Wk 9 Musculoskeletal Flashcards
Postural abnormalities: Torticollis
Muscles of the neck that causes the head to tilt down
Postural abnormalities: Lordosis
exaggeration of the anterior convex curve of lumbar spine
Postural abnormalities: Kyphosis
increased convexity in curvature of thoracic spine
Postural abnormalities: Scoliosis
Lateral S or C shaped spinal column with vertebral rotation, unequal heights of hips and shoulders
Postural abnormalities: Knock knee (genu valgum)
legs curved inward, knees come together
Postural abnormalities: Bowlegs (genu varum)
one or both legs bent outward at knee
Postural abnormalities: foot drop
inability to dorsiflex and invert foot because of peritoneal nerve damage
Postural abnormalities: pigeon toes
internal rotation of forefoot or entire foot
What the nurse should assess before moving patients
Safety Ask pt to help as much as possible Determine if pt comprehends what is expected Determine pt comfort level Determine if you need assistance
NANDA major nursing diagnosis related to immobility
Impaired physical mobility Ineffective airway clearance Impaired urinary elimination Risk for disuse syndrome Ineffective coping Risk for impaired skin integrity Social isolation
Systemic effects of immobility
Metabolic Cardiovascular Muscle effects Urinary elimination Respiratory Musculoskeletal changes Skeletal effects Integumentary
Psycho social effects of immobility
Emotional and behavioral responses
Sensory alterations
Changes in coping
Joints and areas of body that can perform ROM and type of joint
Neck, cervical, spine - pivotal Shoulder - ball and socket Elbow - hinge Forearm - pivotal Wrist - condyloid Fingers - condyloid hinge Thumb - saddle
Hazards of immobility:
Metabolic
Endocrine metabolism Calcium resorption Functioning of GI Decreases metabolic rate Alters metabolism Causes GI Disturbances
Hazards of immobility:
Respiratory
High risk of pulmonary complications
Atelectasis
Hypostatic pneumonia
