FINAL Flashcards
1
Q
Mobility Assessment
A
- body alignment/posture
- gait
- activity tolerance
- motor strength/control
- level of assistance
- use of mobility aids
assess cooperation, behaviour, current medical status, pain & comfort, and vital signs
2
Q
what is gait
A
- evaluate
3
Q
activity tolerance
A
- assess the stamina
4
Q
range of motion
A
maximum amount of movement available at a joint
5
Q
motor strength and control
A
- muscle weakness
- longer in bed more muscle breakdown
6
Q
level of assistance
A
- total care: rely on HCP
7
Q
passive ROM
A
- pt unable to move independently
- nurse moves joint through ROM
- pt could experience constriction if not moved
8
Q
active ROM
A
- pt is able to move all joints through ROM
9
Q
mobility safety issues
A
transferring and mobilizing pt
- fall risk
- injury
- fatigue
using hydraulic and ceiling lifts
- proper use of equipment
- within your scope of practice
- client safety/concern
- correct application
10
Q
assistive devices
A
- transfer sheet
- transfer belt
- Equipment aids (Wheelchair, walker, cane etc)
- Health care providers/caregivers
- Mechanical Lifts
- Slider Board
11
Q
Lowering to the floor
A
- Move behind patient. Take one step back
- Support patient’s waist/hip. Put your leg between patient’s legs.
- Slide patient down your leg lowering yourself at the same time.
- Assess patient for injuries before moving them.
- Reassure patient and seek help.
- Document per agency policy.
12
Q
Falls risk assessment
A
- History of previous falls, gait disturbances, balance/mobility issues, postural hypotension, medications, urinaryincontinence, cognitiveimpairment, communication, safety awareness, environmental hazards, age, polypharmacy
- Nursing Interventions to Reduce Falls
- Witnessed Fall/No Head Impact vsUnwitnessed Fall/Head Impact
13
Q
unwitnessed fall
A
- call for help
- look at pt
- do ABCs
- no obvious injuries
- document
14
Q
note time
A
