2.1 .At the onset of the period of NWB, a personalised programme of activity and exercise should be devised, agreed and recorded: 2.1a to reduce sedentary behaviour 2.1b to include a daily range of motion exercises for the lower limb joints 2.1c to include daily aerobic fitness exercises 2.1d to include daily strength exercises for all limbs (R1,98%). 2.2. At onset of the period of NWB, thromboembolism prevention management should be reviewed, and should comprise 2.2a mobilization 2.2b mechanical (e.g. compression hosiery if tolerated) 2.2c low dose heparinoid unless contraindicated (R1, 96%). 2.3. At onset of the period of NWB, plans for the monitoring and management of any wound, fixation device or limb casting during the period of non-weight bearing should be recorded (R1,99%). 2.4. At the onset of the period of NWB, plans for the duration of the period of non-weight bearing, or the decision-making process to define it, should be recorded (R1,99%). 2.5. At the onset of the period of NWB, specific plans for the consequences of the personal ADL limitations imposed by the requirement for non-weight bearing such as upon skincare, continence, toileting and dressing should be recorded (R1, 97%). 2.6 .At onset of the period of NWB, a personalised plan based on the above assessments of where the above care should be delivered should be recorded (R1, 97%). 2.7. During the period of NWB, access to equipment and professional input should be sufficient to deliver care as defined by 1.1–1.2 and 2.1–2.6 and to plan 2.8–2.11 (R1, 100%). 2.8. By the end of the period of NWB, a personalised programme of activity and exercise and where it should be conducted should be recorded (R1, 99%). 2.9. By the end of the period of NWB, plans for the monitoring and management of any aspect of fracture / injury care (wound, fixation device or limb casting) should be recorded (R1, 100%). 2.10. By the end of the period of NWB, plans for addressing on-going personal and instrumental ADL limitations should be recorded (R1. 100%). 2.11. By the end of the period of NWB, plans for addressing on-going pain should be recorded (R1. 99%). 2.12. By the end of the period of NWB, plans for management of osteoporosis should be recorded ( R1,96%). 2.13. All care plans listed above should be developed with the patient, with a family member or caregiver if requested by the patient or in those patients lacking sufficient mental capacity to do so (R1,99%) |