While you don’t have to be overly observant to recognize that difficulty walking can spell trouble for your mobility, you may not necessarily be on the lookout for less subtle signs that can serve as red flags too. Check out this quick list of three hidden signs of mobility problems:
Are you opting to take the elevator more than normal? How about spending more time on the ground floor of your home to avoid using a staircase? Stairs can be one of the most difficult environments to traverse when mobility problems are starting to set in.
Stairs require extra leg strength, coordination, and balance. Avoiding stairs, whether conscious of it or not, could be a red flag. Same goes for exercise. If you are finding excuses to skip regular exercise because of mounting difficulties with getting around, it’s time to seek assistance.
While falls aren’t all that uncommon for seniors (one out of four seniors experiences a fall every year), frequent falling could indicate mobility difficulties. Even if you have not yet experienced an injury due to a fall, the fact that you fall even more than once a year could shed light on underlying risk factors negatively impacting your mobility including motor impairment and balance problems.
You may think that only chronic illnesses which directly affect your leg strength and coordination would impair your mobility, like Parkinson’s or multiple sclerosis, however, you would be wrong. Conditions including diabetes, arthritis, and even heart disease can play a role in reducing your ability to quickly and safely move with ease.
Heart failure, for example, can leave your short of breath when you walk or stand for long periods of time. Diabetes can affect nerves in the legs and feet and arthritic joint inflammation can make walking painful.
Researchers have found less common risk factors that also increase an older adult’s chances of developing mobility problems. These include drinking or smoking, recent hospitalization, having symptoms of depression and experiencing memory and critical thinking problems.
Mobility difficulties do not need to be the end of the line for you. Advancements in technology, design, and engineering have revolutionized the assistive devices people with mobility problems can use. Utilizing equipment to help keep you mobile like motorized scooters, walkers, canes, and specialty wheelchairs can play an important role in both your health as well as your outlook on life.
You may have heard of rehabilitation nursing, but are you familiar with what rehabilitation nurses do and their essential role in health care? According to the Association of Rehabilitation Nurses (ARN), there are four major domains within the new competency model for professional rehabilitation nursing (ARN, 2016) that can help us understand what rehabilitation nurses do. In this blog, we will look at the ARN model from a layperson’s viewpoint to help explain the role of the rehabilitation nurse. Rehabilitation nurses:
Promote successful living
Rehabilitation nurses do not only care for people, but they promote health and prevent disability. This means that rehab nurses engage in activities that help patients, families and communities stay healthy. Proactively, you might see rehab nurses helping with bike safety (such as promoting the wearing of helmets), car seat fairs (to keep children safe from injury), or stroke prevention through community screenings and teaching about managing risk factors. As rehab nurses, we also help patients towards self-management of existing chronic illness or disability, teaching them how to be co-managers with their health providers so they can maintain independence and have a good quality of life. Another key activity is facilitating safe care transitions. This means that rehabilitation nurses have a special skill set to know which setting of care is best for the patient to move to next and how to make this happen smoothly. For example, if Mrs. Smith has had a stroke and finished her time in acute rehabilitation in the hospital, but she lives alone and is not quite ready to go home, what is the best care setting or services for her to receive the help she needs? Many errors, such as those with medications, happen when patients go from one place to another in the health system. Rehabilitation nurses can help persons successfully navigate these complexities and be sure that clients get the continuity of care they need and deserve.
Give quality care
The interventions or care that rehabilitation nurses provide to patients and families is based on the best scientific evidence available. Part of being a rehab nurse is staying current on the latest technology, strategies for care, and best practices. This is to ensure that all patients receive the highest standard of care possible. We stay current in many ways, including reading journal articles, attending conferences, obtaining continuing education, and maintaining certification in rehabilitation. Research shows that having more certified rehabilitation nurses on a unit decreases length of stay in the hospital. In addition, all of rehab care focuses on the patient and family as the center of the interdisciplinary team. To this end, rehabilitation nurses teach patients and families about their chronic illness or disability across many different areas including: how to take medications; managing bowel and bladder issues; preventing skin breakdown; dealing with behavioral issues that might be present with problems such as brain injury or dementia; coping with changes from a disabling condition; sexuality; working with equipment at home; and ways to manage pain.
Collaborate with a team of experts
Rehabilitation nurses are part of an interprofessional team of physicians, therapists, psychologists, nutritionists, and many others who work together for the best patient outcomes. For persons who have experienced a catastrophic injury or illness, the work of this team of experts sharing common goals will provide the best care, and rehab nurses are the ones who are with the patient 24/7 to coordinate this process. Through effective collaboration, excellent assessment skills, and communication with the rest of the team members, rehab nurses ensure that patient and families are getting well-coordinated care throughout the rehabilitation process. Remember that rehabilitation takes place in many settings, whether on the acute rehab unit, in skilled care, long-term care, or the home. The nurse’s role is to be sure that the holistic plan of care is followed by all staff and that the physicians overseeing medical care are continually informed of patient progress for the best decision-making possible.
Act as leaders in rehabilitation
Not only do rehabilitation nurses provide direct patient care, they are also leaders in the rehabilitation arena. You might be surprised to learn that rehabilitation nurses advocate at the highest level for legislation surrounding funding and policy for those with disabilities and chronic illness, talking with Senators and Congressmen about key issues. ARN has professional lobbyists that continually watch health policy movement in Washington and keep rehab nurses informed. Rehab nurses help patients to advocate for themselves in holding government and communities accountable for needed care services. Lastly, rehab nurses share their knowledge with others. This is done in a variety of ways through conducting and publishing research, presenting at conferences, serving on local and national committees, and serving in public office. All of the leadership activities done by nurses in rehabilitation are to promote the best quality of care for patients with chronic illness and disability.