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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
ID
104003
Card Set
Found Chpt 18
Description
Test 2
Updated
2011-09-24T19:56:04Z
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