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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.
Abstract:
Due to improvements in biomedical sciences and clinical expertise, childhood mortality has decreased. Pediatric patients experience similar complications from inactivity as adults, such as hospital-acquired conditions and delirium. Interdisciplinary collaboration is imperative to improve functional and developmental outcomes of children who suffers from either a chronic illnesses or an acute illness that results in a prolonged hospitalization. Pediatric nursing assessments should include gross motor function related to mobility. Activities to mobilize pediatric patients should be based on age and developmental assessment. The purpose of this article is to describe the modification of an adult mobility assessment for the pediatric population.
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