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Goal: encourage early movement and ambulation to prevent complications of immobilization.
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Turn or reposition q2h.
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ROM: passive and active exercises.
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Encourage leg exercises.
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Use preventive treatments—antiembolic stockings, graduated compression stockings, or external pneumatic compression sleeves:
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With compression stockings, highest pressure (100%) at ankles, lowest pressure (40%) at midthigh.
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Compression sleeves, three chambers sequentially inflated-deflated to stimulate venous return.
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Assist with standing or use of commode if allowed.
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Encourage resumption of personal care as soon as possible.
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Assist with ambulation in room as soon as allowed. Avoid chair sitting because it enhances venous pooling and may predispose to thrombophlebitis.
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Evaluation/outcome criteria:
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Incision heals without infection.
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No complications, e.g., atelectasis, pneumonia, thrombophlebitis.
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Normal bowel and bladder functions resume.
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Carries out activities of daily living, self-care.
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Accepts possible limitations: dietary, activity, body image (e.g., no depression, complies with treatment regimen).