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Nur210 Immobility
Pharmacology immobility
Question | Answer |
---|---|
What are some properties of goals/outcomes? | Should be valued by the client - pick something you can fix (can't fix hopelessness or ineffective coping) Time frame - short-term goal would be what you could accomplish on your shift |
How does immobility affect the psychosocial aspects of a person? | Sleep-wake disturbances - hospital Isolation from significant others Sensory deprivation Change in body image Depression and disorientation Lack of productivity and freedom Ineffective coping |
How does immobility affect nutritional status? | Decrease in metabolic rate Anorexia - TPN (total parenteral nutrition)via IV - sometimes necessary Negative nitrogen balance - elevated BUN Calcium loss Need good nutrition to heal |
How does immobility affect the musculoskeletal system? | Disuse osteoporosis Muscle atrophy Joint contractures - ligaments/tendons Decrease endurance Decreased stability and balance Altered calcium metabolism |
How does immobility affect the integumentary system? | Decreased circulation and sensation to peripheral areas Increased tissue pressure Shearing forces |
How does immobility affect the GI system? | Decreased intestinal motility - slow or hypoactive bowel sounds Increased constipation and fecal impaction Gastric stress ulcer - acid build-up occurs |
How does immobility affect the genitourinary system? | Stasis of urine in kidney Stasis of urine in bladder Renal calculi formation - calcium clumps together in kidneys Increased UTI |
How does immobility affect the cardiovascular system? | Status of blood in the legs - blood pools Increased risk of thrombus formation Increased cardiac workload - no gravity to help heart work Orthostatic hypotension - drop in BP through changing positions |
How does immobility affect respiration? | Limited chest expansion (ventilation) Decreased cough response - secretion build-up, dehydration causes sticky secretions Stasis of pulmonary secretions - hypostatic pneumonia Alteration in pulmonary perfusion - less surface area lead to less perfusion |
What types of immobility are there? | Temporary - post-operative Permanent - skeletal/neurological (stroke) Acute - injury or accident; pregnancy bed rest Chronic - skeletal/neurologic deficit - get less and less mobile as other disease processes take hold |