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Ch 47

Mobility and immobility

Describe the effects of exercise on the body Circulation, osteoporosis, bowel movements, atrophy. Nurses use it as therapy to correct a deformity or restore the overall body to max state of health. Rom and strength heart
Identify changes in physiological and psychosocial function associated with mobility and immobility Emotionally and behavioral responses, sensory alterations, and changes in coping. Anxiety, hostility, depression. Atrophy, osteoporsis, restricts ROM. Mobility: feel good hormones, helps reduce stress and anxiety, better coping methods. Good ROM
How would we asses for correct and impaired body alignment and mobility ROM, gait, exercise, and activity tolerance, body alignment.
Define functional ability Physical, mental, or social ability to carry on the normal activities of life.
Formulate appropriate nursing diagnoses for impaired body alignment and mobility Risk for impaired skin integrity, impaired physical mobility, risk for disuse syndrome, ineffective coping, risk for injury, insomnia, social isolation. Refer to notes for specific
Describe info required to assess body alignment Determine normal changes in body alignment resulting from growth and development, identify deviations in body alignment caused by incorrect posture, identify trauma, muscle damage, or nerve dysfunction. Incorrect alignment such as fatigue, malnutrition.
Discuss factors associated with immobility on major body systems Metabolic changes, respiratory changes, cardiovascular changes, musculosketal changes, urinary elimination changes, integumentary changes, bowel changes.
Discuss the impact of national patient safety resources, initiatives, and regulations in relation to patient handling and movement An ergonomic assessment protocol for health care environments, patient assessment criteria, algrothims for patient handling and movement, special equipment in convent locations for easy transfer, back injury resource nurses.
Compare and contrast active and passive ROM. Active the patient is able to move each joint independently. Passive the patient is unable to move independently so the nurse moves each joint through its ROM
Describe nursing measures to maintain, promote or restore mobility and minimize adverse effects of immobility across the lifespan. Maintain: continue exercise. Immobility exercise therapy such as ambulation, and pain management
elvulate nursing plan for maintaining body alignment and mobility Nursing actions patient resonse/finding, achievement outcome
Describe age appropriate nursing measures to maintain, promote, and/or restore normal body alignment infant, toddler, preschool Infants,toddler, preschool: spine does not have s-shape, head in disporotion, weight is not evenly distruputed, falls frequently, needs to be immobile when trauma occurs ex. Hip fractures
Describe age appropriate nursing measures to maintain, promote, and/or restore normal body alignment adolescence Growth is uneven, immobility alters growth patterns, behind peers when mobility is impaired , social isolation
Describe age appropriate nursing measures to maintain, promote, and/or restore normal body alignment Adults A healthy adult has necessary musculoskeletal development and coordination to carry out ADLs. Prolong immobility occurs physiology systems are at risk and possible role changes
Describe age appropriate nursing measures to maintain, promote, and/or restore normal body alignment Older adults Progressive loss of total bone mass occurs, decrease physical activity, hormonal changes, bone resorption, osteoporsis, slower ambulation, less coordination, fall risk
Created by: spilkington11