Week 5 - pressure injuries and surgeries Flashcards
Lobectomy
removal of one or more lobes
How many lobes on right and left lobes?
Left lung - 2
Right lung 3
Pneumonectomy
removal of entire lung
Wedge resection
Removes a small portion of a lobe
Segmentectomy
Removal of a portion of the lung
appendix
appendectomy
removal of appendix
Cholecystectomy
taking out the gall bladder
Hartman’s
resection of colon
AAA
Abdominal Aortic Aneurysm Repair
Aneurysm
bulging, weak spot in aorta
risk of rupturing
Endovascular aneurysm repair
EVAR
minimally invasive
Sternotomy
Heart surgery via
Sternum is “cracked” open
Sternum is wired back together (wires stay forever)
can take months for sternum to heal properly
Sternotomy restrictions (old)
No lifting, pushing, or pulling more than 10 lbs
No unsupported coughing or sneezing (hold pillow)
Sternotomy current precautions
As long as people’s arms are within planes of body, it’s good
Pain and chronic diseases
May need to coordinate rehab sessions with pain medications
may limit participation
may increase emotional and psychological distress
Metastatic
Where cancer spreads from origin to other parts of the body
Metastatic fractures
change in mobility
Need for gait aid and or assistance
Surgery may be required
frailty
Symptoms of cancer
changes in cognition
dizziness
nausea/vomiting
changes in eyesight
Cancer and education
listen to your body
important to be active
Cancer - positioning
Breathing and comfort around exercise
Therapeutic exercise and cancer
Neuromuscular electric stimulation
cycle ergometry
functional ADL and mobility retraining
ROM
strength training
Endurance training and cancer
first step in recovery
Progressing how much time we are doing something without increasing intensity
HIV/AIDS
Human Immunodeficiency Virus
Acquired ImmunoDeficiency Syndrome
Exercise & HIV
Understand fatigue
No restrictions
improves health and QoL
Obesity - 5 guiding principles
Chronic and often progressive condition
Obesity management is not about simply reducing numbers on the scale
Early intervention means addressing root causes and removing roadblocks
Success is different for every individual
A patient’s ‘best’ weight may never be an ‘ideal’ weight
Our role with bariatric pts.
Be aware of bariatric equipment
Be aware of our body mechanics
aware of stigma and bias present in healthcare system
Don’t focus on weight loss as a treatment outcome
ICU pt.
Intensive Care Unit
Severe or life-threatening illnesses or injuries
pt. admitted here require dedicated care
ICU - nursing care
1:1 nursing care
specialized equipment
medications
monitoring
Highly trained specialists
ICU - mobility
Move slowly
Be aware of lines and tubes
pt. hasn’t been upright in a few days/weeks
ICU - Functional training
positioning
suctioning
mobilization, including ambulation
strengthening
RN
Nurse
What would we ask RN in ICU
are they stable
vital signs
medication due or already taken
Lines or tubes removable
How’s their mood
pain level
Vitals in ICU
HR
BP
RR
Symptoms in ICU
Fatigue
pain
Endo
Through
Tracheal
trachea
Type of O2 delivery is based on
Pt. O2 requirement
efficacy of device
reliability
ease of therapeutic application
pt. acceptance
Nasal Cannulas
Nasal prongs (NP)
Most common way of getting O2
