Mobility Flashcards

1
Q

person’s ability to move about freely

A

mobility

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2
Q

person’s inability to move about freely

A

immobility

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3
Q

Types of mobility
( SARSEN)

A

Self- defense
ADLs
Recreational
Satisfaction of basic needs
Expression of emotion
Nonverbal Gestures

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4
Q

Factors Affecting Mobility and Activity
(SENDDL)

A

Stress
Environment
Nutrition
Developmental
Diseases and Abnormalities
Lifestyle

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5
Q

Disease and Abnormalities
( Resp Therapist Came By Private Plane)

A

Respiratory System
Trauma
Circulatory
Bones, Muscles, and Nervous System
Pain
Psychological/ Social

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6
Q

Immobility of the lower part of the body

A

paraplegia

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7
Q

immobility of one side of the body

A

hemiplegia

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8
Q

immobility of entire body from neck down

A

quadriplegia

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9
Q

restricts patients to bed for therapeutic reasons
( see PPT page 7 for reasons why pt needs bedrest)

A

Bedrest

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10
Q

physical causes of immobility
(BASICS)

A

Bone fracture
Aging Process
Surgical procedure
Illness/ disease
Cancer
Sprain/ strain

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11
Q

Psychosocial causes of immobility

A

Stress/depression
Long term facility
Voluntary sedentary lifestyle
Hospitalization
Decreased motivation

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12
Q

Give the three musculoskeletal assessment

A

Activity tolerance
Anthropometric measurements
Nutrition

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13
Q

dissolves grooves into bone with acid and enzymes

A

Osteoclasts

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14
Q

Deposits calcium into bone

A

Osteoblasts

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15
Q

maximum amount of movement available at a joint
(Review slide 18)

A

ROM

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16
Q

Done by patient

A

Active ROM (AROM)

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17
Q

Done by patient but with help

A

Active assist ROM

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18
Q

Done by nurse or other caregiver
Continuous passive motion (CPM)

A

Passive ROM

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19
Q

When is ROM done?
(Review slide 21)

A

TID
- after bath
- mid day
- bed time

20
Q

Respiratory Assessment

A

Lung sounds
02 sats
Respiratory rate
Activity Tolerance (SOB)
Chest x-ray
ABG

21
Q

Cardiac Assessment

A

BP
Pulse Rate
HR sounds
Activity Tolerance ( BP, HR, chest pain)
Calf pain

22
Q

Decreased muscle activity > pooling of blood > clot formation

A

DVTs

23
Q

DVT devices

A

Ambulation
TED hose
SCDs

24
Q

TED HOSE

A

Post surgical
Non/walking patient

25
Q

SCDs

A

Post-surgical/ circulatory disorders

26
Q

Metabolism Assessment

A

Decrease apetite
Weight loss
Muscle Loss
Weakness
Labs

27
Q

Integument Assessment

A

Skin Assessment ( color changes, integrity)
Nutrition
Incontinence

28
Q

Impairment of skin as a result of pronged ischemia ( decreased blood supply) in tissues

A

Pressure Injury

29
Q

Gastrointestinal Assessment

A

Bowel sounds
Abdominal palpation
Bowel habits
I&O

30
Q

Genitourinary Assessment

A

I&O
Palpate abdomen
Incontinence
Urine (color, smell, clarity)

31
Q

When renal pelvis fills before urine enters ureters due to peristaltic contractions

A

Urinary stasis

32
Q

Psychosocial Assessment

A

Mood
Orientation
Speech
Affect
Sleep

33
Q

Psychosocial effects

A

Social Isolation
Decreased coping
Depression
Delerium
Anxiety
Withdrawal
Loneliness

34
Q

Benefits of Mobility

A

(Slide 40 long page)

35
Q

The best intervention to prevent immobility

A

Ambulation

36
Q

Mobility Level 1

A

Dependent

37
Q

Mobility Level 2

A

Moderate Assistance

38
Q

Mobility Level 3

A

Minimum Assistance

39
Q

Mobility Level 4

A

Modified Independent

40
Q

Equipments that immobilizes pt

A

Restraints

41
Q

Non Violent restraints

A

Lack of awareness
Unable to follow commands
Impede medical care
Pull out tubes

42
Q

Documentation for non violent restraints

A

Monitor q2 and document
New order every calendar day
When discontinue: date, time & document

43
Q

Risk of using restraints

A

Increase injury or death
Loss of self esteem
Humiliation
Fear
Anger
Increased confusion and agitation

44
Q

Alternative Measures ( actions)

A

Camouflage
Encourage
Orient
Involve
Give

45
Q

Alternative measures ( modify environment)

A

Increase/ decrease the light
Place items within reach
Place near nurses station
Reduce environmental noise
Keep call button accessible
Use special furnitures ( bed alarm)

46
Q

Complications of restraints

A

Impaired skin
Edema
Altered nutrition
Physical exhaustion
Social isolation
Immobility complications
Death