hierachy of mobility skills

The order for restoring confidence in mobility is somewhat complicated to understand but after careful review it makes sense the order. The order goes as follows: bed mobility, mat transfer, wheelchair transfer, bed transfer, functional ambulation for ADL, toilet and tub transfer, car transfer, functional ambulation for community mobility, and community mobility and driving. I understand why driving is the highest on the hierarchy because driving requires great attention span. When someone gets behind the wheel, their life is put at risk and the people around them. Also, it makes sense for bed mobility to be at the very bottom because it is the basis for doing everything else. The first thing a person does in the morning is getting out of bed. A person must get out of bed to operate a vehicle. I agree with this approach. I think it makes a lot of sense for the order it is in because each step builds on each other.

              The labs we have done where we are performing transfers have taught me a lot. It would be very stressful to not be able to move by myself and I am grateful the labs are teaching me to help people who cannot move by themselves. I think it is very cool the different types of transfers we have learned. Before lab, I did not realize there were specific ways to transfer a client, especially when they have a spinal cord injury. I am looking forward to becoming an OT and I believe what I have learned so far about the transfers will help me be the best OT as I can be!