Healthy Life Choices/SBAR Flashcards
What does SBAR stand for?
Situation
Background
Assessment
Recommendation
Main Causes of immobility
Pain
Motor/nervous system impairment
Functional problems
Generalized weakness
Psychological problems
Side effects of medications
Psychological immobility complications
Body image issues
Lack of social interaction
Sensory deprivation
Depression
Physical immobility complications
Atrophy, joint contracture
Osteoporosis
Pressure ulcers
Orthostatic hypotension
Deep vein thrombosis
Pneumonia and pulmonary embolism
Decreased peristalsis, constipation
Kidney stones
Immobility Interventions
promote circulation
- active and passive ROM
- positioning
- mobilization
maintain skin integrity and prevent skin breakdown
- turning
- repositioning
- pressure relieving support surfaces
promote venous return
- SCD
- TED Hose
Sedentary is the
new smoking
Sedentary lifestyle
Increased the risk of some cancers
Greater risk of heart disease
Increased the risk of obesity
Decreased immunity
Increased risk of Type 2 diabetes
Susceptible to muscular issues
Interferes with LPL levels
Higher risk of developing depression
Ergonomic principles
assistaive devices
proper lifting
assess ability to balance
plan of care
Benefits of Exercise
Improved circulatory and respiratory systems
decreased cholestrol
lower body weight
delayed osteo porosis
more flexibility, strength and endurance
Isometric exercise
Tightening or tensing muscles without moving body parts
Isotonic
Muscle contraction and change in muscle length
Resistive
Pushing against stationary object or resisting movement (Increases Strength and Endurance)
aerobic conditioning
provides cardiovascular conditioning
Regular exercise
Weight loss
Reduces muscle loss
Better heart and lung function
Psychological well being
What exercise is great for older adults?
brisk walking 30 mins a day
Risks associated with exercise
Cardiac Injury
Musculoskeletal Injury
Dehydration
Hyperthermia
Heat Exhaustion
Heat Stroke
Hypothermia
Getting Patient Teaching Started
Set realistic goals
Workout buddy
Vary routine to prevent boredom
Choose a comfortable time of day
Don’t get discouraged if results are not seen right away
Stop if you hurt
Make a commitment
Keep a log
Celebrate successes
Exercise Tips
warm up 5-10 mins before mian sesseion
gradually decrease intensity (cool down) then stretch 5-10 mins after
wear shock absorption foot wear
alternative easy and hard exercise days
take a day off periodically
drink 8 oz of water before and during
Carbohydrate
converted to glucose which is used for energy
Proteins
build and repair body tissues such as muscles
-essential for many body processes like nutrient transport and muscle contraction
Fats
-insulate the body
-provide energy
-store certain vitamins (A,D,E, K)
CHO FOODS
Grains-breads
pasta
rice
fruits
milk
high sugar content foods
PROTEINS FOODS
Meat
poultry
fish
eggs
nuts
beans
peas
lentils
Fats food
Whole milk and milk products
oils
nuts
certain meats
Pts with HTN diets
Avoid high sodium foods
Processed
Canned
PT WITH HIGH CHOLESTEROL DIET
Avoid saturated fatty acids
Fatty meat
Avoid trans fatty acid
Deep fried
Fast food
Bone Health diets
Diets need to include Vitamin D and Calcium
Prevent osteoporosis
Situation
ID yourself/unit
ID Pt
Problem described
Background
short summary of med hx
dx
current vs, pain, mental status, assessment, co
Assessment
ID-specific need to resolve problem
clinical impression and concerns
rank the severity
VS outside parameters
Recommendation
id needs to be done
urgency of problem
suggest action should be done
state desired response to action
When can you come see them?
