Immobility: PowerPoint Flashcards
(Abduction / Adduction) refers to moving a limb away from the midline of your body.
(Abduction/ Adduction) refers to moving a limb toward the midline of your body.
Abduction refers to moving a limb away from the midline of your body.
Adduction refers to moving a limb toward the midline of your body.
_____ is the movement of the limb, hand, or fingers in a circular pattern, using the sequential combination of flexion, adduction, extension, and abduction motions
Circumduction
(Extension / Flexion) is a movement that decreases the angle between two bones of a joint.
(Extension / Flexion) is a movement that increases the angle between two bones of a joint.
Flexion is a movement that decreases the angle between two bones of a joint.
Extension is a movement that increases the angle between two bones of a joint.

( Dorsiflexion / Plantarflexion)occurs when the ankle bends raising the toes upward, and this decreases the angle between the dorsal side of the foot and the tibia.
(Dorsiflexion/ Plantar) flexion occurs when the ankle bends in the direction that points the toes and plantar side of the foot downward.
Dorsiflexion occurs when the ankle bends raising the toes upward, and this decreases the angle between the dorsal side of the foot and the tibia.
Plantar flexion occurs when the ankle bends in the direction that points the toes and plantar side of the foot downward.
______ of the foot simply means to turn the sole of your foot outwards while the opposite is ____, which is when you stand on the outside edge of your foot.
Eversion / inversion
Explain difference between pronation and supination
Pronation is going downwards
Supination is going upwards
Kyphosis
Scoliosis
Lordosis
A forward rounding of the back.
sideways curvature of the spine
curving inward of the lower back.
Some lordosis is normal.
Neurovascular Assessment
Look at which side first
Injured or non injured
Injured
ROM can be graded 0 - 5
Describe quickly
0 No evidence of muscle contraction
- Trace.
- Poor complete ROM gravity is eliminated
- Fair complete ROM against gravity
- Good complete ROM against gravity some resistance
- Normal complete ROM against gravity full resistance
Systemic Effects if Immobility
Metabolism (slow/ increases)
Slows
Systemic Effects if Immobility
Respiratory changes
How does depth and rate change?
Pooling of secretions leading to …
Decreases
Pneumonia
Systemic Effects if Immobility
Blood pressure: What type of problem
Increase risk for DVT
(Decreased/Increased) Cardiac output and (Decreased/Increased) Cardiac workload
Orthostatic hypotension
Decreased cardiac output and increased cardiac workload
Systemic Effects if Immobility
Decreased circulation to tissue causing ____
Ischemia
Systemic Effects of Immobility
Impaired balance
Atrophy
At risk for Contractures
(What are contractures)
A contracture is a fixed tightening of muscles, tendons, ligaments, or skin. This can cause a deformity
, pain, and loss of movement in the joint. Contractures usually develop when normally elastic tissues like muscles or tendons are replaced by inelastic tissues (fibrosis)
What happens the Elimination GU / GI with Immobility
Both slowdown
During positioning which side rail do you raise
The one opposite of where your standing
Metabolic interventions for Immobility
High calorie / High Protein diet with Vitamin B & C Supplements
Respiratory interventions for Immobility
Cough and deep breath every 1 or 2 hours
Provide chest physiotherapy
Cardiovascular Interventions to prevent DVT
SCD
Sequential Compression Devices
Graduated Compression Stockings
Anticoagulant
ROM exercises
Walker sizing
What degree should the elbow be bent when using
15- 30
Wrsit crease should line up with hand grips
Cane usage
Size: line up with the anatomical feature
Cane on which side of the body
Move the cane and (strong/ weak) side together then move the (strong / weak) side forward
Greater trochanter
Stronger side
Move the cane and weak side together then the strong side
Canes
Stairs
Upstairs = (good / weak) first
Down = (good / weak) first
Up = Good
Down = Bad
“Up with the Good, Down with the bad”
Crutches:
Sizing
____ gap between axillea and rest pad on crutches
Hand grip: even with this anatomical feature
Elbow needs to be bent at this angle
1 - 1.5 ‘
Hand grip even with hip line
Elbow bent 20 - 30 degrees
Rest weight on arm pits when using crutches
True or False
False
Weight on the hand grips
Describe stance for using crutches
Tripod 6” Diagonally from feet
In a upside down triangle shape
Crutches
Rise from chair
- Slide to edge of chair
- Extend (Good / Injured) leg, to prevent weight bearing
- Place crutches on (good / injures) side, lean forward, push off using the crutches
- Extend Injured leg, to prevent weight bearing
- Place crutches on good side, lean forward, push off using the crutches
Describe going Up & Down stairs using crutches
Up.
Good leg, Crutches, Bad Leg
Down
Crutches, bad, good
Good up, Bad Down
Who teaches ADL & IADL to patients
OT & PT
Nurse reinforces the learning
Which test measures ability to take physical care of one’s self
FIM score
Meniere Disease to treat give these 2 medicines
Diuretics & Steroids
Bon3 marrow produces (3)
Rbc, Wbc, Platelets
Smooth muscle another term is Viseral.
Where is it found
Lining organs. Inside mouth?
Move walker how
Walker, Weak side, strong
How should walker be positioned in relationship to their feet
Back pegs halfway through feet
Walker ambulation
Start: back tips of walker even with middle of foot
- Lift walker forward (all four feet on ground)
- Move (strong / weak) side forward
- Put weight on hand via walker hand grips
- Then move (strong/weak) side forward
1st Weak
2nd strong
Is the following correct, in reference to using a walker
I should first take a step with my weak leg and then move with the walker.
Walker
Weak side
Strong side
I should keep my eyes on the floor to avoid tripping over objects
Walker use
True or False
False
Keep eyes straightforward
Client stated:
I won’t be able to do any activities that I used to enjoy
What is the first correct response
A. Encourage to explore activities that they can enjoy
B. Teach client about which activities they can do
C. Allow client time to discuss feelings of loss related to the injury
D. Consult pastrol care to provide encouragement to the client.
C. Give people who are grieving time to do so.
Which of the following is true
A. Delirium is usually easily distinguished from irreversible dementia
B. Therapeutic drug intoxication is a common cause of dementia
C. Reversible systemic disorders are often implications as a cause of delirium
D. Cognitive deterioration is an inevitable outcome for human aging process
Reversible system disorders are often implications as a cause of delirium
Causes: Electrolytes, cerebral anoxia, hypoglycemia, “medications”, Tumors, cerebrovascular infections, hemorrhage
Which reflects best understanding of self administration of medicine
A. I don’t seem to have side effects, but I will let my Dr. Know if something happens
B. Im lucky since my daughter is really good about keeping up with my medicine
C. I’ll be sure to read the insert and ask my pharmacist if I don’t understand
D. It should not be too hard to keep it straight because I don’t have serious health issues
C. I’ll be sure to read the insert and ask my pharmacist if I don’t understand
Older client expresses fear of not being able to return home after getting transferred to a nursing home. Which is the most therapeutic response
A. What makes you think your transfer will be permanent?
B. The reason for the transfer is to support you when you heal
C. It is your decision how long you stay in the nursing home
D. The nursing home is lovely. Give it a chance
A. What makes you think your transfer will be permanent?
Making the client talk is our goal
Not reassuring them
A nurse caring for older adults in an assisted living facility recognizes that a client’s quality of life needs new best determined by
A. Excelente physical, social, and emotional nursing assessments
B. A working knowledge of this age group’s developmental needs
C. Therapeutic nurse-client relationship that facilitates communication
D. The clients need for complete physical, emotional, and cognitive care
C. Therapeutic nurse-client relationship that facilitates communication
When a fall results in an injury and disuse. The disuse is most likely the result of .
A. Decreasing muscle strength
B. Decreased joint mobility
C. Fear of repeated falls
D. Changes in sensory perception
C. Fear of repeated falls
Related to changes in respitory system
Select All that Apply
A. Decrease in residual lung volume
B. Decrease gas exchange
C. Decrease cough efficiency
D. Increased gas exchange
B. Decrease gas exchange
C. Decrease cough efficiency
Donepezil (Aricept) does what…
Treats confusion (dementia) related to AD. May increase memory, awareness, ability to function
What does Immobility do to the workload on the heart (increase/decrease)
Increase work load
Which assisting device would be used in a patient who is unable to assist in moving up in a bed
A. Arm splints
B. Trapeze bar
C. Full-body sling
D. Trochanter roll
Full body sling on a hoyer lift
Trochanter roll is…
safety device that helps to support hips and legs so that the femur does not rotate outward.
Immobility has these impacts on urine
A. Increased fluid intake
B. Increased urinary output
C. Increased Risk of renal calculi
D. Increased urinary concentration
E. Increased Risk for UTI
C. Increased Risk of renal calculi
D. Increased urinary concentration
E. Increased Risk for UTI
Which data support a possible pulmonary problem relates to Immobility
A. BP 128/84
B. Resp. 26 per minute
C. HR 114
D. Crackles heard on Ausculation
E. Pain reported 3 on a 0 - 10 scale
B. Resp. 26 per minute
C. HR 114
D. Crackles heard on Ausculation
A contracture of a joint develops when
Muscle fibers become shorter due to disuse
Do patients need to be repositioned while sleeping
Yes
Which side do you walk on when assisting someone with an injury
The weak side
