Module 2: Mobility Flashcards

1
Q

Five key elements to assess for safe transfer

A
  1. The environment
  2. Available equipment
  3. Type of transfer
  4. Yourself/your abilities
  5. The client – ability to assist
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2
Q

What is muscle contracture?

A

A permanent shortening of a muscle or joint

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3
Q

What assessment tool should you use before transferring a patient?

A

Functional transfer record (FTR)

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4
Q

Prone position

A

On stomach, head to the side

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5
Q

Semiprone position

A

On stomach, one leg up, arm up

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6
Q

Lateral position

A

On side

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7
Q

Fowlers position

A

Head of bed is elevated high as possible

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8
Q

Tredelenburg position

A

Head of bed is lowered

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9
Q

Orthopneic position

A

Sitting up, resting on table

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10
Q

Clients who cannot wait bear on either leg, Or who are unable to transfer safely require what kind of lift

A

Mechanical lift

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11
Q

What is the difference between a transfer and a lift?

A
  • During the transfer procedure, the client must be able to weight-bear part or all of his/her weight.
  • A lift is a procedure in which the client’s entire weight is supported by a lifting device. A lift is used on clients who cannot weight-bear. Lifts are used to move clients from one place to another or to reposition them.
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12
Q

What is an Arcorail?

A

The Arcorail attaches to the frame of the bed. It is a rotating bedside handrail that assists clients with balance, repositioning, sitting up, and transferring to a chair or wheelchair from the bed.

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13
Q

What are the benefits of exercise on the cardiovascular system?

A
  • Circulation of blood – increased cardiac output

- Condition of skin

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14
Q

What are the benefits of exercise on the pulmonary/respiratory system?

A
  • Ability to rid lungs of secretions

- Increased depth of respirations

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15
Q

What are the benefits of exercise on the metabolic and GI/GU system?

A
  • Basal metabolic rate – weight loss and decrease cholesterol
  • Increased use of glucose and fatty acids
  • Elimination of stool and improved digestion
  • Ability to excrete urine
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16
Q

What are the benefits of exercise on the musculoskeletal system?

A
  • Joint movement
  • Muscle size, strength, function
  • Reduced bone loss
17
Q

Benefits of exercise in activity tolerance

A
  • Increased

* Decrease in fatigue

18
Q

Benefits of exercise - psychosocial factors

A
  • Improves stress tolerance
  • Reports of feeling better
  • Improved sleep
  • Improved immune system
19
Q

Complications of immobility – Metabolic changes

A

-gastric dysfunction, constipation, alteration of metabolism of fats, carbohydrates, protein

20
Q

Complications of immobility - Cardiovascular changes

A
  • hypotension
  • increased cardiac workload
  • thrombus formation
21
Q

Complications of immobility – musculoskeletal changes

A

-loss of endurance, strength, decreased muscle mass, impaired calcium metabolism, decreased stability and balance, impaired joint mobility, osteoporosis

22
Q

What are the Psychological effects of immobility

A
  • decreased social interaction/isolation
  • loss of independence
  • depression
  • impaired self image/self concept
23
Q

Promoting mobility in acute care

A
  • Encourage independence
  • Utilize assistive devices if needed
  • Frequent mobilization to prevent deconditioning – set up daily routine
  • Utilize proper body alignment when assisting
  • Utilize other members of the healthcare team/family for collaborative care
24
Q

What are active range of motion exercises?

A

Done by the patient

25
Q

What are passive range of motion exercises?

A

Someone moves the joints through the range of motion

26
Q

What should be considered in the ROM assessment?

A
  • Stiffness
  • Swelling
  • Pain
  • Limited and/or unequal movement
27
Q

How often do you immobile patients need to be re-positioned?

A

q 2 hrs

28
Q

When positioning a patient, joint should be slightly flexed because…

A

prolonged extension creates undue muscle tension and strain