1. What direction should the patient move toward?
    Their strong side
  2. What side do you stand on when ambulating a patient with a walker? Cane? No device?
    • Walker: Strong side
    • Cane: Affected side
    • No device: Strong side
  3. What side of the patient should be on the free side of the bed when lying down?
    Their strong side
  4. What are the metabolic effects of immobility?
    • Fluid and electrolyte changes
    • Bone demineralization
    • Altered exchange of nutrients and gases
    • Altered gastrointestinal functioning
  5. What are the respiratory effects of immobility?
    • Decreased lung secretions
    • Pooling of secretions
    • Atelectasis (lung collapse)
    • Hypostatic Pneumonia
  6. What are the cardiovascular effects of immobility?
    • Orthostatic hypotension
    • Increased cardiac workload
    • Thrombus formation
  7. What are the musculoskeletal effects of immobility?
    • Decreased endurance
    • Decreased muscle mass
    • Atrophy
    • Decreased stability and balance
    • Contracture formation
    • Osteoporosis
    • Joint abnormalities
  8. What are the integumentary effects of immobility?
    • Decubitus ulcer formation (pressure ulcer)
    • Ischemia (reduced blood flow)
  9. What are the effects of immobility on elimination?
    • Renal calculi (kidney stones)
    • Stasis of urine
    • Kidney infection
    • Fecal constipation
    • Fecal impaction
  10. What are the psychological effects of immobility?
    • depression
    • behavioral changes
    • change in sleep/wake cycle
    • decreased coping abilities
    • decreased problem-solving abilities
    • decreased interest in surroundings
    • increased isolation
    • sensory deprivation
  11. What are the developmental effects of immobility?
    • young:
    • retardation of developmental states
    • elderly:
    • increased rate of dependence
    • increased rate of loss of system
    • increased rate of loss of system functions
  12. What is the nursing process?
    • Assessment
    • Diagnosis
    • Planning
    • Implementation
    • Evaluation
  13. What causes kyphosis?
  14. osteoporosis
    osteoclasts take away more bone than osteoblasts can make
  15. What pathologies influence mobility?
    • postural abnormalities
    • impaired muscle development
    • damage to CNS
    • musculoskeletal trauma
  16. What happens to mucous in the lungs during immobility?
    It thickens when sitting for too long, need to move and cough to prevent thickening.
  17. What are the emotional and behavioral responses to immobility?
    • hostility
    • giddiness
    • fear
    • anxiety
  18. ADL
    Activities of daily living
  19. What is the physiological assessment for patients with immobility?
    • Metabolic: inspection
    • Respiratory: chest wall movement, breath sounds
    • Cardiovascular: BP, pulse, peripheral circulation (color, adema), signs of deep vein thrombosis, swelling, redness
    • Musculoskeletal: Active range of motion, muscle strength, tone and mass
    • Integumentary: color, integrity, turgor
    • Elimination: intake, output
  20. disuse syndrome
    a state in which an individual is at risk for deterioration of body systems owing to prescribed or unavoidable musculoskeletal inactivity
  21. How do you prevent the metabolic hazards of immobility?
    nutritional needs
  22. How do you prevent the respiratory hazards of immobility?
    • promotion of chest and lung expansion
    • maintenance of patent airway
    • removal of secretions: drinking fluids thins mucous, easier to cough
    • maintain oral care
  23. How do you prevent the cardiovascular hazards of immobility?
    • reducing orthostatic hypotensions (dangling at edge of bed)
    • reducing cardiac workload: discourage valsalva maneuver
    • preventing thrombus formation: medications, exercise, fluids, TED stockings, pneumatic compression (SCDs), positioning
  24. How often do you check SCDs
    once per shift
  25. How do you prevent the musculoskeletal hazards of immobility?
    • rom
    • isometric exercises
    • constant passive motion machines (cpm)
  26. CPM
    constant passive motion machines
  27. SCD
    sequential compression device
  28. How do you prevent the integumentary hazards of immobility?
    • turning every 1-2 hours
    • hygienic care
    • protection, preventative aids: padding
  29. How often should you reposition a patient sitting in a chair?
    every 15 minutes
  30. How do you prevent the elimination hazards of immobility?
    • hydration
    • I&O
    • nutritional intake: fiber
  31. How do you prevent the psychosocial hazards of immobility?
    • orientation
    • communication
    • patient participation
  32. How do you prevent the developmental hazards of immobility?
    age appropriate activities
  33. How do you prevent the positioning hazards of immobility?
    • supports: footboards, trochancter rolls, hand rolls, splints
    • trapeze bar
    • bed positions: fowlers, supine, prone, side-lying, sims'
Card Set
Mobility Lecture