Immobility and Mobility Power Point Flashcards
These are benefits of _____; Psychological, Sociological, Physiological
mobility
ADLs or ______ include bathing, ambulation, toileting, transfers, eating, and dressing.
activities of daily living
BATTED
_______ are the coordinated efforts of the musculoskeletal and nervous systems
body mechanics
______ reduces strain, aids in maintaining adequate muscle tone, promotes comfort, contributes to balance and conservation of energy.
alignment and balance (posture)
_______ is the weight force exerted on the body; always directed downward.
gravity
______ is the force that occurs in a direction opposite to movement (Consider larger objects are resistant to movement).
friction
“The hazards of nursing work can impair health both acutely and in the long term. These health outcomes include musculoskeletal injuries/disorders, other injuries, infections, changes in mental health, and in the longer term, cardiovascular, metabolic, and _____”
neoplastic diseases.
Nurses experience significant physical and psychological demands which include shift work, long hours, overtime, fast work pace, and many responsibilities and _____.
stressors
Agency within the U.S. Department of Health and Human Services and mission is to produce ______ to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used.
evidence
Patients with impaired body alignment require nursing care to maintain correct _____, such as supported Fowler’s, supine, prone, side-lying, and Sims’ positions.
positioning
Pathological influences on mobility include ______ which can be congenital or acquired.
postural abnormalities
Pathological influences on mobility include _______ such as muscular dystrophies - progressive symmetrical weakness and muscle wasting with increasing disability and deformity.
impaired muscle development
Pathological influences on mobility include ______ such as trauma, stroke, meningitis, Damage to cerebellum or cerebral cortex
damage tot he CNS
Pathological influences on mobility include _____ such as bruises, contusions, sprains, and fractures.
musculoskeletal trauma
______ is the ability to move about freely
mobility
______ is the Inability to move about freely
immobility
_____ is an intervention that restricts patients for therapeutic reasons
bed rest
When on bed rest _______ and lack of activity can result in a series of symptoms often referred to as hazards of immobility
deconditioning
Negative consequences of ______ include psychological, sociological and physiological (musculoskeletal, cardiovascular, respiratory, elimination and skin)
immobility
Hazards of immobility include systemic effects. Within the _________ system the endocrine system is effects as well as calcium absorption, and ______.
metabolic
gi function
Hazards of immobility include systemic effects. Within the _________ system include ______ and hypostatic pneumonia.
respiratory
atelectasis
Hazards of immobility include systemic effects. Within the _________ system include orthostatic hypotension and thrombus.
cardiovascular
Hazards of immobility include systemic effects. Within the _________ changes there is a loss of endurance and muscle mass and ______ and balance.
musculoskeletal
decreased stability
Hazards of immobility include systemic effects. Within the _________ effects which include loss of muscle mass and muscle atrophy.
muscle
Hazards of immobility include systemic effects. Within the _____ effects include impaired calcium absorption and joint abnormalities.
skeletal
Hazards of immobility include systemic effects. Within the _________ elimination system they include urinary stasis and renal calculi.
urinary
Hazards of immobility include systemic effects. Within the _________ system include pressure ulcer and ischemia.
integumentary
Pscyhosocial effects of immobility include emotional and behavioral responses such as _______, giddiness, fear, and anxiety.
hostility
Pscyhosocial effects of immobility include ______ alterations such as altered sleep patterns.
sensory
Pscyhosocial effects of immobility include changes in _____ resulting in depression, sadness, and dejection.
coping
In an assessment for activity you need to learn the following:
Age Home environment/home safety Lifestyle/exercise patterns Occupation/Education Family history Activity tolerance ADLs Nature of current problems Assistive devices History of falls
To do an assessment for activity you need to perform a _____. You start with a ROM and progress as long as the patient tolerates it (balance, gait, and exercise). Consider deconditioning and _____.
mobility assessment
dangling
Key questions to ask during a mobility assessment include: Can the patient bear weight? Can the patient assist? ________.
Is the patient cooperative
Box 28-3
?
In the nursing process: assessment for mobility you need to know.
Gait (a particular manner or style of walking)
Exercise (physical activity for conditioning the body, improving health, and maintaining fitness)
Activity tolerance
Physiological
Emotional
Developmental
Activity intolerance
Monitor for symptoms such as dyspnea (difficult or labored breathing, fatigue, chest pain, and/or change in vital signs.
Physical Assessment of the Musculoskeletal includes:
Alignment Posture ROM Muscle strength Tone Endurance Joints Skin
Physical Assessment of the Neurologiccal includes:
Nerves Sensory perception Balance Coordination Proprioception
The nursing diagnosis should determine if there is impaired physical mobility and the _____.
activity tolerance
In the nursing process during implementation (health promotion) prevention of work-related musculoskeletal injuries, exercise, and ____ in patients with osteoporosis.
bone health
In the nursing process implementation (metabolic) a diet must be provided with high protein, high calories and with vitamin ______ supplements.
B an C
In the nursing process implementation (respiration) the patient should cough and deep breathe every _____ hours as well as provide chest physiotherapy.
1 to 2
n the nursing process implementation (cardiovascular) the patient should progress from bed to chair to _______. The patient should be using SCDs, TED hose, and preform leg exercises.
ambulation
In the nursing process implementation (musculoskeletal) the patient should preform passive ROM CPM (continuous pass motion), and ______.
active ROM
In the nursing process implementation (integumentary) the patient should be _____ every 1 to 2 hours and provide skin care.
repositioned
In the nursing process implementation (elimination) the patient needs ______ and a diet rich in fluids, fruits, vegetables, and fiber.
adequate hydration
In the nursing process implementation the patient should be _____ properly such the defined positions.
positioning
A _____ transfer is the first policy.
safe
When transferring a patient determine a _____ to assist.
patient’s ability
When transferring a patient communicate actions to ____.
patient
When transferring a patient use _______ resources.
appropriate
With basic clinical safety make sure the bed is ____ and the wheels are locked. Make sure the upper side rails are up and the ____ is in reach. Make sure the personal care items near and toileting needs are met.
low
call bell
With the safety guidelines communicate clearly and
mentally review transfer steps.
Assess patient mobility and _____. Determine if assistance needed.
Raise side rail on opposite side of bed. Arrange equipment. Evaluate _______.
Understand use of equipment.
Educate patient.
strength
body alignment
