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Immobility for NU112

Exercise - the body was designed for motion so regular exercise contributes to a healthy body - most people move joints with regular activity
Immobility - Has a negative effect - within 24 hours a joint stiffens - longer periods tendons and muscles will be effected - when joints cannot be moved a nurse will have to perform ROM exercises
ROM - Range of Motion - are exercises that a nurse performs on each joint through a full range of motion that a joint can perform without causing pain
Causes of Immobility - Depression - Confusion, dementia - Pain, fatigue, hypovolemia - injury, trauma, surgery - General Deterioration
Alterations in Mobility - maybe temporary or permanent - most diseases involve some degree of immobility -
life expectancy and Immobility - Longer life expectancy for most Americans - incidences of disease and disability grows - shorter hospital stays result - pt. trans to rehab or home for physical therapy
Body Changes and Immobility - Loss of muscle mass, strength and function cause stiffer joints and gait changes - affects balance and compromises mobility of elderly
Elderly and Mobility - moving is paramount to elderly - allows them to perform ADLs and independence - increased risk of immobility
Safety issues and Immobility - Fall Risk - Altered skin Integrity - Risk of Pneumonia - Risk for DVTs
Morse Fall Scale - This assess a persons risk for a fall. - assess - History - secondary diagnosis - ambulatory aid - IV or IV access - Gait - Mental Status - The higher the number the more apt to fall
Immobility and Cardiovascular - increase cardiac workload - increased orthostatic hypotension - increased venous thrombosis - Venous stasis
Immobility and Respiratory - Decreased depth of resp. - Dec. resp rate - pooling of secretions - impaired gas exchange - hypostatic pneumonia - atelectasis - dyspnea - confusion, irritablity - impaired cough - chest pain
Hypostatic Pneumonia - the depth and rate of resp and the movement of secretions in the resp. tract is decreased when a person is immobile. - the pooling of secretions and congestion predispose to resp. tract infection. - S&S: Increased temperature
Atelactasis - when are area of lung tissue are not used over a period of time - incomplete expansion or collapse of lung tissue may occur.
Immobility and Gastrointestinal - disturbance in appetite - altered protein metabolism - altered digestion and utilization of nutrients
Immobility and Urinary - Decreased bladder muscle tone - Increased Renal calculi - Increased Urinary Stasis leading to UTIs
Immobility and Muscular System - Muscle Atrophy - Decreased joint mobility, flexibility - Decreased endurance, stability - increased risk for contracture formation - Ankylosis - Osteoporosis - Bone demineralization
Ankylosis - Bones fuse together when in contracture
Immobility and Metabolic System - Increased risk of electrolyte imbalance - Altered Exchange of nutrients and gases - Decreased Metabolic rate
Immobility and Skin Integrity - Risk of skin breakdown, which leads of necrosis and ulceration of tissues, especially in bony area. - Pressure ulcer formation
Immobility and Psychological - Increased sense of powerlessness - Decreased self concept - Decreased social interaction - Decreased sensory stimulation - Altered sleep-wake patterns - Increased risk for depression
Exercise and Cardiovascular - Increased efficiency of the heart - decreased resting heart rate - increases blood flow and oxygenation to all body parts
Exercise and Respiratory - Increased depth and rate - Increased gas exchange at alveolar level - Increased rate of carbon dioxide excretion
Exercise and Gastrointestinal - Increased appetite - Increased Intestinal tone
Exercise and Urinary system - Increased blood flow to kidneys - Increased efficiency in fluid and acid/base balance - Increased efficiency in excreting body waste
Exercise and Mesculoskeletal - Increased Muscle tone - Increased coordination - Increased of nerve impulse transmission
Exercise and Metabolic System - Increased eff. of Metabolic system - Increased eff. of body temp regulation
Exercise and Integumentary - Improved color, tone, turgor resulting from improved circulation
Exercise and Psychological - Energy vitality, general well being - Improved Sleep - Improved Appearance - Improved Self-concept - Positive health behaviors
Created by: saraken2007