Altered Mobility- Chap 25

Question 1

Changes in mobility as we age include

Answer 1

decrease in muscle tone, bone mass and density
Joints lose elasticity and flexibility

Question 2

Osteoporosis and Osteoarthritis and shift in center of gravity increases

Answer 2

Risk for fall

Question 3

Factors that affect mobility

Answer 3

Lifestyle and habits
Nervous System Control (CVA, Spinal Cord injury , Parkinsons)
Circulation & Oxygenation
Fatigue/ Energy Disorders
Restrictive Diets (cast/ immobilizers- causes muscle atrophy)

Question 4

paralysis from waist down

Answer 4

paraplegia

Question 4

paralysis of one side of body

Answer 4

hemiplegia

Question 5

paralysis of all 4 extremities

Answer 5

Quadriplegic

Question 6

What is important to check for on paraplegic/ total care pts?

Answer 6

checkin for breakdown;

Question 7

Risks for falls in hospital

Answer 7

Incontinence
Orthostatic hypotension
syncope
hx of falls
clutter

Question 8

Heart works harder on bedrest than OOB. T or F

Answer 8

True- due to less gravitational pull

Question 9

Impacts of Immobility of Physiologic Function

Answer 9

Muscle atrophy/weakness
Increases cardiac workload
Contractures
Joint Pain
DVT/PE
Decreased lung expansion
UTI / Urinary Retention/ Renal Calculi (Kidney Stones)
Pressure Injury
Negative Nitrogen Balance (malnutrition- body breaking down muscle tissue and not building up muscle tissue)

Question 10

Nursing Interventions for positioning patient

Answer 10

Turning Schedules
Logrolling
Padding
Joint Mobility Maintenance

Question 11

Nursing Interventions for ambulating patient

Answer 11

Sit. Dangle. Stand
Assist w/ transfer belts, lifts, mechanical aids
Prevent falls

Question 12

How is abductor pillow use?

Answer 12

Used to keep hop alignment following any hip surgery

Question 13

Home Based Nursing for Altered Mobility

Answer 13

Pt education of importance of ROM and exercises for mobility maintenance
Referrals for PT, OT and DME
Assessment of home for modifications