Exam 2: Activity and Exercise Flashcards

1
Q

Ligaments

A

Bind joints and connect bones

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2
Q

Tendons

A

Connect muscle to bone

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3
Q

Cartilage

A

Shock absorber between articulating bones

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4
Q

Skeletal system involve

A

joints
ligaments
tendons
cartilage

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5
Q

Skeletal muscles determine and contribute to

A

Determine shape, form, and movement

Contribute to posture

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6
Q

Nervous system regulates

A

Movement and posture
balance/alignment
proprioception (CN 8) where you are in relation to other things
Awareness of body positions and parts

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7
Q

Benefits of mobility and exercise

A
Keepts us fit and control weight 
combat health conditions and disease 
improves mood and attitude 
manage stress 
boosts energy 
promotes better sleep 
improves health 
Goal: 30 minutes every day
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8
Q

Pathologies influencing activity tolerance

A
Musculoskeletal abnormalities 
neurological abnormalities 
metabolic diseases 
hypoxemia 
decreased cardiac function 
physical stability 
poor fitness 
pain 
infection 
chemical dependency
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9
Q

Scientific knowledge base?

A

Nature of movement
alignment and balance
gravity and friction

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10
Q

Unsteady patients fall If their

A

center of gravity becomes unbalanced

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11
Q

Factors that influence activity and exercise

A
Developmental changes 
behavioral 
cultural and ethnic influences 
environmental:
  --- resources, weather, work site, schools, community
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12
Q

Restoration of activity and chronic illness

A

Coronary artery disease
hypertension
chronic obstructive pulmonary disease
diabete mellitus

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13
Q

Americans with disability’s act (1991)

A

Workers have right for special adaptations based on disability

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14
Q

Functional assessment

A
standing, sitting posture/alignment 
ROM/ gait 
exercise history 
ADLs 
Independent living skills
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15
Q

Planning for activity and exercise

A

Goals and outcomes
Setting priorities
Teamwork and collaboration

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16
Q

Goal of activity and exercise

A

Improve or maintain the patients motor function and independence

17
Q

Implementation of activity and exercise

A
Health promotion 
Acute care 
early mobility 
Helping a patient walk 
Restorative and continuing care
18
Q

Rehabilitation

A

process of learning to live with and manage chronic and disabling conditions, often those resulting form trauma

19
Q

Goal of rehabilitation

A

patient will return to the best possible physical mental, social, vocational, and economic capacity

20
Q

Nurses told in rehab

A
Advocate fro patient 
monitor progress 
patient education/support 
coordinate holistic care 
resource to team 
communication 
plans discharge 
collaborate with an interdisciplinary team
21
Q

Helping patients exercise

A
Assess limitations 
know patients prior mobility level 
allow CV system to stabilize if goin from lying to standing 
teach breathing skills during ambulation 
assess joint limitations 
proper footwear 
move at own pace 
teach body mechanic and posture 
vital signs before and after 
pain control
22
Q

Mobility aids

A
Shoes/slippers 
lifts 
chairs/wheelchairs 
raised toilets 
gait belt 
walkers 
cane 
crutches 
handle grips
23
Q

Helping adults to exercise

A
Avoid prolonged sitting 
get up and stretch 
teach good body alignment 
use stronger joints or larger muscle groups 
planned exercise 
assess/increase weight bearing 
never too late to start exercising 
adjust exercise to age if needed
Sit and be fit programs
24
Q

Safety for the nurses

A
Use proper equipment correctly 
encourage patients to assist if able 
Proper body alignment 
Position close to object 
work as a team
25
Correct body alignment
``` Head is erect Body symmetrical Spine: straight with normal curvatures abdomen tucked knees: Straight line between hips/ankles feet on floor pointed forward arms hang comfortably center of gravity is midline and low Face direction of movement, AVOID twisting Back straight but do NOT use to lift ```
26
Injuries very common to nurses
MS
27
Application to nursing
be familiar with hospital policies on lifting/transferring patients receive proper training for moving patients use research standard and guidelines for position and transferring patient use life teams and patient handling equipment to prevent injury to self
28
Guidelines for exercise program
``` Assess fitness level Design fitness program Assemble equipment Get started Monitor progress ```
29
Spinal stenosis
Narrowing of open spaces within spine which puts pressure on spinal cord and nerves
30
Symptoms of spinal stenosis
Numbness, weakness, tingling in leg, arm, or hand, feeding deficits, bowel and bladder incontinence, pain
31
Causes of spinal stenosis
Genetic, overgrowth of bone, herniated disks, thickening ligaments, tumors, injuries
32
Look at assessment for spinal stenosis