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Mobility and Immobility
Chapter 47
19
Nursing
Undergraduate 2
11/09/2012

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Cards

Term
movement
Definition
describes the coordinated efforts of the musculoskeletal and nervous system
Term
mobility
Definition
used to show self defense, perform ADL's and do recreational activities
Term
Body mechanics
Definition
coordination between the musculoskeletal and nervous system
Term
body alignment
Definition
the individual's center of gravity is stable
Term
balance
Definition
required to maintain a static position
Term
friction
Definition
force that occurs in a direction to oppose movement
Term
identify the complication of immobility in relation to the integumentary system
Definition
pressure ulcers
Term
identify the complications that immobility in relation to the urinary system
Definition

at risk for calculi

UTI's

decreased urine output

Term

identify complication of immobility r/t musculoskeletal system

 

Definition

loss of endurance

loss of strength

loss of muscle mass

decreased stability and balance

impaired calcium metabolism

impaired joint mobility

Term
explain how orthostatic hypotension r/t cardiovascular changes occur with immobility
Definition
incresase in HR of more than 15% and a drop of 15mmHg or more in systolic or a drop of 10mmHg or more in diastolic BP when the pt changes from supine to standing
Term
explain how thrombus r/t cardiovascular changes occur with immobility
Definition
accumlation of platues, fibrin, clotting factor and the celluar elements of the blood attached to the wall of the viens or arteries.
Term
explain the use of a trapeze bar
Definition
allows the pt to use upper extremities to raise the trunk off the bed
Term
explain the use of trochanter rolls
Definition
prevents external rotation of the hips
Term

list actual or potential nursing diagnosis r/t an immobilized or partially immobilized pt

 

Definition

ineffective airway clearance

ineffective coping

risk for injury

insomnia

risk for impaired skin integrity

social isolation

Term

which side would you stand on to support a pt  who is heiplegia or hemiparesis

 

weak or strong?

any assisstance?

 

Definition
the weak side with the use of a gait belt
Term
describe fowler position
Definition
head of bed is elevated 60 degrees and knees are slightly elevated without pressure
Term
describe sims position
Definition
pt weight is on anterior illium, humerus, and clavicle
Term
Explain atelectasis
Definition
atelectasis is a the most common change in the respiratory systme r/t immobility.  it is the collapse of the alveoli
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