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Exam 7 > Mobility > Flashcards

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

23
Q

DVT devices

A

Ambulation
TED hose
SCDs

24
Q

TED HOSE

A

Post surgical
Non/walking patient

25
SCDs
Post-surgical/ circulatory disorders
26
Metabolism Assessment
Decrease apetite Weight loss Muscle Loss Weakness Labs
27
Integument Assessment
Skin Assessment ( color changes, integrity) Nutrition Incontinence
28
Impairment of skin as a result of pronged ischemia ( decreased blood supply) in tissues
Pressure Injury
29
Gastrointestinal Assessment
Bowel sounds Abdominal palpation Bowel habits I&O
30
Genitourinary Assessment
I&O Palpate abdomen Incontinence Urine (color, smell, clarity)
31
When renal pelvis fills before urine enters ureters due to peristaltic contractions
Urinary stasis
32
Psychosocial Assessment
Mood Orientation Speech Affect Sleep
33
Psychosocial effects
Social Isolation Decreased coping Depression Delerium Anxiety Withdrawal Loneliness
34
Benefits of Mobility
(Slide 40 long page)
35
The best intervention to prevent immobility
Ambulation
36
Mobility Level 1
Dependent
37
Mobility Level 2
Moderate Assistance
38
Mobility Level 3
Minimum Assistance
39
Mobility Level 4
Modified Independent
40
Equipments that immobilizes pt
Restraints
41
Non Violent restraints
Lack of awareness Unable to follow commands Impede medical care Pull out tubes
42
Documentation for non violent restraints
Monitor q2 and document New order every calendar day When discontinue: date, time & document
43
Risk of using restraints
Increase injury or death Loss of self esteem Humiliation Fear Anger Increased confusion and agitation
44
Alternative Measures ( actions)
Camouflage Encourage Orient Involve Give
45
Alternative measures ( modify environment)
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
Complications of restraints
Impaired skin Edema Altered nutrition Physical exhaustion Social isolation Immobility complications Death

Exam 7 (2 decks)

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