Mobility Decline Prevention
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Modules - Mobility Decline Prevention
SIT-TO-STANDS
- CNAs should encourage all FIT participants to repeat sit-to-stands during each care episode.
- Residents may engage in this exercise either before or after receiving incontinence care, and before or after walking or wheeling. Ask the resident for his or her preference.
- The resident should start from a seated position on a chair in the room. Instruct the resident to move to the edge of the chair. If possible, the chair’s back should be supported against a wall. A resident may sit in his or her own wheelchair for this exercise, but make sure the wheelchair is locked before the resident attempts to stand.
- Although residents may use their arms to help them stand up, they should be encouraged to use their legs more than their arms.
- To start, encourage residents to repeat 1-4 sit-to-stands. Prompt them to gradually (over several weeks) increase the number of repetitions until they reach a maximum of eight sit-to-stands per session.
- Offer residents the minimal physical assistance needed to complete each sit-to-stand. From minimal to maximum, the assistance levels are as follows:
- General command: “Please show me how you can stand and then sit.”
- Verbal cues or instruction
- Tactile guidance to initiate the action
- Physical assistance throughout the action
- Record results in the FIT log.
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