Improvement in Transferring/Ambulation
Improvement in transferring is demonstrated by an increase in the percentage of patients who are better able to get in and out of bed. Higher percentages are better. Certain abilities needed to function independently can be developed or maintained by managing symptoms or through physical or occupational therapy. Being able to get in and out of bed with no assistance may be necessary before patients can do many other things, like dressing or toileting. It is especially important if there are no caregivers to assist the patient when the home healthcare ends. Home health staff should evaluate the need for any special assistive devices or equipment and train patients on their use.
Improvement in ambulation/locomotion is demonstrated by an increase in the percentage of patients who improve walking or mobility. Higher percentages are better. Many patients receiving home health may need help to walk safely. This assistance can come from a person or equipment (like a cane). If they use a wheelchair, they may have difficulty moving around safely. Getting better at walking or using a wheelchair is usually a sign of progress. Home health staff should evaluate the need for any special assistive devices or equipment and train patients on their use. If a patient can perform this activity with little assistance, they are more independent, self-confident, and active.