Pediatric Mobility: The Development of Standard Assessments and Interventions for Pediatric Patients for Safe Patient

Tonie Owens1, Christopher Tapley

  • 1Pediatric Intensive Care Unit, Michigan Medicine, Ann Arbor (Ms Owens); and Department of Physical Medicine and Rehabilitation, C. S. Mott Children's and Von Voigtlander Women's Hospitals, Michigan Medicine, Ann Arbor (Mr Tapley).

Insights

Pediatric patients face inactivity complications like hospital-acquired conditions. This study modifies adult mobility assessments for pediatric patients to improve functional outcomes during hospitalization.

Area of Science:

  • Biomedical Sciences
  • Pediatric Nursing
  • Clinical Expertise

Background:

  • Childhood mortality has decreased due to advances in biomedical sciences and clinical expertise.
  • Pediatric patients experience inactivity complications similar to adults, including hospital-acquired conditions and delirium.
  • Prolonged hospitalizations for acute or chronic illnesses necessitate interdisciplinary collaboration for optimal pediatric functional and developmental outcomes.

Purpose of the Study:

  • To describe the modification of an adult mobility assessment tool for application in the pediatric population.
  • To enhance pediatric nursing assessments by incorporating gross motor function and mobility evaluations.
  • To guide the development of age- and developmentally appropriate mobilization activities for hospitalized children.

Main Methods:

  • Modification of an existing adult mobility assessment tool.
  • Adaptation of assessment criteria for pediatric age groups and developmental stages.
  • Integration of mobility assessment into routine pediatric nursing care.

Main Results:

  • The modified assessment provides a framework for evaluating mobility in pediatric patients.
  • It facilitates the identification of specific mobility deficits related to hospitalization.
  • The adapted tool supports individualized mobilization plans based on patient needs.

Conclusions:

  • Adapting adult mobility assessments is crucial for pediatric care.
  • Standardized mobility assessments improve nursing practice and patient outcomes.
  • Early and appropriate mobilization is key to mitigating complications in hospitalized children.

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