Abstract

Abstract Background Bed rest is a contributor to iatrogenic complications including delirium and muscle atrophy (Lui et al.2017). Getting patients up and moving has been shown to reduce falls and improve patient experiences. Clothes help people maintain their self-esteem and orientation and would also remind their care professionals to recognize them as people (Blackweel, 2014) Methods A pre campaign audit on fall and new incidence of delirium was conducted prior to the pilot campaign. To assess what patients were in bed, dressed in pyjamas or up dressed for 2 weeks prior. Education was delivered to both staff and patients with information leaflets on the ward. Informing patients and families the appropriate clothing and foot wear to bring into hospital. Elective patients were notified by post to explain what we were doing and why, whilst asking them to pack their day clothes. At 12:00 every day roaming teams surveyed the amount of patients out of bed and dressed in their day clothes. Results 37% (n=226) more patients were up, dressed and moving on Medical and Surgical wards. 25% (n=153) less patients were in bed on both the medical and surgical ward. This pilot project demonstrated a decrease in the number of reported falls from 16 to 4 as well as a decrease in the number of reported new episodes of Delirium from 4 to 0. Conclusion Overall, the endpjparalysis initiative resulted in positive outcomes for patient’s small change can impact incidents of falls and acute delirium within our organisation. Inter-disciplinary approach to roll out this initiative to other wards across the hospital changing our culture of care. In line with the patients charter empower patients to take control of their care needs thus, promoting their independence.

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