Mobility And Fall Risk Flashcards
What are 2 standardized tools used to assess fall risk?
Get up and go test
Morse fall scale
What 3 P’s are we checking during hourly rounding?
Personal items, pee, pain
What do we do if a patient falls in the hospital?
Full assessment, safe transfer back to bed, treat any injuries, incident report, and reflect with management .
How often do we assess patients for fall risk?
Everyday, twice per day, every 12 hours
What diseases related to bone formation or metabolism affect mobility?
Osteogenesis imperfecta, achondroplasia, Paget’s disease, and vitamin D and calcium deficiencies
What is osteogenesis imperfecta?
Brittle bone disease
What is Achondroplasia?
Related to dwarfism. Bones ossify/harden prematurely.
What is Paget’s disease.
Metabolic bone disease related to hyperactive osteoclasts
What problems affect bone integrity?
Osteoporosis, osteomyelitis, and bone tumors
What are disorders of the CNS that affects mobility?
CVA, head/spinal cord injury, MS, myasthenia gracias, and progressive degenerative disorders like Párkinson’s
What is myasthenia gracia?
Rapid fatigue of any of the muscles under voluntary control. Breakdown in normal communication between nerves and muscles.
What is clonus?
Muscular spasms involving repeated contractions
What is hemiplegia?
Paralysis of one side of the body
What is paraplegia?
Paralysis of the lower body
What is paresis?
Partial or incomplete paralysis
What is spasticity?
Increased msl tone
What is tremors?
Involuntary movements
What is foot drop?
When the foot ends up extending downward because tendons begin to stretch out d/t immobility.
Why is there increased excretion of calcium with immobility?
Because the parathyroid can be altered leading to risk of osteoporosis and fractures
What is paralytic ileus?
Obstruction of the intestine d/t paralysis of the intestinal muscles. This can occur because of decreased mobility.
What is Sim’s position ?
Semi prone position
What is a sequential compression device?
Inflatable sleeves that wrap around legs
