Ch. 33 Activity Concepts Flashcards

1
Q

Fx of Skeletal system

A

supporting the soft tissues of the body, protecting cruscial components of the body, furnishing surfaces for th attachments of muscles, tendons and ligaments which, , providing storage areas for minerals and fat, hematopoiesis

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2
Q

Leading back injuries or back pain for health care workers

A

Uncoordinated lifts
Manual lifting and transferring of patients without assistive devices
Lifting when fatigued
Lifting after recent recovery from a back injury
Repetitive movements such as lifting, transferring, and repositioning patients
Standing for long periods of time
Transferring patients from beds to stretchers and chairs, wheelchairs, or operating tables; repositioning patients in bed
Repetitive tasks
Transferring/repositioning uncooperative or confused patients

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3
Q

Development level posture

A
Infant: periods of activity with quiet and periods of sleep. 3 months: may raise chest and head when prone. 5 months: head control usually achieved. 
3–6 months
•  Ability to sit
•  Head control
6–9 months
•  Sits steadily
•  Rolls over
•  Creeps on all fours
•  Pulls to a standing position
•  Has improved hand–eye coordination
9–12 months
•  Progresses toward unassisted walking
•  Is able to pick up small objects
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4
Q

Development control: Toddler:

A

Gross and fine motor development continues rapidly.
• By 15 months: Most can walk unassisted.
• At 18 months: Most can run.
• At 2 years: Most can jump
• At 3 years: Most can stack blocks, work simple puzzles, and dress themselves.

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5
Q

Control: Child:

A

Greater gross and fine motor control.
• By age 4: Negotiate stairs, walk backward, and hop on one foot.
• By age 5: Skip, jump rope, and jump off heights of several steps.
• Able to manipulate writing materials.

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6
Q

Development: Adolescent

A

Size increases: There is a growth spurt.
• Secondary sex characteristics appear.
• If physically fit: Can be a time of boundless energy and great athletic performance.
• If inactive: May begin a lifelong pattern of unhealthy behavior.

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7
Q

Development: Adult

A
  • Stands and sits erect and is capable of balanced and coordinated purposeful movement.
  • During pregnancy: center of gravity shifts because of developing fetus.
  • Activity levels vary greatly.
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8
Q

Development: Older Adult

A

Increased convexity in the thoracic spine (kyphosis) from disk shrinkage and decreased height
• Loss of muscle tone
• Subcutaneous fat loss
• Arthritic joint changes may be present

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9
Q

Exercise: Muscle Contraction

A

isotonic, isometric, isokinetic

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10
Q

Exercise: Body Movement

A

aerobic, stretching, stretngth and endurance, movement and ADLs

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11
Q

Effects of Exercise on CV

A
Increased efficiency of the heart
Decreased heart rate and blood pressure
Increased blood flow to all body parts
Improved venous return
Increased circulating fibrinolysin (substance that breaks up small clots)
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12
Q

Exercise: Respiratory

A

Improved alveolar ventilation
Decreased work of breathing
Improved diaphragmatic excursion

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13
Q

Exercise: Musculoskeletal System

A

Increased muscle efficiency (strength) and flexibility
Increased coordination
Reduced bone loss
Increased efficiency of nerve impulse transmission

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14
Q

Exercise: Metabolic Process

A

Increased triglyceride breakdown
Increased gastric motility
Increased production of body heat

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15
Q

Exercise: GI

A

Appetite is increased.
Intestinal tone is increased, which improves digestion and elimination.
Weight may be controlled.

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16
Q

Exercise: Urinary

A

improved blood flow to kidneys. better acid base balance

17
Q

Exercise: Skin

A

increased circulation resulting from regular exercise, nourished the skin.

18
Q

Exercise: Psychosocial outlook

A
Increased energy, vitality, and general well-being
Improved sleep
Improved appearance (body image)
Improved self-concept
Increased positive health behaviors
19
Q

Focussed Assessment:

A

daily activity level, endurance, exercise/fitness goals, mobility problems, physical or mental health alterations, external factors affecting mobility

20
Q

Endurance

A

Vital signs while the patient is at rest
Ability to perform the activity (e.g., ambulation)
Patient’s response during and after the activity
Vital signs immediately after the activity
Vital signs after the patient has rested for 3 minutes

21
Q

Nursing Diagnosis

A

Activity intolerance, impaired transfer ability, risk for activity intolerance,

22
Q

Physical Assessment of mobility

A

general ease of movement and gait, alignment, joint structure, and function: muscle mass, tone and strength and enduacne. pts ability to stand, walk, sit up, and grasp are important becasue these enable the patient to wash, dress, and feed themselves and perform basic ADLs