Biomechanics reflection #7

Restoring a client's confidence toward independence is a slow process. It involves taking small steps that allow client's to work their way toward independent mobility. The hierarchy of mobility skills starts at the bottom with bed mobility. This is an important starting point because it offers the largest base of support for the client allowing for more control and stability. From there the base of support begins to progressively get smaller equaling less stability for the client such as for toilet transfers and ambulation. The pyramid for hierarchy of mobility also starts with the basics, like moving in the bed, then it begins to address more complex transfers in order to continue performing ADLs. The flow of the hierarchy makes sense because it builds on the mobility skills already acquired to eventually allow client's to restore their mobility independence. I have observed similar sequences in the settings I shadowed and worked in prior to coming to school. I agree that it is important for the client to start out with the most basic forms of mobility. In the beginning, it is important to take baby steps and to not overwhelm the patient. It builds more confidence and trust between a client and their therapist if the therapist provides challenging but attainable steps for their client. Allowing for small victories can help to restore confidence and encourage the client to work on their mobility skills.