Module 2- Mobility Flashcards
Metabolic changes due to immobility
Alter endocrine metabolism, calcium reabsorption and function of the gastrointestinal system
Respiratory changes due to immobility
Higher risk of developing pulmonary complications
Cardiovascular changes due to immobility
Orthostatic hypotension - BP stops 20/10
Increase cardiac workload
Thrombus - accumulation of platelets, fibrin, clotting factors and cellist elements attached to the interior wall of a vein. If dislodged thrombus is an embolus
Musculoskeletal changes due to immobility
Protein break down - patient loses lean body mass
Impaired calcium and joint abnormalities
Repositioning a patient helps prevent complications like
Pressure ulcers, contractures, muscle weakened, pneumonia, and constipation
Why is promoting mobility in acute care beneficial
Encourages independence, utilizes assistive devices prn, frequent mobilization to prevent deconditioning
Range of motion
Involve moving the joints through complete ROM
Active ROM exercises are done by patient
Passive ROM exercises someone moves the joints through their ROM
Active-assistive ROM exercises done by patient with some help
ROM assessment
Stiffness, dwelling, pain, limited/unequal movement, shouldn’t cause pain and should perform to the point of resistance
Recommendations for exercise by age
Ages 5-12 &12-17 60min mod-vigorous daily
18-64 150min moderate-vigorous weekly
65 and up 150min moderate - vigorous weekly
principles of body mechanics
maintain body alignment, balance, and posture during activity and exercise.