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A Multidisciplinary Approach to Equipment Use in Pediatric Patient Mobilization

Parchem, Katie, PT, DPT; Peck, Amanda, MS, OTRL; Tales, Katherine, PT, DPT

doi: 10.1097/CNQ.0000000000000211
Original Articles

Research has shown that patients who are mechanically ventilated or immobile for greater than 7 days are at increased risk for deconditioning and muscle atrophy. Immobility impacts length of stay as well as patients' ability to return to their prior level of function. As part of the safe patient-handling initiative created at Michigan Medicine, a special team of nurses and therapists was assembled to adapt an adult mobility framework for the pediatric population. The pediatric mobility model determines each patient's specific mobility “phase” based on detailed criteria. Clinical staff can then implement strategies aimed at preventing deconditioning and hospital-acquired weakness. At C.S. Mott Children's Hospital, a multidisciplinary team is available to support this pediatric mobility model. Specific equipment utilized during the different phases of mobility has been reviewed and discussed in this article.

Department of Physical Medicine and Rehabilitation, C.S. Mott Children's and Von Voigtlander Women's Hospital, Michigan Medicine, Ann Arbor.

Correspondence: Katie Parchem, PT, DPT, Department of Physical Medicine and Rehabilitation, C.S Mott Children's and Von Voigtlander Woman's Hospital, Michigan Medicine, 1540 E. Medical Center Dr, Ann Arbor, MI 48109 (kparchem@med.umich.edu).

The authors would like to acknowledge the team of specialists that have helped contribute to this Mobility Equipment Recommendations and Guidelines including Tonie Owens, RN, MSN, Christopher Tapley, MS, PT, Danielle VanDamme, RN, NP, Megan Schmuckel, MA, CCC Senior Speech-Language Pathologist, and Jamie L. Mayo, MSE, ATP, RET.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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