Immobility

Question 1

pathological influences on mobility (4)

Answer 1

Postural abnormalities
Damage to central nervous system (CNS)
Muscle abnormalities
Musculoskeletal trauma

Question 2

6 Factors influencing mobility

Answer 2

b. Bed rest
c. Effects of muscular deconditioning
i. Disuse atrophy (loss of muscle tone)
ii. Physiological (cardiac or some organ damage)
iii. Psychological
iv. Social

Question 3

Metabolic systemic effects

Answer 3

i. Endocrine, calcium absorption, and GI function

Question 4

Urinary elimination systemic effect

Answer 4

i. Urinary stasis

ii. Renal calculi

Question 5

Musculoskeletal changes systemic effect

Answer 5

Loss of endurance and muscle mass and decreased stability and balance

Question 6

Skeletal effects systemic effects

Answer 6

Impaired calcium absorption

Joint abnormalities

Question 7

Psychosocial effects of immobility

Answer 7

emotional & behavioral responses
Sensory alterations
Changes in coping

Question 8

Assessment process of immobility

Answer 8

Mobility
ROM
Body alignment

Question 9

Body alignment is used for: 6 things

Answer 9

Determining normal physical changes
Identifying deviations in body alignment
Patient awareness of posture
Identifying postural learning needs of patients
Identifying trauma, muscle damage, or nerve dysfunction
Obtaining information on incorrect alignment

Question 10

Acute care for metabolic

Answer 10

Provide high-protein

high-calorie diet with vitamin B and C supplements

Question 11

Acute care for respiratory

Answer 11

Cough and deep breathe every 1 to 2 hours.
Provide chest physiotherapy
Turning the patient

Question 12

Acute care for cardiovascular 5 things

Answer 12

Reducing orthostatic hypotension
Reducing cardiac workload (don’t hold breath)
Preventing thrombus formation
SCDs
Preventing thromboembolic disease (TED), hose
leg exercises

Question 13

Acute care musculoskeletal

Answer 13

Prevent muscle atrophy and joint contracture

Question 14

acute care Integumentary

Answer 14

Reposition every 1 to 2 hours

Provide skin care

Question 15

acute care for elimination

Answer 15

Provide adequate hydration

Serve a diet rich in fluids, fruits, vegetables, and fiber

Question 16

45-60 deg, knees slightly elevated

Answer 16

supported fowlers

Question 17

Prevents ER of hip when pt is supine

Answer 17

trochanter roll

Question 18

Weight is put on anterior ileum, humerus, clavicle

Answer 18

sims position

Question 19

When patient is falling

Answer 19

Wide base of support with one foot in front of other
supporting body weight
then gently lower patient to ground while supporting their head

Question 20

Vitamin C is needed for

Answer 20

skin integrity & wound care

Question 21

Vitamin B is needed for

Answer 21

energy metabolism

Question 22

SCDs & pneumatic compression (IPC) prevent

Answer 22

blood clots in LE