Activity & Exercise + Immobility Flashcards

1
Q

what is SO IMPORTANT ABOUT PHYSICAL ACTIVITY & EXERCISE?

A
  • contribute greatly to one’s own physical & emotional well-being
  • allows one to keep fit & elevate one’s mood
    • stress management
    • better sleep quality
    • improves confidence & self-image
  • patients need the MOTIVATION to engage in regular exercise
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2
Q

definition of DECONDITIONING

A
  • based upon INACTIVITY OF PHYSICAL ACTIVITY
  • indication of physical, emotional decline due to inactivity
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3
Q

what are some ACTIVITIES SEEN IN HEALTH CARE SETTINGS?

A
  • WALKING
  • TURNING/POSITIONING
  • LIFTING
  • CARRYING

**often see nurse undergo injuries–such as on the BACK due to overexertion from lifting or moving patients

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4
Q

definition of MOVEMENT

A

complex process that requires COORDINATION between the musculoskeletal & nervous systems

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5
Q

defintiion of BODY MECHANICS

A

a term that describes the COORDINATED EFFORTS of the MUSCULOSKELETAL SYSTEM & NERVOUS SYSTEM

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6
Q

definition of BODY ALIGNMENT

A
  • or aka POSTURE; allows for the positioning of the joints, tendons, ligaments, & muscles while in standing, sitting, or lying positions
  • indicates a person’s center of gravity is STABLE
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7
Q

how does GRAVITY & FRICTION PLAY A PART?

A

if we have an UNSTEADY PATIENT; this means their CENTER OF GRAVITY IS UNBALANCED & WEAK

  • friction is where we have a FORCE THAT IS OPPOSITE TO THE MOVEMENT
  • the GREATER SURFACE AREA = GREATER FRICTION
  • the LARGER THE OBJECT = GREATER RESISTANCE to MOVEMENT
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8
Q

what is the TYPICAL CORRECT BODY ALIGNMENT?

A
  • RELAXED and FACE FORWARD POSITIONING
  • minimization of HUNCHING
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9
Q

definition of SHEAR

A
  • the force exerted against the skin while the skin remains stationary & bony structures move
    • ex. moving HOB - patient pulled by gravity on underlying sheets
  • causes damage to UNDERLYING TISSUE & impedes blood flow
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10
Q

what is the SKELETAL SYSTEM and what is it composed of?

A
  • composed of ATTACHMENTS for MUSCLES & LIGAMENTS that forms the FRAMEWORK for the body
    -contains our joints, ligaments, tendons, and cartilage
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11
Q

what about our SKElETAL MUSCLES?

A

muscules that are concerned with MOVEMENT OR POSTURE
- they can either EXTEND OR CONTRACT

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12
Q

definition of PROPRIOCEPTION

A

where we have the ACTUAL AWARENESS of the POSITION OF THE BODY and all its PARTS

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13
Q

what do we use to help ease pain within the MUSCLES?

A

can use HEAT THERAPY
- allows for VASODILATION & RELAXING OF THE MUSCLES

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14
Q

definition of PHYSICAL ACTIVITY

A

any movement produced by the SKELETAL MUSCLES that results in ENERGY EXPENDITURE

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15
Q

definition of PHYSICAL EXERCISE

A

type of SUBSET OF PA; more of a PLANNED, STRUCTURED, and REPETITIVE movements that has a more FINAL OR INTERMEDIATE OBJECTIVE OR GOAL
- goal; improvement or maintenance

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16
Q

definition of ISOTONIC/DYNAMIC CONTRACTION/EXERCISES

A

mobilizing; causes the body to move
- have CONTRACTION OF THE MUSCLE

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17
Q

definition of ISOMETRIC EXERCISES

A
  • stabilizing; causes the body to hold a stable position
  • has an INCREASE IN MUSCLE TENSION — has NO SHORTENING OR ACTIVE MOVEMENT OF MUSCLE
  • still has ENERGY EXPENDITURE
    • ex. having car in neutral
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18
Q

what are PATHOLOGICAL INFLUENCES that must be considered during ACTIVITY?

A
  • CONGENITAL DEFECTS (scoliosis, OI - brittle bone disease)
  • DISORDERS pertaining to the BONES, JOINTS, or MUSCLES (osteoporosis)
  • CNS DAMAGE
  • MSK TRAUMA (fractures etc..)
  • OBESITY (increased SOB, risk of disorders, low back pain)
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19
Q

definition of SPHM

A

involves the SAFE PATIENT HANDLING & MOBILITY
- where we have TECHNIQUES and improved assessments of equipment and procedures to allow SAFE MOVING, HANDLING, and TRANSFERING OF PATIENTS

20
Q

infants - developmental changes in MSK?

A

have more of a SPINE THAT IS FLEXED
- continued DEVELOPMENT OF MOVEMENT–just starting to lift their head, sit up, and stand

21
Q

toddlers - MSK developmental changes?

A
  • has more of a SWAYBACK SPINE and PROTRUDING ABDOMEN
22
Q

adolescents - MSK developmental changes

A

greater amount of ACTIVITY - more sports and more sporadic growth

23
Q

older adults - MSK changes?

A
  • have a GREATER LOSS OF BONE MASS
  • slower walk and coordination
  • increased risk of falls
  • can have underlying conditions or weakness in the muscles
  • greater MEDS and POLYPHARMACY
24
Q

how do BEHAVIORAL ASPECTS PLAY A ROLE?

A

the more SUPPORTIVE EFFORTS ARE AROUND PATIENTS–the more they will incorporate themselves into an exercise program

  • allows to hold yourself accountable!
25
what are FACTORS THAT CAN INFLEUNCE ACTIVITY & EXERCISE?
- CULTURAL BACKGROUND - different ENVIRONMENTAL ISSUES/ACCESS TO ACTIVITIES - FAMILY & SOCIAL SUPPORT
26
important questions to ask during nursing assessment?
- any major surgeries? - any medications or symptoms? - how much does the patient exercise each day? - are they bedbound, in need of PT/OT, or necessity of assistive devices? - do they have access to locations to exercise? - how ready are they to develop this lifestyle change?
27
what are the APPRORIATE NANDAS?
Activity intolerance  Risk for injury  Impaired mobility in bed  Impaired mobility  Acute or chronic pain
28
what is our GOAL AND OUTCOME?
want to be able to IMPROVE AND MAINTAIN THE PATIENTS MOTOR FUNCTION AND INDEPENDENCE - taking into account the PRIORITY NEEDS - being able to COLLABORATE WITH OTHERS
29
what are the TYPES OF RANGE OF MOTION EXERCISES?
- ACTIVE, PASSIVE, or ASSISTEd - FAROM; full active range of motion - PAROM; partial active range of motion - PROM; passive ROM
30
what are some things to remember while helping a PATIENT WALK?
- always ASSESS FIRST IF THE PATIENT CAN WALK SAFELT - dangle legs first around 1 - 2 min before starting - use gait belt and extra support
31
what are SOME OF OUR ASSISTIVE DEVICES TO WALK?
- walkers - canes - crutches
32
what can occur with DECREASE OF EXERCISE?
- CAD - HT - COPD -DM
33
definition of MOBILITY
refers to a person's ABILITY to MOVE FREELY
34
definition of IMMOBILITY
refers to the inability to move freely
35
what are SOME EFFECTS OF MUSCULAR DECONDITIONING?
- DISUSE ATROPHY - decreasing of muscle mass/shrinking of the muscle - PHYSIOLOGICAL/PSYCHOLOGICAL EFFECTS - SOCIAL EFFECTS (ex. bed rest- decreased socialization)
36
what are some METABOLIC CHANGES that occur with IMMOBILITY?
- decrease of ENDOCRINE METABOLISM - decreased CALCIUM RESORPTION - decreased GI SYSTEM FUNCTIONS - DECREASED PERISTALSIS
37
what are some RESPIRATORY CHANGES that can occur with IMMOBILITY?
- ATELECTASIS (collasped lung) - HYPOSTATIC PNEUMONIA
38
what are other CHANGES THAT CAN OCCUR?
- cardiovascular; ex. orthostatic hypertension changes in BP and HR - msk changes; ex. increase of blood clots/atrophy - urinary changes; ex. decrease in output = increase in UTI/stasis - integumentary changes; risk of pressure ulcers
39
what can occur during DEVELOPMENTAL CHANGES?
INFANTS: - can have delayed development - want to develop their weight-support skills *tummy time TODDLERS: - have a MORE WIDE STANCE; with their head and trunk more forward - if immobilized; can delay gross motor skills ADOLESCENTS; - growth increases ADULTS: - have more increased risk of immobility OLDER ADULTS - greater risk for falls and bone loss
40
what to observe during NURSING ASSESSMENT?
- can the patient perform ROM? - how does the patient walk? - how much do they exercise? - how do they stand/sit/lay down?
41
what are some aspects of HEALTH PROMOTION FOR IMMOBILITY?
- prevent any work related msk injuries - importance of exercise - patient teaching of proper bone health
42
what are some METABOLIC INTERVENTIONS?
making sure patient has a HIGH PROTEIN HIGH CALORIE DIET with VITAMIN B AND C SUPPLEMENTS
43
what are some RESPIRATORY INTERVENTIONS
allow patient to cough and deep breathe every 1 - 2 hours - use of chest physiotherapy
44
what are OUR POSITIONING TECHNIQUES?
- SUPPORTED FOWLER's POSITION - SUPINE POSITION - PRONE POSITION - SIDE-LYING POSITION - SIMS POSITION
45
definition of INSTRUMENTAL ACTIVITIES OF DAILY LIVING
specific INTENSIVE SPECIALIZED THERAPY such as OT or PT - ex. dressing yourself, grocery shopping etc...