Nurs 175- Mobility Flashcards
1
Q
Developmental considerations for…
- Infants/Toddlers/Preschoolers
- Adolescents
- Adults
- Elderly
A
- developmental delays (intellectual, gross motor, musculoskeletal)
- growth patters
- independence
- social isolation
- physiological systems at risk
- changes to roles
- loss of bone mass, muscle strength, aerobic capacity already normal
2
Q
Atelectasis
A
- collapse of alveoli
- can lead to pneumothorax
3
Q
Hypostatic Pneumonia
A
- inflammation from secretion pooling
4
Q
Bedrest and Hypotension
A
Orthostatic- CO diminishes when on bedrest
5
Q
Thrombus
A
- result of vessel injury, bed rest, increase in blood viscosity
6
Q
Embolus
A
- free thrombus
- travels
- ischemic event (life threatening)
7
Q
Pseudodiarrhea
A
- from fecal impaction
- liquid stool passes past impaction area
- can completely occlude if not cleaned
8
Q
Urinary Effects of Bedrest
A
- unaided by gravity
- risk for UTI and kidney stones
- residual urine
9
Q
Musculoskeletal Effects of Bedrest
A
- atrophy
- 3% loss of muscle mass/ day
- accelerated bone loss if already oseoperosis
- disuse osteoperosis
10
Q
Joint Contracture
A
- possibly permanent
- fixation of joint from misuse
11
Q
Psychological Effects of Immobility
A
- decreased social interaction
- independance loss
- role changes
- depression
- increased time to worry
12
Q
In the assessment phase it is important to consider…
A
- behavioural changes
- knowledge and ability
- history with mobility
- coping
- pain
- patient expectations
13
Q
Useful examples of respiratory implementations are….
A
- deep breathing exercises
- semi or high fowler’s position
- coughing exercises
14
Q
Useful examples of cardiovascular interventions are…
A
- slow changes in position
- medications
- exercise
- fluids
- compression stockings
- positioning
15
Q
Useful examples of gastrointestinal interventions are…
A
- increased fiber
- hydration
- commode chair or urinal
- ambulation to increase peristalsis
16
Q
Useful examples of musculoskeletal interventions are…
A
- pillows, sandbags, handrolls, splints
- ROM exercises
- TED stalkings
- mobility aids
- bed positions
17
Q
Useful examples of integumentary interventions are…
A
- daily braden scales
- repositioning
- frequent skin checks
18
Q
Useful examples of psychosocial interventions are…
A
- bring them into hallway
- age-apropriate stimulation
- max patient participation
- assess for signs of depression
- patient and family teaching
19
Q
Falls Assessments
A
- RNAO universal fall precautions
- Morse Fall Scale
