week 3 (mobility and immobility ) Flashcards
musculoskeltal system assessment
past medical history, family history, current medications, lifestyle behaviors, occupation, social environment, problem based history
common symptoms associated with mobility
pain, reduced joint movement, falls, fatigue, altered gait, reduced functional ability
what are pathological influences on body alignment
congenital defects, disorders of bones joints and muscles, CNS damage, musculoskeletal trauma, any equipment
what is essential when patient is unable to help
mechanical lifts or lift teams
wider the base of support =
greater stability of nurse
lower center of gravity =
greater stability of nurse
facing movement prevents what
twisting or abnormal positions
metabolic changes
decreased app, hypercalcemia, decreased GI motility,
what to monitor for metabolic changes
I&O, % of food intake, wound healing, lab values (electrolytes, serum protein), elimination patterns
respiratory system changes
atelectasis (collapse of alveoli) & hypostatic pneumonia (swelling of lung from pooling fluid )
what to monitor for respiratory changes
RR and characteristics of system, breath sounds every 2 hours, positiong for lung expansions
cardiovascular changes monitoring
increased HR, decreased pulse pressure or drop in bP. mobilize patient as soon as possible by dangling or OOB or even transferring with gait belt.
general guidelines for immobilized patient
frequent turning or positioning, skin assessment, ROM, deep breathing, weight bearing, measures to optimize elimination, and nutrition
what are some exercise therapies
ambulation, ROM, stretching, balance
what are surgical interventions
joint replacement, spinal fusion, ligament repair
