Immobility and Rehabilitation Flashcards
most common disability in over 65s?
mobility
3 general causes of functional limitations?
trauma
illness
long term conditions
risks of physical inactivity?
4th largest cause of disease and disability
directly contributes to 1 in 6 deaths in UK
what is and what is the criteria for sarcopaenia?
age related loss of muscle mass and function
- low muscle mass
- low muscle strength
- low physical performance must have 1 +2/3
what is osteopaenia?
age related loss of bone mass, exasperated by immobility
how does sarcopaenia develop?
muscle mass declines after 30
this accelerates after 60 and with increased fat levels
cardiovascular/pulmonary consequences of immobility?
decrease in blood volume (increased urine production)
cardiac deconditioning (increased resting HR)
postural hypotension
DVT
pneumonia and infections
MSK consequences of immobility?
loss of strength
antigravity muscles most affected
increase in non-contractile tissue including collagen (stiffness)
risk of contractures
GI consequences of immobility?
renal calculi/UTIs loss of urinary urgency pressure sores/loss of skin integrity reduced appetite slower stomach transit time constipation
what is the life curve?
graph showing general activities in life from hiking to eating independently over time to show ability of a person as they age
can show when intervention is needed
what are smart goals?
specific measurable achievable realistic timely
how are ADLs measured?
nottingham outcome measure
what interventions can take place?
strengthening/balance/gait based exercises transfer practice cognitive rehab self care assessment kitchen assessment environmental/home visits fatigue management W/C skills pain management upper limb tasks splinting
