L4: Hospitalized Patient Care Flashcards
What is Hospitalized Patient Care?
Def of Medical Practice
- The act of providing health services to those in need.
what is A Patient?
- The person that may have a disease, physical impairment, or anything else.
Requirments of health care
- Improve patient care with well-qualified, trained health care professionals.
- Have a plan to follow up after treatment.
- Promote quality care thorough documentation of treatments.
- Ensure all staff are focused on patient-centered care.
Def of Mobility
- The person’s ability to move around freely in his/ her environment.
patient care ultimately comes from the ………
The Heart
- When we speak about a patient, we are talking about A human being.
Def of Immobility
- Inability to move around freely
what is Bed Rest?
- Is an intervention in which the client is restricted to bed for therapeutic reasons
Factors that determine whether immobility causes any problems
- The duration of inactivity.
- The client’s health status.
- His/ her sensory awareness.
Physiological effects of immobility
- Musculoskeletal system.
- Cardiovascular system.
- Respiratory system.
- Metabolic and nutrition.
- Urinary system.
- Fecal elimination.
- Neurosensory system.
- Integumentary system.
Effect of immobility on MSK
what are degrees of immobility?
Effect of immobility on CVS
- Weakness of cardiovascular system.
- Postural hypotension.
- Thrombophlebitis e.g, DVT.
Interventions to reduce Effect of immobility on MSK
- Body repositioning.
- Independence in activities of daily living.
- Active & passive range of motion.
Interventions to reduce Effect of immobility on CVS
- Movement & exercise (ROM).
- Encourage normal breathing pattern.
- Elastic stocking.
Effect of immobility on RESP
- Decrease in Gas exchange.
- Accumulation of secretion.
- Atelectasis.
- Upper respiratory tract infections.
- Pneumonia.
Interventions to reduce Effect of immobility on RESP
- Deep breathing & coughing exercise.
- Diaphragmatic abdominal exercise.
- Changing position & exercise.
Effect of immobility on Metabolism & Nutrition
Interventions to reduce Effect of immobility on metabolism & Nutrition
- High protein, calories & fibre diet.
- Vitamin & minerals supplements.
- Weight bearing exercises.
- Enteral & Parenteral supplements
Interventions to reduce Effect of immobility on urinary system
- Turning, positioning & exercise.
- Improving hydration.
- Perianal hygiene.
Effect of immobility on fecal elimination
- Constipation.
- Fecal impaction.
Effect of immobility on urinary system
- Renal calculi formation.
- Urinary stasis.
- Urinary incontinence.
- Urinary retention.
- Urinary tract infection.
Interventions to reduce Effect of immobility on fecal elimination
- Well hydration.
- Ambulate as much as possible.
- High fibre diet.
Effect of immobility on Neurosensory system
Effect of immobility on Integumentary system
- Loss of skin turgor & elasticity.
- Decubitus ulcer formation.
Interventions to reduce Effect of immobility on Neurosensory system
Interventions to reduce Effect of immobility on Integumentary system
Effect of immobility on Psychological aspect
- Social, emotional & intellectual changes.
- Self-concept changes.
- Feeling of worthlessness & hopelessness.
- Impaired decision making & problem-solving abilities.
Interventions to reduce Effect of immobility on Psychological aspect
what are another names of Bed Sores?
“Decubitus ulcers - Pressure sores”
Def of Bed Sores
- Localized injury (ulceration) to the skin & other underlying tissue, usually over a body prominence (bony or weight bearing part of the body).
- As a result of prolonged unrelieved pressure.
Sites of Bed Sores
Pathophysiology of Bed Sores
Predisposing factors that increase the possibility of pressure sores
Risk factors for bed sores
Stages of pressure ulcers
- Stage I
- Stage II
- Stage III
- Stage IV
Stage 1 in pressure ulcer
Stage 2 in pressure ulcer
Stage 3 in pressure ulcer
Stage 4 in pressure ulcer
Managment of Bed Sores
- Maximize the surface area.
- Redistribute body weight.
- Training for pressure relief.
- Dietary instruction.
- Instruction for lifting/ transferring.
- Personal hygiene & skin care.
what are assistive devices used for proper positioning?
- Pillow
- Mattresses
- Foot Board
- Suspension or heel guard boot
- Hand Roll
- Hand, Wrist Splint
- Heel, Elbow Protectors
Bed Sores are easier to ….. that to …… by ………
Bedsores are easier to prevent than to treat by:
- Position changes.
- Skin inspection.
Uses of pillow
Uses of Mattresses
Uses of Foot Board
Uses of Suspension or Heel guard boot
Uses of Hand Roll
Uses of Hand,Wrist Splint
Uses of Heel, Elbow Protectors
Def of ROM
Purpose of ROM
CI of ROM
