Mobility Flashcards

1
Q

6 facts of bedrest

A
  • Sometimes prescribed for selected pt’s
  • Reduces pain
  • Allows exhousted pt’s to rest
  • Reduces activity and O2 demand
  • Allow ill or debilitated pt’s to rest
  • Duration depends on illness or injury and prior state of health
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2
Q

6 physical causes of immobility

A

Bone fracture
Surgical procedure
Major sprain or strain
illness
cancer
aging

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3
Q

psychosocial causes of immobility

A

Stress
Decreased motivation
Hospitalization
Long term care
Voluntary sedentary lifestyle

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4
Q

3 results of prolonged immobility

A

Reduced functional capacity
Altered metabolism
Numerous physiological changes

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5
Q

What is one of the first systems affected by immobility? What does it cause>

A

Musculoskeletal
10% loss of muscle per week

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6
Q

Inactivity does what to the bones?

A

Makes them denser

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7
Q

ROM helps what?

A

Joint health/mobility

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8
Q

Contractures

A

Limitation of Passive ROM for Joints

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9
Q

Difference between active ROM and passive ROM

A

Active is done by the pt
Passive is done by nurse or other caregiver

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10
Q

Why do we do an early ROM assessment?

A

to get a baseline

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11
Q

Important part of cardiac assessment when pt is immobile?

A

Calf pain: can indicate DVT

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12
Q

If calf pain is reported in immobile pt what should you NEVER do?

A

Rub the leg, DVT can move to elsewhere like the lungs

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13
Q

What is very important to avoid DVT’s

A

Early ambulation

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14
Q

2 devices to help with DVT’s

A

Thrombo-Embolic Detterent (TED) hose
SCD

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15
Q

3 facts for TED hoses

A

Post surgical use
For Non walking pt’s
Doctors orders are needed

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16
Q

3 facts for SCD’s

A

Alternately inflate and deflate
Post surgical/circulatory disorders
sleeves around legs

17
Q

Urinary stasis

A

Renal pelvis fills before urine inters the ureters

18
Q

Changes in urinary elimination due to immobility can lead to _____

A

Higher risk of UTI’s and kidney stones

19
Q

7 psychosocial effects of immobility

A

Social isolation
Loneliness
Decreased coping
Depression
Anxiety
Withdrawal
Delirium

20
Q

10 Benefits of Immobility

A

Strengthens muscles
Joint flexibility
Stimulates circulation
Prevents constipation
Prevents osteopoeosis
Stimulate appetite
Prevent UTI
Relieves pressure
Improves self esteem
Decreases anxiety and depression

21
Q

What is the best intervention for immobility complications

A

AMBULATION

22
Q

Restrains

A

Any manual device that immobilizes or reduces the ability of a pt to move

23
Q

4 restrains types

A

Extremity
Mitten
Posey
Belt

24
Q
A