Mobility

Question 1

An older adult dies from a fall in the US how often?

Answer 1

Every 20 minutes

Question 2

Dangers of Immobility

Answer 2

PE/DVT
Stasis Pneumonia
Muscle wasting/deconditioning
Contractures
Pressure sores
Osteoporosis
Loss of functionality

Question 3

Mobility Assessment: CMS

Answer 3

Circulation Movement Sensation

Question 4

5 P’s

Answer 4

Pain
Pallor
Poikilothermy
Paresthesia
Paralysis

Question 5

Muscle Tone

Answer 5

Some fibers remain contracted

Question 6

Flaccid

Answer 6

No fibers contracted

Question 7

Contracture

Answer 7

Too many fibers contracted and cannot relax; most common in flexion

Question 8

Highest level muscle tone

Answer 8

Movement

Question 9

ROM levels

Answer 9

Full range of motion
Restricted range of motion
Assisted range of motion
Contractures - more common in flexion

Question 10

RICE

Answer 10

Rest
Ice
Compression
Elevation

Question 11

Simple fractures

Answer 11

One fracture line

Question 12

Deformities/Alignment: always compare extremities

Answer 12

Leg length discrepancy
Limb bends where it should
External/internal rotation
Redness/swelling

Question 13

Diagnostic Tests: Scans

Answer 13

X-Ray
MRI - no metals
CT
Myelogram
Bone Scan

Question 14

Greenstick (closed)

Answer 14

Crack in bone (usually children <10 years)

Question 15

Comminuted (closed)

Answer 15

Bone in multiple pieces

Question 16

Open (Compound) Fracture

Answer 16

Bone breaks through skin

Question 17

Compound Fracture Grade 1

Answer 17

Minimal muscle and skin damage

Question 18

Compound Fracture Grade 2

Answer 18

Skin and muscle contusions

Question 19

Compound Fracture Grade 3

Answer 19

Skin, muscle, nerve tissue and blood vessels damaged

Question 20

Post op hip replacement precautions

Answer 20

Keep legs abducted (do NOT cross legs)

No hip flexion greater than 90°

Question 21

Fracture Complications

Answer 21

Pain
Hemorrhage
Hematoma