Hierarchy of Mobility Skills

After a traumatic event and a client is stuck in bed there is a certain hierarchy of mobility skills that much be met for them to successfully and safely walk on their on once again. The hierarchy is 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. In my mind this process makes perfect sense like the saying you gotta walk before you can run. Well you must be able to move around in your own bed before you can be expected to get up in a wheelchair. I think it was planned out this way because if you were to make an assumption that your client can complete a task, you might want them to fall back on pillows instead of possibly the floor. It just seems like the logical and safest way for movements to progress. I can't really say that I have seen this in my past to my knowledge. When I worked at an assisted living faculty our residents there were relatively mobile when they wanted to be (that was the key). I feel like I would see more of this in an ICU unit or maybe even a nursing home. I completely agree with this process you start small (like sitting up in bed) and work your way up (like to transfer into the tub). I also think accomplishing multiple "small goals" builds confidence for much larger goals and makes things feel easier when taking everything slow and steady.