By Dr. Corina Rachita, hospitalist
In our journey of healing, we often encounter patients with complex medical histories that demand a multifaceted approach to care. Recently, I had the opportunity to meet “Carol,” an elderly woman whose resilience and commitment to her own recovery left a lasting impression on me. Her story is not only a testament to the power of perseverance but also an inspiring example of how Early Progressive Mobility can be a game changer in patient care.
Carol came to us in the emergency department, battling yet another internal episode. With multiple surgeries and recurrent hospitalizations, her medical history was daunting. When she explained her symptoms and the measures she had taken — adhering to a mostly liquid diet post-discharge — it was clear that recovery would not be straightforward.
However, upon visiting her room the next day, I found Carol defying the odds. Despite being connected to an NG tube with wall suction, she was sitting in a chair. Her determination to maintain mobility was evident, and I assured her of its critical importance.
Throughout her hospital stay, Carol underwent necessary surgery but remained committed to moving. She made it a point to get up to the chair regularly and walked laps whenever possible. The results were remarkable — Carol recovered well without requiring parenteral nutrition, avoided infections and DVTs, and safely returned home.
Carol's journey highlights a fundamental truth in healthcare: Preserving functional status is not merely an option; it's an essential part of healing. Mobility prevents complications, promotes dignity, and enhances both short- and long-term outcomes. As healthcare providers, it's imperative that we regard mobility as a core element of patient care, akin to nutrition and medical treatments.
Our dedicated mobility team is championing this mission by providing education to nursing staff, utilizing tools like the Johns Hopkins Level of Mobility Chart, and refining PT documentation to offer clear guidance. Setting realistic goals, such as encouraging patients to move from bed to chair at least three times a day, can significantly transform hospital experiences and patient lives.
Carol’s story serves as a poignant reminder of what's possible when movement is integrated into medicine. As medical staff, let's unite in keeping our patients moving, preserving their strength, independence, and hope. By embedding Early Progressive Mobility into our practice, we can make strides in enhancing patient outcomes and fostering their journey to wellness.
Thank you for your dedication to our patients' health and well-being. Together, let's continue to advocate for mobility as a cornerstone of care.
Warm regards,
Dr. Rachita
