Mobility, Functional Ability and Safety

Question 1

Risks for Immobility

Answer 1

Traumatic Injuries ( Brain, Spinal Cord )
Neurologic ( Stroke )
Chronic Conditions ( COPD, Obesity )

Question 2

Reducing Risk of Immobility

Answer 2

Regular Physical Activity
Protect against injury
Nutrition
Fall Prevention ( Fall-Assesment Screening )

Question 3

Evidence Based Nursing Interventions for Impaired Mobility

Answer 3

Frequent Turning
Skin assessment
Range of Motion
Immobilize when needed
Deep breathing
Nutrition
Prevent falls

Question 4

Collaborative Interventions
( Exercise Therapy )

Answer 4

Ambulation
Joint Mobility
Stretching
Balance

Question 5

Collaborative Interventions
( Pharmacological Agents )

Answer 5

Anti-inflammatory agents
Analgesics ( pain medicine )
Nutrition supplementation

Question 6

Assessing Fall Risk

Answer 6

Hendrich II Fall Scale
Score of 5+ is a risk

Question 7

iADLS

Answer 7

Instrumental activities of daily living (IADLs) are things you do every day to take care of yourself and your home. They are one way to measure how well you can live on your own.
Ex: Cooking, cleaning, laundry

Question 8

ADLS

Answer 8

Activities of daily living (ADLs) are basic self-care tasks like bathing, IADLs require more complex planning and thinking.
Ex: Bathing, showering, toileting

Question 9

Katz Index of Activities of Daily Living Tool

Answer 9

Is the most appropriate instrument to assess functional status as a measurement of the client’s ability to perform activities of daily living independently.

Question 10

Identify strategies to minimize loss of functional ability

Answer 10

Strength, balance and endurance training to aid physical function or reduce falls risk; retraining in specific activities of daily living tasks; and nutritional interventions.
- Promoting Independence

Question 11

Hip Fractures

Answer 11

• Severe pain in hip, thigh, groin, lower back
• May be unable to walk/ stand
• Leg on injured side to appear SHORTER
• Result of fall possibly

Question 12

Hip Fracture: Assess 6 P’s

Answer 12

1. Pain
2. Paraesthesia
3. Paralysis
4. Pulselessness
5. Pallor
6. Pressure

Question 13

Complications associated with Immobility

Answer 13

1. Atelectasis
2. Skin breakdown
3. Deep vein thrombosis
4. Pneumonia
5. Slowed peristalsis
6. Weakness
7. Muscle atrophy

Question 14

Physical Therapy after Hip Replacement…

Answer 14

• No bending forward
• DO NOT Cross legs
• Don’t let toes inward
• Take small steps

Question 15

Safety Guidelines AFTER Surgery

Answer 15

• Instructions on med use
• Use of assistive device ( walker )
• Keep all scheduled appointments
• Successful rehab- KEY!