Found Chpt 18

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What changes in the musculoskeletal system occur with aging
- Bone strength and mass are lost
- Loss of bone density predisposes the elderly to fractures
- Muscle cells are lost and replaced by fat
- Elesticity of muscle fibers is decreased or lost casuing loss of flexibility
- Joint motion may decrease limiting mobility
Nursing diagnoses used for problems with body movement
- Risk for injury
- Impaired physical mobility
- Risk for impaired skin integrity
- Impaired walking
Changing position accomplishes four things
- Provides comfort
- Relieves pressure on bony spots
- Prevents contracutres, deformities, respiratory problems
- Improves circulation
Who gets active ROM

Patient who independently performsADLs but is immobilized or limited in activity or is unable to move one extremity due to injury or surgery
Who gets passive ROM
- For the patient who cannot actively move
- Cannot contract muscles
An elderly person may need to be reeducated on how to lift safely because
- Muscles and bones lose strength as one ages
- Bone density is decreased
- Decreased muscle mass and changed posture
When moving the patient up in bed

Lock the wheels before moving the patient
WHen preparing to move a patient up in a bed who can assist, you would first

Raise bed to working height
The side lying position is helpful because

It takes pressure off trocanter and shoulder
When placing elderly in Fowlers

Refrain from raising the knees more than 15 degrees
When changing the patient's position

Work at same level or height as patient
COmmon pressure point in supine position

Scapula
When performing passive ROM

avoid moving the joint to the point of discomfort
When a patient falls,

document any patient stated cause of fall

Author

Anonymous

104003

Card Set

Found Chpt 18

Description

Test 2

Updated

2011-09-24T19:56:04Z