Immobility Flashcards
Mobility
A persons ability to move freely
Dangers of immobility
Effects every system in the body
Immobility
Refers to the inability to move freely
Bed rest
An intervention that restricts patients to bed for therapeutic reasons
Negative nitrogen balance
Excretes more nitrogen then what is being taken in
Hypostatic pneumonia
Inflammation of the lung from stasis or pooling of secretions
Thrombus
An accumulation of platelets, fibrin, clotting factors, and the cellular elements of the blood attached to the interior wall of a vein or artery
Joint contracture
Abnormal and possibly permanent condition characterized by fixation of the joint, the joint cant achieve full ROM. Contracture’s can occur as soon as 8 hours after immobility
Foot drop
Foot is permanently fixed in plantar flexion
Renal calculi
Calcium stones that lodge in the renal pelvis or pass through the ureters
Pressure ulcer
Impairment of skin as a result of prolonged ischemia (decreased blood supply)
Embolus
A dislodged venous thrombus. Can travel to the lungs and impair circulation and oxygenation
Dangers of immobility-respiratory
Rib cage trapped potentially causing poor expansion ability,collapsed alveoli, decreased cough, bacteria pools and decreased in O2 in blood and increase of CO2 and higher levels of confusion
Coughing and deep breath
Are encouraged, expands and inflates lungs
Skeletal system functions
Supports body.
Motion
Manufactures blood cells
Offers protection
Urinary system
Urinary stasis which causes UTI’s. urinary stones. And incontinence.
Skeletal system. Deformities, osteoporosis, foot drop.. Ambulation is ultimate prevention
Stiffness in joints
Urinary system interventions
Offer adequate fluids. Offer bowel/bladder emptying. Assist with elimination, allow patient to sit in normal position. Avoid catheters and change positions frequently to mobilize urine.
G/I immobility causes
Anorexia/malnutrition. Increased flatus. Decreased appetite. Constipation. Fecal impaction
G/I interventions
Encourage exercise and walking. Push fluids and fiber. Refer to patients normal routine. Position in normal positions for elimination. Avoid fecal impaction.
Integumentary system hazards
Pressure wounds. Excessive dryness
Integumentary system functions
Protects from infections, injury, fluid loss and helps control body temp.
Integumentary system interventions
Position frequently, every 1-2 hours or PRN. Encourage and offer fluids. And ensue adequate nutritional and fluid intake
Common emotional changes with immobility
Depression. Behavioral changes. Changes in sleep/wake cycle. Impaired coping
Common behavioral changes
Hostility. Belligerence. Giddiness. Withdrawal. Confusion.
