The Immobilized Child Flashcards
1
Q
What puts each age group at risk?
A
- Toddlers don’t understand danger
- Pre-schoolers more active
- School age: sports
- Adolescents: invincible
2
Q
Psychologic Impacts
A
-
Diminished envir’t stimuli
> altered perception of self & envir’t -
Incrd feelings of frustation, helplessness, anxiety
> depression, anger, aggressive bahvior
> developmental regression
3
Q
Physiologic Effects of Immobilization - Muscular System
A
Dcrd muscle strength, tone, mass, & endurance
4
Q
Physiologic Effects of Immobilization - Skeletal System
A
- Incrd risk for bleeding
-
Bone demineralization
> osteroporosis, hypercalcemia - Joints at risk for contracture
5
Q
Physiologic Effects of Immobilization - Metabolism
A
- Dcrd metabolic rate
- Dcrd production or stress hormone
6
Q
Physiologic Effects of Immobilization - Cardiovascular System
A
- Dcrd efficiency of orthostatic neurovascular reflexes
- Altered distribution of blood volume
- Venous stasis
- Dependent edema
7
Q
Physiologic Effects of Immobilization - Respiratory System
A
- Dcrd need for oxygen
- Dcrd chest expansion & vital capacity
-
Loss of respiratory muscle strength
> poor cough
8
Q
Physiologic Effects of Immobilization - Gastrointestinal System
A
Distension caused by poor abdominal muscle tone
9
Q
Physiologic Effects of Immobilization - Urinary System
A
- Urinary retention due to difficulty voiding while in prone position
- Embarrassment for older child
-
Regressions
> at risk for UTIs
10
Q
Physiologic Effects of Immobilization - Integumentary System
A
- Altered tissue integrity
- Difficulty w/ personal hygiene
