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Mod 19: Chapter 28
Immobility
20
Nursing
Professional
07/25/2017

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Cards

Term
Nature of Movement
Definition
Body Mechanics, Alignment and Balance, Gravity and Friction
Term
Body mechanics
Definition
coordinated efforts of the muscoskeletal and nervous systems
Term
What factos help to create a nursing intervention for immobility
Definition
Positioning patients, determining risk of patient falls and selecting the safest way to move or transfer patients
Term
Body Alignment
Definition
the individual's center of gravity is stable
Term
What are the factors that contribute to the ability to remain balanced
Definition
disease, injury, pain and physical development and life changes
Term
Shear
Definition
the force exerted against the skin while the skin remains stationary and the bony structures move
Term
Patients with decreased calcium regulation, metabolism and immobility are at risk for developing
Definition
Osteoporosis and pathological fractures
Term
What are the pathological influences on Mobility
Definition
postural abnormalities, muscle abnormalities, damage to CNS and muscoskeletal trauma
Term
What are the effects of muscular deconditioning
Definition
Disuse atrophy, physiological, psychological and social
Term
Changes in mobility alter which body systems
Definition
Endocrine metabolism, calcium resorption and functioning of the GI system
Term
How does immobility disrupt normal metabolic functioning
Definition
Decrease metabolic rate, alters metabolism and causes GI disturbances
Term
How does immobility disrupts normal metabolic functioning
Definition

altering the metabolism of carbs, fat and proteins. causing fluid, electrolyte and calcium imbalances 

GI disturbances, decreased appetite and slowing peristalsis 

Term
What happens to the nitrogen in the body when someone is immobile
Definition
Negative nitrogen balance, the body creates more nitrogen than it ingests in proteins
Term
Which respiratory problems are caused by immobility
Definition
Atelectasis and hypostatic pneumonia
Term
Nursing for assessment of Mobility
Definition

describe any changes in walking ability and daily care?

Have you experienced any stiffness, swelling of joints, muscle or joint pain?

Difficulty with moving?

Shortness of breath? 

Term
Nursing Assessment for Immobility
Definition

Describe normal daily activity? 

Changes in appetite and diet? 

Normal eating ?

Sleeping habit?

Skin integrity, reddened or open sores?

Changes in urine and bowel movements 

Term
Orthostatic hypotension
Definition
drop in blood pressure greater than 20mm Hg in systolic and 10 mmHg in diastolic with dizziness, light-headless, nausea, tachycardia, pallor or fainting when patient changes from supine to standing.
Term
What are common cardiovascular changes in immobile patients
Definition
decreased circulation fluid volume, pooling of blood in lower extremities and decreased autonomic response
Term
Thrombus
Definition
an accumulation of platelets, fibrin, clotting factors, and cellular elements of blood.
Term
What three factors contribute to venous thrombus formation
Definition

damage to the vessel wall

alterations in blood constituents 

alteration of blood flow

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