Mobilization And Exercise

Question 1

What does an effective mobilization/exercise program consist of?

Answer 1

A program of graduated mobility following the basic principles of overload, specificity, and reversibility

Question 2

Any bodily movement produced by the contraction of skeletal muscles that result in a substantial increase over resting energy expenditure … for health benefits

Answer 2

Physical Activity

Question 3

A type of PA consisting of planned, structured, and repetitive bodily movement done to improve, maintain one or more components of physical fitness…. fitness benefits

Answer 3

Exercise

Question 4

The therapeutic and prescriptive application of low intensity exercise in the management of acute CP dysfunction

Answer 4

Mobilization

Question 5

When do you NOT mobilize the pt?

Answer 5

Hemodynamic instability

Question 6

What is the goal of mobilization?

Answer 6

To use the acute effects of mobilization to optimize O2 transport

Question 7

What position should mobilization be performed in?

Answer 7

Upright

Question 8

Acute CP and CV pathology have the additional problem of compromising function capacity in these two ways:

Answer 8

1) Recumbency

2) Immobilization

Question 9

What 5 things should prescription include?

Answer 9

Types or type of mobilization
Specific intensity
Duration
Frequency
Means of progression

Question 10

Hospitalized patients are _______ secondary to increased ______, _____, _______, ______, _______

Answer 10

Hypermetabolic

Body temp
Healing
Repair
Work of breathing
Response to routine interventions

Question 11

These type of exercises are a central component of CPPT as these interventions can minimize O2 demand

Answer 11

Relaxation exercises

Question 12

Factors that can contribute to increased metabolic demand and oxygen consumption in patient population?

Answer 12

Pathophysiological factors (fever)
Thermoregulatory challenges (too hot or too cold)
Healing and repair (secondary to illness, trauma, surgery)
Combating infection
Interventions
Physically being handled
Body positioning

Question 13

Enterally

Answer 13

By mouth

Question 14

Parenterally

Answer 14

Through IV

Question 15

What is the a-VO2 diff?

Answer 15

The safety margin that permits the immediate availability of O2 when the body is perturbed

It is how much O2 is available for the body to extract

Question 16

In disease states, _____ occurs when the patients O2 transport system can NOT meet the metabolic demand required (sepsis or multi-organ failure)

Answer 16

Anaerobiosis

Question 17

Rhythmic inflation and deflation increases ___ by increasing ___

Answer 17

VA

TV

Question 18

What facilitates lymphatic flow and drainage?

Answer 18

Rhythmic inflation and deflation

Question 19

Rhythmic inflation and deflation does what to surfactant?

Answer 19

Stimulates surfactant production distribution

Surfactant increases compliance (eases)

Question 20

The O2 transport system needs to be stressed to optimize the capacity of the various steps in two ways…

Answer 20

Gravitational stress- body position

Exercise stress- what you are having the pt do

Question 21

Patients should combine ______ and ______ with exercises

Answer 21

Ventilatory strategies and coughing

Question 22

Duration and frequency depends on what?

Answer 22

RESPONSE, not time

Question 23

Step 1 includes…

Answer 23

ID all factors contributing to deficits in O2 transport

Question 24

For step 1, what do the factors consist of?

Answer 24

Underlying pathophysiology of the disease or condition
Immobility and recumbency
Extrinsic factors related to the patient’s care
Intrinsic factors related to the individual patient

Question 25

What is step 2?

Answer 25

Determine if mobilization and exercise are indicated

Question 26

What is step 3?

Answer 26

Match the appropriate mobilization or exercise stimulus to patient’s oxygen transport capacity

Question 27

What is step 4?

Answer 27

Set the INTENSITY within therapeutic and safe limits of the patients oxygen transport capacity

Question 28

THR=?

Answer 28

20 BAR

Question 29

What is step 5?

Answer 29

COMBINE the various body positions especially in the erect position with the following maneuvers...
Have pt standing or sitting upright
- Thoracic mobility exercises
- AROM, AAROM, PROM
- Breathing control exercises
- Coughing

Question 30

What is step 6?

Answer 30

Set the duration of the mobilization sessions based on the patient’s responses rather than time

Question 31

What is step 7?

Answer 31

Repeat the mobilization session as often as possible based on its beneficial effect an don it being safely tolerated by the pt

Question 32

What is step 8?

Answer 32

Increase the intensity of the mobilization stimulus, duration of the session, or both commensurate with the patient’s capacity to maintain optimal O2 transport when confronted with an increased mobilization stressor, and in the absence of distress monitored variables to remain with predetermined threshold range