In Step 1 of the Acute Mobilization and Exercise decision process, what should be identified?

• A. Identify all factors contributing to deficits in O2 transport, identify the parameters that need monitoring before, during and after each session
• B. Determine whether mobilization is indicated, and if so which form will address the deficits
• C. Match the mobilization stimulus to the transport capacity
• D. Set the duration of the mobilization sessions

Answer: (A)

Identifying what limits oxygen delivery and what needs to be watched is the critical first move before starting mobilization. You’re looking at all factors that could impair O2 transport—from the heart’s ability to pump and the lungs’ gas exchange, to hemoglobin’s carrying capacity and how well tissues can extract and use oxygen. At the same time, you define what parameters you will monitor before, during, and after each session (vitals, oxygenation, hemodynamics, exertion, symptoms) so you can detect early signs of instability or overreach.

This baseline understanding is what guides the rest of the decision process. Once you know the deficits and the monitoring plan, you can decide if mobilization is indicated, choose the appropriate form, tailor the stimulus to the patient’s transport capacity, and set session duration. Without this initial assessment of O2 transport deficits and monitoring needs, the subsequent steps would lack the safety and individualization they require.