulation Phase
- Make sure the drains are connected back in position nasogastric tube [(NGT), wound drain, urobag]
- Continue/maintain the patience of IV infusion Check the condition of the patient (Free from dyspnea, hypotension and dizziness) .
- Wash hands
- Document the time distance walked duration of time and patients response.
Steps of Ambulation
- Step-1: Turning and sitting at the edge of the bed (Figs. 24.13A to C)
- Step-2: Standing and limited walking (Figs. 24.14 A to C)
- Step-3: Standing and extended walking (Figs. 24.15A to C)
Read more: