505 MOBILITY & SAFETY

  1. active exercise
    isotonic exercise
  2. ankylosis
    immobilization of a joint
  3. contractures
    muscles, tendons→deformities.
  4. exercise DEFINITION 
    • 1) Physical activity 
    • 2) Active exertion
  5. Exercise types 
    • 1) Passive
    • 2) Active
    • 3) ROM
  6. flaccidity
    decreased tone
  7. footdrop
    • heel-toe gait 
    • deformed planter muscle
  8. isokinetic exercise
    • muscle shortening
    • resistance 
    • ex: weights
  9. isometric exercise
    • w/o muscle shortening
    • w/o movement
    • ex: yoga
    • sitting upright
  10. isotonic exercise
    • muscle shortening 
    • active exercise
    • ex: jogging
  11. ligaments
    bones to cartilage
  12. negative nitrogen balance
    breakdown of protein --> muscle wasting
  13. paresis
    weakness
  14. passive exercise
    manual means of moving the joint
  15. patient care ergonomics
    correction of locomotion
  16. range of motion
    passive vs active
  17. spasticity
    increased tone
  18. tendons
    muscle to bone
  19. tonus
    state of contraction
  20. FACTORS FOR FALLS
    • Age >65
    • History of falls
    • Impaired vision
    • Altered gait
    • Impaired mobility
    • Medication regimen
    • Postural hypotension
    • Slowed reaction time
    • Disorientation 
    • Unfamiliar environment
  21. DAME for fall prevention
    • drugs/alcohol
    • age-related health problems
    • medical problems 
    • environment
  22. concussion assessment
    PECS
    • PHYSICAL 
    • EMOTIONAL 
    • COGNITIVE 
    • SLEEP
  23. Physical 
    CONCUSSION ASSESSMENT
    • headache
    • vomiting
    • appears stunned
  24. Cognitive 
    CONCUSSION ASSESSMENT
    impaired recent memory
  25. Emotional
    CONCUSSION ASSESSMENT
    irritable behavior
  26. Sleep
    CONCUSSION ASSESSMENT
    Insomnia
  27. Restraints
    ASSESSMENT
    IMPLEMENTATION 
    • ASSESSMENT:
    • 1) To avoid harm to the client.
    • 2) To do what is required 

    • IMPLEMENTATION
    • 1) Order compliance q24hours 
    • 2) assessed q1hour
    • 3) req'd supervision
  28. Postictal state
    • altered state of consciousness 
    • follow seizure protocol
  29. Reporting Accidents.
    Is not part of the medical record and should not be mentioned in documentation.
  30. RACE FIRE SAFETY
    • R rescue 
    • A activate 
    • C confine 
    • E evacuate
  31. seizure
    IMPLEMENTATION
    • Protection: protect head
    • Recovery: SIMS
  32. postural hypotension
    orthostatic hypotension
  33. The 6 ADLs
    • 1) eating
    • 2) bathing
    • 3) dressing
    • 4) transferring (bed to chair)
    • 5) toileting
    • 6) walking/moving around
  34. The 4 elements of movement
    BCPP
    • 1) posture 
    • 2) balance
    • 3) coordination
    • 4) postural reflexes
  35. 4 types of postural reflexes
    • 1) inner ear
    • 2) proprioception
    • 3) ocular 
    • 4) extensor (knee buckle)
  36. Age-Related Changes
    MOBILITY
    BBJGM
    • MUSCLES
    • BONES
    • JOINTS
    • BALANCE
    • GAIT
  37. muti level effects
    MOBILITY
    DMOTS
    • depression 
    • medication 
    • OOB 
    • TES, SCDs
  38. nursing process for fall risk
    ADPIE
    • ASSESSMENT: focus-assessment 
    • person + environment = risk factors
    • Dx: risk for falls 
    • risk for injury
    • impaired physical mobility
    • impaired walking, standing, transfer ability
    • PLANNING: Pt will remain injury free
    • IMPLEMENTATION: Rn will ID environmental risk factors
    • will follow safety protocols
    • will evaluate the client's current disorders/conditions
  39. cardiovascular IMMOBILITY
    • risk for: orthostatic hypotension 
    • venous thrombosis
  40. respiratory IMMOBILITY
    risk for: oropharyngeal respiratory secretions
  41. GU IMMOBILITY
    • risk for: UTI
    • kidney stones
  42. skin IMMOBILITY
    • risk for: skin breakdown
    • pressure ulcers
  43. GI IMMOBILITY
    risk for: Nitrogen imbalance
  44. Neuro IMMOBILITY
    risk for: impaired cognition
  45. Fowler’s Position
    • *the semi-sitting position
    • ◦(45-60°) eating, talking, elimination
    • ◦(90°) -Orthopneic Position
  46. Orthopneic position
    • shortness of breath (dyspnea) that occurs when lying flat
    • Tx: 90 * Fowlers Position
  47. supine/dorsal recumbent
    • Tx: impaired lower extremity circulation
    • knee contracture
  48. Lateral/Side-Lying Position
    • Oblique position
    • less pressure on trochanter region
    • Sims position
    • *rescue position
    • Tx: seizure protocol
  49. prone position
    • Tx: prevents contractures
    • in hips knees
    • spinal injury
  50. ligaments vs tendons
    bone to cartilage vs muscle to bone
Author
BodeS
ID
342266
Card Set
505 MOBILITY & SAFETY
Description
FUNDIES
Updated