Mobility Flashcards
person’s ability to move about freely
mobility
person’s inability to move about freely
immobility
Types of mobility
( SARSEN)
Self- defense
ADLs
Recreational
Satisfaction of basic needs
Expression of emotion
Nonverbal Gestures
Factors Affecting Mobility and Activity
(SENDDL)
Stress
Environment
Nutrition
Developmental
Diseases and Abnormalities
Lifestyle
Disease and Abnormalities
( Resp Therapist Came By Private Plane)
Respiratory System
Trauma
Circulatory
Bones, Muscles, and Nervous System
Pain
Psychological/ Social
Immobility of the lower part of the body
paraplegia
immobility of one side of the body
hemiplegia
immobility of entire body from neck down
quadriplegia
restricts patients to bed for therapeutic reasons
( see PPT page 7 for reasons why pt needs bedrest)
Bedrest
physical causes of immobility
(BASICS)
Bone fracture
Aging Process
Surgical procedure
Illness/ disease
Cancer
Sprain/ strain
Psychosocial causes of immobility
Stress/depression
Long term facility
Voluntary sedentary lifestyle
Hospitalization
Decreased motivation
Give the three musculoskeletal assessment
Activity tolerance
Anthropometric measurements
Nutrition
dissolves grooves into bone with acid and enzymes
Osteoclasts
Deposits calcium into bone
Osteoblasts
maximum amount of movement available at a joint
(Review slide 18)
ROM
Done by patient
Active ROM (AROM)
Done by patient but with help
Active assist ROM
Done by nurse or other caregiver
Continuous passive motion (CPM)
Passive ROM
When is ROM done?
(Review slide 21)
TID
- after bath
- mid day
- bed time
Respiratory Assessment
Lung sounds
02 sats
Respiratory rate
Activity Tolerance (SOB)
Chest x-ray
ABG
Cardiac Assessment
BP
Pulse Rate
HR sounds
Activity Tolerance ( BP, HR, chest pain)
Calf pain
Decreased muscle activity > pooling of blood > clot formation
DVTs
DVT devices
Ambulation
TED hose
SCDs
TED HOSE
Post surgical
Non/walking patient
SCDs
Post-surgical/ circulatory disorders
Metabolism Assessment
Decrease apetite
Weight loss
Muscle Loss
Weakness
Labs
Integument Assessment
Skin Assessment ( color changes, integrity)
Nutrition
Incontinence
Impairment of skin as a result of pronged ischemia ( decreased blood supply) in tissues
Pressure Injury
Gastrointestinal Assessment
Bowel sounds
Abdominal palpation
Bowel habits
I&O
Genitourinary Assessment
I&O
Palpate abdomen
Incontinence
Urine (color, smell, clarity)
When renal pelvis fills before urine enters ureters due to peristaltic contractions
Urinary stasis
Psychosocial Assessment
Mood
Orientation
Speech
Affect
Sleep
Psychosocial effects
Social Isolation
Decreased coping
Depression
Delerium
Anxiety
Withdrawal
Loneliness
Benefits of Mobility
(Slide 40 long page)
The best intervention to prevent immobility
Ambulation
Mobility Level 1
Dependent
Mobility Level 2
Moderate Assistance
Mobility Level 3
Minimum Assistance
Mobility Level 4
Modified Independent
Equipments that immobilizes pt
Restraints
Non Violent restraints
Lack of awareness
Unable to follow commands
Impede medical care
Pull out tubes
Documentation for non violent restraints
Monitor q2 and document
New order every calendar day
When discontinue: date, time & document
Risk of using restraints
Increase injury or death
Loss of self esteem
Humiliation
Fear
Anger
Increased confusion and agitation
Alternative Measures ( actions)
Camouflage
Encourage
Orient
Involve
Give
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)
Complications of restraints
Impaired skin
Edema
Altered nutrition
Physical exhaustion
Social isolation
Immobility complications
Death
