Pharmacology immobility
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| 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
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| 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
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| 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
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| How does immobility affect the musculoskeletal system? | Disuse osteoporosis
Muscle atrophy
Joint contractures - ligaments/tendons
Decrease endurance
Decreased stability and balance
Altered calcium metabolism
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| How does immobility affect the integumentary system? | Decreased circulation and sensation to peripheral areas
Increased tissue pressure
Shearing forces
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| 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
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| 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
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| 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
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| 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
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| 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
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Created by:
ssbourbon
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