On admission Brianna could not walk without significant assistance from at least 2 staff. Even then, Brianna could only walk for short distances as a result of fatigue and the prevalence of her self-injurious behaviors. Whenever out of her chair, or removed from some of her restraints, Brianna would engage in severe self-injurious behaviors often resulting in the re-opening of wounds on her face and mouth.
Over time we began increasing the amount of time Brianna spent out of her chair each day, and increased her walk durations. Slowly she was able to transition to the use of a walker and one staff to walk for short distances and could remain out of her chair for 20 or so minutes multiple times a day.