week 10 : mobility Flashcards
issue of mobility what could be the reason/cause ?
genetic ( inherited ) e.g duchenne muscular dystrophy
demyelination of nerve fibers
degeneration of neurons in brain
true or false. issue of mobility: one of them being is degeneration of motor neurons and injury to the bone
true
injury to spinal cord ( vertebra or edema pushing on cord ) is also seen as an issue of mobility
yes this is true
what else can bring an issue of mobility ?
impact on the pt ( mind and body ) and family
issue of mobility : impact on nursing care
true
issue of mobility : medications - treat the disease and treat problems caused by decreased mobility , is this true or false.
true
what other genetic disease can be a reason for issue in mobility ?
change of muscular dystrophy , ms , parkinson disease
what injury can be a reason/cause
spinal cord injury
higher level injury - higher impact
als and gillian burre
what is the impact on the patient ? ( mobility )
mind - fatigue, self identity, depression , independence, awareness of how they will die
recall that body is the one impacted if there is an issue with the mobiliity , what undergoes this ?
cns depression ( significant pain )
— neuropathic pain, and complex
explain how cvs system could have an impact on the patient
blood clots and pressure ulcers
what undergoes resp since this would be affected
atelectasis and pneumonia patietn can lose ability to clear their resp secretions
what undergoes GI as this would be a problem
GI ability to swallow and get good nutrition
GU problem with incontinence /can also have UTIS , is this true ?
yes this is true when it comes to mobility
how would pyschosocial be affected?
lose their sense of self and identity they have is different ( alot of significant anger ) because they lose their personal independence
impact on nursing care
resp system ( can pt clear secretions ) ?
if u have a pt who cna cough well their lungs is okay but if ot what possibilities are we looking at ?
atelectasis and secretions
impact on nursing care : body/limb alignment
what is happening
pain, muscle spasm, and perfusion
turning/repositioning – looking at the skin , how frequent are we turning ?
2 to 3 hours ( look at the pressure ulcers )
it is important to assesment the body and mind why ?
no big pressure underneath hand
thinking pressure points and what the skin looks like - help plan their future
moblity : what else are they in risk for that we should look out for ?
risk of falls ( and working hard is managing pain ) always looking for complications
what type of meds are we going to give them
prevent potential complications ( e.g dvts )
treat pain ( noiceptive, neurogenic )
treat muscle spasm
maintain general health ( breathing , nutrtion, prevent infeciton )
lets also give them the best mattress
equipment and skulls needed and used
wheelchairs, braces, canes, aspen collar
splints, pillows, roho cushions prosthetics
lifts, turning sheets/sliders , transfer board
true or false. staff to assist with mlt
teds/scds, binders, assistive devices ( feeding, writing, bathing )
communciation boars are something we utizlied as equipment and skills needed and used
true
spirometer, feeding tubes, urianry catehrs are also used.
true