For Step 5, which description best captures the content?

For Step 5, which description best captures the content?

• A. Set the duration of the mobilization sessions according to the patient’s responses.
• B. Thoracic mobility exercises.
• C. Active, active assist, or PROM exercises.
• D. Combination of thoracic mobility exercises, active/assist/PROM, breathing control coordinated with movements, and coughing supported

Answer: (D)

Step 5 is about combining movement with airway clearance and breathing coordination. The content should not only include chest wall mobility and range-of-motion activities but also actively coordinate breathing with movements and support coughing to keep the airway clear during mobilization. That holistic approach helps patients tolerate activity while maintaining ventilation and protecting the airway. The best description includes all these elements: thoracic mobility exercises, active, active-assisted, or PROM movements, breathing control synchronized with movements, and coughing supported. This captures the integration of mobility, ROM, respiration, and airway clearance that Step 5 aims to achieve. The other options miss essential pieces: focusing only on session duration ignores the content of what is performed; describing only thoracic mobility omits the ROM, breathing coordination, and cough support; describing only active/assist/PROM misses the breathing control and coughing components.

Step 5 is about combining movement with airway clearance and breathing coordination. The content should not only include chest wall mobility and range-of-motion activities but also actively coordinate breathing with movements and support coughing to keep the airway clear during mobilization. That holistic approach helps patients tolerate activity while maintaining ventilation and protecting the airway.

The best description includes all these elements: thoracic mobility exercises, active, active-assisted, or PROM movements, breathing control synchronized with movements, and coughing supported. This captures the integration of mobility, ROM, respiration, and airway clearance that Step 5 aims to achieve.

The other options miss essential pieces: focusing only on session duration ignores the content of what is performed; describing only thoracic mobility omits the ROM, breathing coordination, and cough support; describing only active/assist/PROM misses the breathing control and coughing components.