Early Mobilization and return to self-Care
Another goal of acute nerorehabilitation intervention is early patient mobilization and the encouragement of self-care activities.
SPECIAL CLINICAL POINT: Early mobilization helps to prevent DVT, skin breakdowns, pneumonia, joint contractures, and constipation; it promotes early ambulation, better orthostatic tolerance, and performance of basic activities of daily living.
Early participation in self-care activities can help to increase strength, endurance awareness, communication, problem solving, and social activity. Mobilization and the encouragement of self-care is beneficial as soon as a patient’s medical and neurologic condition is stabilized, and, if possible, within 1 to 2 days of admission to the hospital. Early mobilization is delayed or approached with caution in patients with coma, obtundation, evolving neurologic signs, intracranial hemorrhage DVT, or persistent orthostatic.