Why Seating is a Vital Component in Mobilizing Patients in Acute Care

One of the essential steps in rehabilitation, particularly in acute care settings, is enabling patients to move as early as possible. Contrary to common belief, sitting—both in bed and in a supportive chair—plays a foundational role in this process, as outlined in the initial phases of the ICU Mobility Scale (Phases 1, 2, and 3).

ICU Mobility and the Role of Seating

The ICU Mobility Scale emphasizes how early mobility, activity, and movement positively impact a patient’s overall health. Patients who are confined to bed for extended periods can experience a significant decrease in their ability to perform Activities of Daily Living (ADLs). Healthcare professionals recognize that prolonged immobility can lead to physical and mental deterioration, a risk that is preventable with proactive intervention. For example, pressure injuries and other consequences of immobility are often preventable through proper care, which is why many insurance providers do not cover the costs associated with such complications. In this context, nursing assistants and healthcare providers play a crucial role in monitoring and mobilizing patients to avoid these risks.

Debunking Myths: The Importance of Early Seating

A common misconception is that a patient must first achieve full bed mobility, weight-bearing capability, and walking skills before sitting in a chair becomes part of their rehabilitation. However, seating can actually be one of the first steps in the mobilization process and can significantly aid in a patient’s journey towards walking and regaining independence. Therapeutic seating should not be viewed as the final step of rehabilitation but rather as an integral component throughout the process. Here’s why:

1. Improves Muscle Strength and Sitting Tolerance: Sitting in a supportive chair helps patients build sitting tolerance and muscle strength, essential for further mobility.
2. Enhances Strength, Balance, and Confidence: The act of transferring in and out of a chair helps patients develop the strength and balance required for walking, while also boosting their confidence.
3. Encourages Engagement and Activity: Seating allows patients to engage in activities like eating, socializing, and interacting with their environment, which is critical for mental well-being.
4. Boosts Alertness and Physiological Function: Sitting upright promotes alertness and improved physiological function, contributing to overall health and recovery.
5. Reduces the Risk of Hospital-Acquired Deconditioning: Appropriate therapeutic seating can help prevent hospital-acquired deconditioning, a condition where prolonged bed rest results in muscle weakness and reduced physical function.

How Seating Matters Chairs Support Patient Recovery

Seating Matters chairs are designed with patient rehabilitation in mind, offering features that enhance both comfort and mobility. These chairs assist patients in maintaining an upright position, support safe transferring, and reduce the risks of falls and pressure injuries. They provide healthcare providers with essential tools to support each patient’s unique rehabilitation plan, playing a critical role in their recovery.

References:

1. Reuter-Sandquist M; Open Resources for Nursing (Open RN); Ernstmeyer K, Christman E, editors. Nursing Assistant [Internet]. Eau Claire (WI): Chippewa Valley Technical College; 2022. Chapter 9: Promote Independence Through Rehabilitation/Restorative Care. Available from: https://www.ncbi.nlm.nih.gov/b...