Hospitalized adults spend the majority of their time lying in bed. Geriatric patients may be at highest risk for immobilization, with a recent study demonstrating that 83% of their time is spent in bed and only 4% standing or walking.1 Physiologically, immobility leads to decreased muscle strength and aerobic capacity, increased bone loss, and the development of vasomotor instability.2 Clinically, immobility is a risk factor for deconditioning, delirium, aspiration events, pressure ulcers, and falls.2-5 These complications lead to prolonged lengths of stay, increased likelihood of discharge to a skilled nursing facility, and increased mortality.3,5-8