Mobility Flashcards
Definition of mobility:
factors that facilitate or impair movement of the body
What does the body need for movement to happen
-Adequate energy
-muscle strength
-stable bones
-working joints
-coordination between brain and muscle
Where does movement start?
in the brain
What is the musculoskeletal system made up of?
Bones, joints, and muscles
What type of movement reduces the angle between the bones?
Flexion
What patient population is at highest risk of impaired mobility?
older adults
Name risk factors for impaired mobility
-age
-medication
-injury/trauma
-chronic pain
-neurological disorders,
-end stage cancer
-cardiopulmonary disorders
-nutritional deficiencies
-congenital deformities
Cardiovascular consequences of impaired mobility
-orthostatic hypotension
-venous stasis (^ risk of DVT)
Respiratory consequences of impaired mobility
-atelectasis (part of lung collapses)
- stasis pneumonia (build of secretions and decreased coughing)
-impaired gas exchange
Musculoskeletal consequences of impaired mobility
-muscle atrophy
-friction injuries causing skin breakdown
Gastrointestinal consequences of impaired mobility
constipation
Urinary consequences of impaired mobility
-renal calculi (kidney stones)
-urinary stasis (urine pooling in bladder)
-urinary tract infection (UTI)
Integumentary consequences of impaired mobility
-skin breakdown
-friction injuries causing skin breakdown
Psychological consequences of impaired mobility
-depression
-anxiety
-social isolation
-developmental regression in pediatrics (children)
what questions should you ask about their ADLs?
how independent are they and if they need help, what do they need help with?
what scale is muscle strength graded on?
0-5 scale
How can physical changes in older adults affect mobility?
-decrease ROM and increased pain
-reduced muscles strength and increased risk of fractures
-slower reflexes and poor balance
- changes in vision and increased risk of falls
What is an example of primary prevention for mobility
-Fall prevention
-physical activity
-nutrition
What is an example of secondary prevention
-screening tests like osteoporosis screen
-fall risk screen
how is a patient who is supine positioned
flat on their back
how is a patient who is prone positioned
laying on their abdomen
How can contractures be prevented?
ROM exercises
What does activity ad lib mean
Patient can move independently without assistance
How can you reduce risk of falls for patients who ambulate?
-Non-slip socks
-change positions slowly to reduce orthostatic hypotension
-clear pathway
-assistive devices
