In order to increase someone's confidence when it comes to mobility, it is important that the client is educated on the steps it takes to carry out the action, as well as it pertaining to the client's goals, needs, values and that it is relevant. In addition, we want the client to be able to move and function in a safe and correct way, so risks can be minimized. For the body to be mobile, there are some ways to make it easier, which includes making sure the center of gravity is moving, the line of gravity is near the outer edge of the base of support, outside joint motion is controlled, and the base of support is small. As for the order of the hierarchy of mobility skills the first mobility that is done is bed mobility, then mat transfer to wheelchair transfer, bed transfer, functional ambulation for ADL, toilet and tub transfer, car transfer, functional ambulation for community mobility, and last community mobility and driving. It makes sense that it is done in this sequence so it is expected, and I believe it is in this order because the level of cognition needed starts out less complex and easier to understand. As you go up the pyramid, there are more steps and movements to follow and carry out to remember. Also, the base of support is wider and more stable starting with bed mobility, but as you go up the BoS gets smaller, which makes it more difficult. I have observed in the past that it is done in this order, but not with every client depending on their level of independency (level of assistance) along with comprehension and functional body control. I think it depends on the status of the client and what they can do that determines which mobility skill needs to be worked on or started off with. I do agree with this approach because there is not only room for improvement and progress, but it is also putting the client in a safe environment and builds their self-efficacy.
