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Funds I Lab > Mobility, Activity, Mechanical Lifts > Flashcards

Mobility, Activity, Mechanical Lifts Flashcards

1
Q

Contracture

A

permanent shortening of a muscle

CONTRACTure

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2
Q

Spasticity

A

sudden prolonged involuntary muscle contractions

random, Charley Horse

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3
Q

Rigidity

A

resistancy of a relaxed limb to passive movement

stiff

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4
Q

Range of Motion

A

ROM

maximum movement possible for each joint

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5
Q

Active Range of Motion

A

AROM

patient moves joint independently to full ability of their ROM

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6
Q

Passive Range of Motion

A

PROM

another person moves patient’s joints through ROM

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7
Q

Active-Assistive Range of Motion

A

AAROM
aka Active-Passive Range of Motion (APROM)

patient uses stronger arm or leg to move weaker arm or leg through ROM

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8
Q

Abduction

A

away from body

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9
Q

Adduction

A

add to body

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10
Q

Eversion

A

sole of foot turns outward

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11
Q

Inversion

A

sole of foot turns inward

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12
Q

Pronation

A

palms of hands face down

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13
Q

Supination

A

palms of hands face up

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14
Q

Continuous Passive Motion

A

used on knees or shoulders possibly after surgery; device that continues movement for almost 24 hours/day

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15
Q

Considerations Before Performing ROM Exercises

A
  1. establish client’s ability
  2. consider pre-medicating before
  3. know restrictions client may have
  4. always AIDET, hygiene, etc.
  5. only show body part you need, don’t reveal too much, keep covered up
  6. RN’s role = maintain mobility and contractures
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16
Q

Performing ROM Exercises (9)

A
  1. work head-to-toe
  2. repeat at least 5 times per exercise
  3. support above & below joint
  4. slow, gentle movements
  5. don’t hyperextend the joints
  6. ask patient how they’re doing during
  7. assess for pain
  8. CV system, may increase HR or sweat
    (if these signs appear STOP & assess)
  9. every joint can be moved
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17
Q

Bedrest

A

BR

stay in bed
Risks: pressure ulcers, blood clots, depression
Is it right for patient?

18
Q

Bathroom Privileges

A

BRP

can get up to go to bathroom

19
Q

Bedside Commode

A

BSC

portable toilet (no flushing system)

20
Q

Chair (activity order)

A

can sit in chair, may need assistance, may have time frame or specific times, must document

21
Q

Ambulate

A

walk; distance, time frame

22
Q

Up ad lib

A

no restrictions; can get up and move on own

23
Q

Positioning Interventions to Promote Comfort and Alignment (7)

A
  1. keep bed dry
  2. no wrinkles in sheet
  3. no friction/shearing
  4. reposition every 2 hours
  5. assess pt preferences, but can have some concerns
  6. be mindful of bony prominences
  7. if on lateral position, knees are a bony prominences, add pillow between knees
24
Q

Bony Prominences

A

back of head
shoulder blades
elbows
coccyx
hips
ankles
heels

25
Q

Supportive Devices

A

suspension boots
wedge
trochanter (hip) roll
pressure reduction mattresses

26
Q

Gait Belt

A

tag=outward
around waist
fit 2 fingers
snug not tight
transfer w/ 1 or 2 assists

27
Q

Transfer Board/Sheet

A

paraplegic pt often
Slipp device

28
Q

Sit-to-stand Life

A

assist pt from sit to stand position
belt around waist
platform for feet
hands on handles
must be able to bear weight and follow commands to use machine

29
Q

Mobile Floor-Based Lift

A

total lift (sling)
minimum 2 people assist
do NOT use brakes when patient in it

30
Q

Wheelchairs

A

WC

back pt onto elevator
big wheels first
wheels locked
foot pedals out of the way

31
Q

Ambulation Safety

A

use gait belt
non-skid socks
have pt dangle feet on side of bed
make sure pt feet are touching ground
may have someone follow behind w/ wheelchair (WC)

32
Q

Where to stand if patient is moderately weak?

A

stand on WEAK side of pt because you can support the weaker side

33
Q

Where to stand if patient weak and unstable?

A

stand on STRONG side of pt because pt will lean to stronger side and you can support the stronger side, there is something to support on that side

34
Q

What if patient starts to fall?

A

lower to floor and support pt head

35
Q

Cane

A

goes on strong side
to the side and 6” in front of pt
if assisting, must use gait belt and stand on weak side
proper height

36
Q

Crutches

A

proper height
weight should be on hands NOT axilla
tripod: 6” in front and to the side

37
Q

4 Point Gait w/ Crutches

A

safest
right crutch left foot
left crutch right foot (staggered)

38
Q

3 Point Gait w/ Crutches

A

both crutches and strong/unaffected leg

39
Q

2 Point Gait w/ Crutches

A

partially weight bearing on each
left crutch right foot simultaneously
right crutch left foot simultaneously

40
Q

Getting in and out of Chair w/ Crutches

A

pushed against wall
hold crutches w/ weak arm/side
hold chair arm w/ strong arm/side

41
Q

Stairs w/ Crutches

A

up w/ good, leg then crutches
down w/ bad, crutches then leg

42
Q

Ambulating w/ Walker

A

w/ assist use gait belt
waist height
the more tennis balls the less stable
don’t overload the basket on front
make sure open fully and locked in place

Funds I Lab (7 decks)

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