Week 3 Mobility

Question 1

Labyrinthe sense

Answer 1

Provided by the sensory organs of the inner ear. Provide sense of position, orientation, and movement. Body movement stimulates the sensory organs that transmit impulses to the cerebellum

Question 2

Proprioceptor or kinesthetic sense

Answer 2

This informs the brain of the location of a limb or body part as a result of joint movements stimulating special nerve endings in muscles, tendons and fascia

Question 3

Visual or optic reflexes

Answer 3

Visual impressions contribute to posture by alerting the person to spatial relationships with the environment

Question 4

Extensor or stretch reflex

Answer 4

When the extensor muscles are stretched beyond a certain point, their stimulation causes a reflex contraction that aids a person to reestablish erect posture

Question 5

Factors affecting movement and alignment.

Answer 5

Any issues with muscular or nervous system
Muscular: underlying pathology or treatment initiated for trauma or illness

CNS: Cerebral motor cortex is minute movement cerebellum major smooth coordinated movement, spinal cord voluntary movement

Our role is to understand and intervene to prevent damage

Question 6

COPD will affect movement
Heart condition
Negative nitrogen balance

Depressed

Answer 6

Less oxygen, they don’t have enough muscle energy in their cells
Negative nitrogen balance. Catabolic state, protein is being broken down, negative nitrogen balance, wasting away

Metabolism slows down, no energy for movement at all
Anything with fatigue comfort or pain will affect mobility

Question 7

Lifestyle will affect mobility

Answer 7

Occupation, leisure activities culture.
Sedentary jobs will need exercise
Men it’s okay to exercise women it isn’t

Need to develop activity plan

Attitudes and values is reflective of their lifestyle

Question 8

Isotonic exercise

Answer 8

Constant muscle tension
Walking running
Isotonic exercise when done at a high level have highest aerobic activity
Increase muscle tone and strength improved joint mobility
Improved bone building
Improved CV and respiratory

Question 9

Isokinetic

Answer 9

Patient done against resistance
Weights
Positive effects of aerobic exercise

Question 10

Isometric exercise

Answer 10

Muscles tense and relax no joint movement

Casts or intraaction on arm and legs
Need to use muscles, they atrophy otherwise
Isometric exercise combated that. > muscle tone and strength and circulation and > osteoblastic activity

Question 11

Consequences of immobility

Answer 11

< muscle tone strength, reaction time, stability, endurance, demineralization

Osteoclastic activity increases with immobility decrease bone building

Question 12

Contracture and footdrop

Answer 12

Increase risk with immobility

Question 13

Cardio pulmonary consequences of immobility

Answer 13

> cardiac workload
>orthostatic hypotension 
>thrombus formation
< lung expansion 
< rate of respirations 
Pooling of secretions in lungs and shallow breathing and impaired gas exchange

Question 14

Pressure sores

Answer 14

Decubiti- pressure ulcers

Cells don’t get oxygen and are compressed for a long period of time and skin breaks down and opens

Question 15

Nutrition and metabolism

Answer 15

< metabolic rate

Question 16

Elimination perspective

Answer 16

They don’t move their bowels don’t move
Don’t want to ask to go. Go on bedpan and don’t get it all out
Promotes urinalysis stasis and sets them up for renal or bladder calculi

Decreased smooth muscle tone prevents people from emptying all the way

Question 17

Psychosocial effects of immobility

Answer 17

Depression, hopelessness, change of power roles, sleep wake pattern confused, altered mental state ect.

Question 18

NANDA DIAGNOSIS FOR IMMOBILITY

Answer 18

One million

Question 19

Assessing mental status

Answer 19

Ask them time, place and person

If they know all three they are Aand Ox3
We know that means they are oriented to all 3

Generally lose time, then place, then person

Many people lose sense of time in hospital, use general time of day, year

Question 20

Level of consciousness

Answer 20

Degree of wakefulnesss/ ability to arouse

Awake and alert- easily roused
Lethargic
Stuporous
Comatose

Question 21

Glasgow coma scale

Answer 21

Eyes
Verbal
The higher the score the more acute

7or less in a coma

Question 22

MMSE

Answer 22

Mini mental status exam

Possible score of 30 and normal is 27-30, a score of 25 means is more of a baseline it doesn’t mean they have a serious mental status issue or dementia

Orientation, registration, recall, calculation, attention, and language

Question 23

Know the cranial nerves

Answer 23

1) olfactory
2) optic
3)