Activity And Exercise

Question 1

What are the benefits of activity/exercise?

Answer 1

• ⬆️ strength/flexibility/energy
• ⬇️ risk of dying from heart disease, blood pressure, control blood sugar
• ⬆️ immune fonction/ability to 🥊 disease
• Helps ⬆️ quality of sleep/concentration
• Helps ⬆️ moods, optimism and confidence

Question 2

Why is health promotion of activity and exercise is important?

Answer 2

⬆️ awareness of importance of activity/exercise and provide info

Question 3

What should we do when promoting activity/exercise?

Answer 3

• Make client consider Pros and Cons of sedentary/active
• Encourage client to choose something that they like (confident in)
• BE SUPPORTIVE, NONJUDGMENTAL AND ENCOURAGING
• Assist client to anticipate barriers to exercising and to problem solve solutions

Question 4

When we’re doing an assessment for activity we need to look at different things. When assessing for the physical activity, what should annotate?

Answer 4

Describe the amount/type of activity performed

Question 5

• Asses the need for walking aids when doing activities of daily living (ADLs)
• Assess the ability to transfer independently
• Assess the clients bed _____
  With these descriptions, which sign/symptoms of assessment for activity is this?

Answer 5

Mobility (ability to walk easily and independently)

Question 6

What are instrumental ADLs?

Answer 6

More complex ADLs —> shopping, cooking, etc

Question 8

What should you do when assessing the muscle mass/tone/strength in an assessment for activity?

Answer 8

• Compare both sides (swelling, masses, deformities)
• Inspect muscles for size
• Palpate muscles for firmness
• Test muscle strength (pt flexes muscles when you apply an opposing force

Question 9

What are active and passive ROM.

Answer 9

Active: ROM by yourself
Passive: ROM by someone (ex: at doctors)

Question 10

When assessing for activity, you should look at ADLs, what do you need to look for exactly?

Answer 10

Are they able to do activities of daily livings independently?
Instrumental ADLs

Question 11

• Patient can move ____? To what degree?
• Does pt perform active/passive _____. Of which ___?
• Assess if _____ move freely and w/o pain
• look for contractures
• Assess for swelling, masses, deformity
  Which part of the assessment of activity is this?

Answer 11

Range of motion/ joint mobility (how joints move)

Question 12

• Requires _______ and joints to engage with brain/ environment/sight, hearing and touch
• Assess pt ability to perform simple movements in rapid succession
• Assess if movements are balanced, smooth and purposeful
  Which part of the assessment of sign ans symptoms for activity?

Answer 12

Muscle coordination

Question 13

What are the causes of activity and exercice?

Answer 13

• Advanced age
• Physical condition
• Psychological condition
• Prescribed therapy
• External factors
• Culture
• Medications
• Nutrition

Question 14

Why is an advanced age a cause of activity/exercise?

Answer 14

• Muscle tone ⬇️ after 30
• Muscle fibres shrink —> ⬇️ contractility/flexibility
• ⬇️ strength, stamina, endurance, energy
• ROM of joints ⬇️
• Gait slower, short stepped (feet closer together)/shuffling
• ⬇️coordination

Question 15

Why is physical condition is a cause of activity/exercise?

Answer 15

• Structure/function of musculoskeletal system
• Trauma/Effects of surgery
• Chronic illnesses
• Pain
• Fatigue/Weakness

Question 16

What makes psychological condition a cause of activity/exercise?

Answer 16

• Depression
• Level of motivation
• Anxiety/stress
• Fear (of falling)
• Personal values/attributes/lifestyle

Question 17

What is Prescribed Therapy? (One of the causes of activity/exercise)

Answer 17

• Doctor’s orders
• Casts/Splints/ Traction
• Presence of other medical devices

Question 18

What are external factors that cause activity/exercise?

Answer 18

• Extreme heat/cold
• Unsafe environment (wet floor/insufficient space)
• Lack of facilities/equipment

Question 19

How can culture affect activity/exercise?

Answer 19

Dancing, ceremonies

Ex: asians with Taichi

Question 20

• May alter muscle tone/spams and motor coordination
• Pain _______
• Side effects of _________ —> drowsiness, dizziness, orthostatique hypotension, weakness
  Which sign and symptoms for activity is this?

Answer 20

Medications

Question 21

How does nutrition affect activity?

Answer 21

• Low caloric intake —> no energy
• Poor nutrition —> muscles weakness and ⬇️ activity
• Obesity —> stress to joints/ affect balance and posture/ moving more difficult

Question 22

BEFORE interviewing you need to consider…..

Answer 22

• The doctors orders (allowed to move? Or activity as tolerated)
• Client’s admitting diagnosis (chronic illness)
• Assess ROM of affected joints
• Physiotherapy
• Client’s baseline (before hospitalization)

Question 23

Name the interventions you can do when assessing the client for activity

Answer 23

• Ask about usual exercises
• Assess client’s understanding about benefits of activity
• Encourage pt to communicate feeling about activity
• Take consideration CT’s culture
• Balance activity —> rest
• Observe CT’s tolerance —> {heavy breathing, pain } STOP
• Encourage CT’s ROM (joints) exercises
• Walking schedule —> with them
• Encourage move in bed/chair
• Consult physio (if needed)
• Ensure attends physio
• Pain meds before (if needed or ordered)
• Encourage participate activities hospital
• Assess for side effects of med
• Provide adequate nutrition
• Encourage perform ADLs independently
• Teach/ensure walking aids, wearing fitting/nonslip shoes
• Path is obstacle free

Question 24

What do we need to look at when assessing the gait (how they walk) part of the assessment of activity?

Answer 24

• Assess rhythm, speed, presence of limp, symmetry of movement, distance between steps, walk with or w/o assistance
• Look for any shuffling, waddling, scissor gait