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NUR 118 Lecture > NUR 118 Lect. Lecture 6 - Mobility > Flashcards

NUR 118 Lect. Lecture 6 - Mobility Flashcards

1
Q

of bones

A

206

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2
Q

Definition of joint

A

Where 2 bones come together

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3
Q

Define cartilage

A

Connective tissue, acts as cushion

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4
Q

Define ligament

A

Fibrous tissue that connects most movable

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5
Q

Define tendons

A

Fibrous connective tissue that connects muscle to bone

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6
Q

What is the goal of ROM?

A

Exercise and keep body in best possible condition when bed rest necessary, or when patient is immobile

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7
Q

What are some factors that affect activity & mobility?

A

Age (developmental stage), nutrition, lifestyle (active or inactive), stress

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8
Q

Define Atrophy

A

a decrease in the size of muscle tissue due to lack of use or loss of innervation

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9
Q

Define Clonus

A

spasmodic contraction of opposing muscles resulting in tremors

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10
Q

Flaccidity

A

A decrease of absence of muscle tone

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11
Q

Define hemiplegia

A

Paralysis of one side of the body

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12
Q

Define hypertrophy

A

Increase in size of muscle or organ

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13
Q

Define paraplegia

A

Paralysis of the lower portion of the trunk and both legs

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14
Q

Define paresis

A

Partial or incomplete paralysis

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15
Q

Define paresthesia

A

numbness, tingling, or burning due to injury of nerve(s) innervating affected area

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16
Q

Quadriplegia

A

Paralysis of all four extremities

17
Q

Define spasticity

A

Motor disorder characterized by increased muscle tone; tendon jerks and clonus

18
Q

Define Tremor

A

Involuntary quivering movement of a body part

19
Q

Effects of prolongeed immobility

A

-Causes physiological changes in every body system
-1 day bed rest requires 7 days to restore function

20
Q

List some musculoskeletal complications from immobility:

A
  • Balance problems
  • Loss of endurance
  • Decreased muscle mass (atrophy)
  • Decreased stability
21
Q

List some musculoskeletal interventions:

A
  • Assist patient to standing position; ambulate as tolerated
  • Prevent orthostatic hypotension
  • Active & Passive ROM
22
Q

List respiratory complications due to immobility:

A
  • Decrease in lung expansion
  • General respiratory muscle weakness
  • Risk for pneumonia or atelectasis (collapsed lung)
  • Stasis & pooling of secretions
23
Q

List some interventions for respiratory issues due to immobility:

A
  • Orthopneic position (leaning forward with arms folded on table)
  • Turn & position q2h
  • Cough & deep breath
  • Increase fluids to liquify secretions
24
Q

List cardiovascular complications due to immobility:

A
  • Edema
  • Venous stasis (lack of venous return)
  • Thrombus formation formation (DVT)
  • Orthostatic hypotension
25
Q

List interventions for cardiovascular complications due to immobility:

A
  • DVT prophylaxis
  • ROM to prevent edema
  • Monitor heart rate
26
Q

List complication in metabolism due to immobility:

A
  • Decreased serum albumin = albumin
  • Decreased protein stores = muscle loss, atrophy
  • Calcium leaves bones = hypercalcemia, osteoporosis, renal calculi
  • Decrease in BMR
27
Q

List interventions for immobolity related metabolism complications:

A
  • Small frequent meals
  • High calorie, high protein diet
  • Monitor weight
  • Increased fiber AND fluid
28
Q

List gastrointestinal complications due to immobility:

A
  • Anorexia
  • Constipation
29
Q

List interventions for gatrointestinal complications due to immobility:

A
  • Small frequent meals
  • High calorie, high protein diet
  • Monitor weight
  • Increased fiber AND fluid
30
Q

List genitourinary complications due to immobility:

A
  • Renal calculi
  • Decreased urinary output
  • Urinary stasis
  • Urinary tract infections
31
Q

List interventions for Genitourinary complications due to immobility:

A
  • Monitor Intake and output
  • Encourage fluids per condition of patient
32
Q

List integumentary complications due to immobility:

A
  • ## Pressure injuries
33
Q

List interventions for integumentary complications due to immobility:

A
  • Turn & position q2h
  • Pressure reducing devices
  • Friction reducing devices
  • Keep area clean & dry
34
Q

List psychosocial complications due to immobility:

A
  • Depression
  • Sleep disturbances
  • Sensory deprivations
35
Q

List interventions for psychosocial complications due to immobility:

A
  • Provide socialization
  • Place in room with others
  • Activities
  • Social worker consult

NUR 118 Lecture (5 decks)

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