Term
ability to move is dependent on
1. 2. 3. |
|
Definition
muscles
bones
nervous system |
|
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Term
| factors that affect mobility (7) |
|
Definition
developmental stage
nutrition
lifestyle
environmental factors
socioeconomic factors
disease and abnormalities
body mechanics |
|
|
Term
| nursing responsibilities concerning mobility |
|
Definition
assess mobility status and needs
utilize good body mechanics
work with other disciplines OT,PT,
promote independence
interventions |
|
|
Term
|
Definition
decreased risk for:
early death, heart disease, stroke, type 2 diabetes, hypertension, hyperlipidemia, metabolic syndrome, colon and breast cancer, depression |
|
|
Term
| advantages of mobility on actual body: |
|
Definition
promotes weight loss
improves muscle strength and tone
decreases loss of bone density
improves sleep |
|
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Term
| EFFECTS OF IMMOBILITY ON MOBILITY |
|
Definition
Atony
loss of muscle strength
contractures
osteoporosis |
|
|
Term
|
Definition
|
|
Term
|
Definition
| permanent shortening of the muscles |
|
|
Term
|
Definition
|
|
Term
| nursing responsibilities concerning mobility |
|
Definition
assess mobility status and needs
utilize good body mechanics
work with other disciplines OT,PT,
promote independence
interventions |
|
|
Term
|
Definition
decreased risk for:
early death, heart disease, stroke, type 2 diabetes, hypertension, hyperlipidemia, metabolic syndrome, colon and breast cancer, depression |
|
|
Term
| advantages of mobility on actual body: |
|
Definition
promotes weight loss
improves muscle strength and tone
decreases loss of bone density
improves sleep |
|
|
Term
| EFFECTS OF IMMOBILITY ON MOBILITY |
|
Definition
Atony
loss of muscle strength
contractures
osteoporosis |
|
|
Term
|
Definition
|
|
Term
|
Definition
| permanent shortening of the muscles |
|
|
Term
|
Definition
|
|
Term
| interventions to help mobility (4) |
|
Definition
ROM exercises
encourage active exercises
proper body alignment
use of assistive devices (canes, walkers)
monitor blood CA+ levels |
|
|
Term
| EFFECTS OF IMMOBILITY ON ELIMINATION |
|
Definition
URINARY STASIS-leads to UTIs
RENAL CALCULI-kidney stones
DECREASED BLADDER TONE-inability to fully empty bladder
CONSTIPATION AND FECAL IMPACTION-caused by decreased peristalsis |
|
|
Term
| interventions to help with elimination due to lack of mobility. |
|
Definition
ambulation
maintain adequate fluid intake
lab work (urinalysis)(WBC count)
observe urine for color, clarity and odor
monitor bowel sounds |
|
|
Term
| EFFECTS OF IMMOBILITY ON OXYGENATION |
|
Definition
decreased metabolic needs
O2 needs are decreased
respirations are slower and shallow
ATELECTASIS
HYPOSTATIC PNEUMONIA
decreased strength of muscles |
|
|
Term
|
Definition
|
|
Term
|
Definition
| pooling of respiratory secretions |
|
|
Term
| interventions for lack of oxygenation due to immobility |
|
Definition
increase activity
encourage use of spirometer every 1 hour
deep breathing and coughing exercises
elevate head of bed
keep well hydrated |
|
|
Term
| EFFECTS OF IMMOBILITY ON PERFUSION |
|
Definition
increased cardiac workload (blood returns to heart through muscle contraction)
Venous stasis-(edema, dvt,embolis, skin breakdown)
ORTHOSTATIC HYPERTENSION |
|
|
Term
|
Definition
| sudden increase of blood pressure when a person stands up (deactivation of barro-receptors) blood rushes to the brain body has to work harder to bring O2 to the body |
|
|
Term
|
Definition
INCREASE ACTIVITY!!!!
check vital signs and heartrate
assess peripheral pulses, edema
monitor for signs of DVT
TURN PATIENT EVERY 2 HOURS
TEDS, SCDS
allow pt. to dangle legs before getting up |
|
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Term
| EFFECTS OF IMMOBILITY ON NURTITION AND METABOLISM |
|
Definition
loss of appetite
increased risk of dehydration
risk of electrolyte imbalance
altered carbohydrate, fat, protein metabolism |
|
|
Term
|
Definition
work with dietary
offer smaller meals or supplements
provide appropriate environment for eating |
|
|
Term
| EFFECTS OF IMMOBILITY ON SKIN INTEGRITY |
|
Definition
pressure ulcers-j caused by blocked capillaries, lack of O2 to tissue
ischemia, necrosis |
|
|
Term
| interventions for skin integrity |
|
Definition
TURN PT. EVERY 2 HOURS
pad boney prominences
keep bed linen wrinkle free |
|
|
Term
| EFFECTS OF IMMOBILITY ON PSYCOSOCIAL INTEGRITY |
|
Definition
| Depression, isolation, loss of control, anxiety, inappropriate mood changes |
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Term
| NURSING DIAGNOSIS FOR MOBILITY |
|
Definition
RISK FOR FALLS
ACTIVITY INTOLERANCE
RISK FOR INJURY
RISK FOR LONLINESS
IMPAIRED PHYSICAL MOBILITY
RISK FOR SKIN INTEGRITY
IMPAIRED TRANSFER ABILITY
IMPAIRED WALKING |
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|
Term
| what does performing ROM exercises prevent? |
|
Definition
improves muscle joint function
prevents contractures
improves muscle strength
increases circulation |
|
|
Term
|
Definition
NEVER USE FORCE
2-3 TIMES A DAY
5X EACH MOVEMENT |
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