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Nur210 Immobility

Pharmacology immobility

QuestionAnswer
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
Created by: ssbourbon