L9 Exercise & Grief

Question 1

Importance of proper body mechanic

Answer 1

1. Reduce injury
2. Prevent illness
3. Promote health
   4, increase efficiency use of energy
4. Facilitate ease of body movement

Question 2

Balance can be affected by

Answer 2

Disease, pain, injury, physical development

Question 3

Correct alignment

Answer 3

Reduce strain
Aids in maintaining muscle tone肌肉張力
Contribute to balance
Conserve energy

Question 5

Different type of exercise

Answer 5

Isotonic
Dynamic, muscle contraction

Isometric
Steady e.g. plank

Isokinetic
Resistant e.g. lifting

Question 6

Risk of exercise

Answer 6

Cardiac event
Bone discomfort
Heart stroke
Chest pain
Asthma

Question 7

ROM exercise 3 types

Active…

Answer 7

Active: move joints independantly

Active assitive: nurse provide minimal help

Passive exercise: cant move, nurse help.

Question 8

Nurse indication to ROM exercise

Answer 8

Assess ROM to evaluate any loss

Avoid overextension, start slow and softly

Move each joint until have resistance but no pain

Perform exercise to build muscle mass & tone

Question 9

Physical exercise

Answer 9

Quadricep exercise: push front thigh muscle down

Gluteal setting drill: squeeze the buttock muscle

Push up: arm & shoulder muscle

Dangling

Question 10

Ambulatory devices

Answer 10

Walker: with wheel, for those walking too fast
Adjust to user’s hip joint height

Canes: widen base support
Half circle: minimal support
Striaght: more support

Crutch
Reduce weight of leg
Armpit: short term
Forearm: longterm

Brace: support weak muscle
Look for skin irritation

Question 12

5 stage of grief & what to do

Answer 12

Denial
Provide appropriate info, allow mood swing

Anger
Allow them to express feeling, avoid criticism

Bargain
Provide comfort, help to meet wish

Depression
Accompany

Acceptance
Discuss option for plan to achieve goals
show support

Question 13

Postmortem care: 驗屍之後

Answer 13

Body
1. Document time of death
2. Place wll to prevent blood flow out
3. Provide time for family
4. Prepare and store at morgue

Family:
1. Provide support
2. Provide privacy
3. Provide viewing the body before entering morgue

Question 14

Advance directive 預設醫療指引 e.g. & when

Answer 14

E.g. the living will 生前遺囑
Durable power of attorney 持效授權書

DNR
Do not give cpr when breathinng stopped

Give when in terminal ill
Vegatative status
Irreversible coma