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Assesment of exercise/activity
- Posture
- Body machanics
- Body positions
- Factors affecting mobility
- Activity tolerance
- Life span
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Assessment of body alignment
- may need support devices
- Trochanter roll (Rolled sheet/towel
- Pillow
- Spilnts
- Foam supports/boots (Spenco
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Body mechanics
- When the body is well aligned, balance is achieved with the least amount of strain on the musculoskeletal system.
- The broader the base of support+the lower the center of gravity=the greater the stability
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When lifting use
- use wide base of support
- keep object/peson close to your center of gravity
- Keep both knees and hips bent
- Do not bend at the waist
- Roll, pull, push
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Nursing dx for activity/exercise
- Risk for disuse syndrom
- Impaired physical mobility
- Activity Intolerance
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Fluid balance
increase fluid untake to >2000ml per day
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Oxygenation -respiration
- Check positioning
- Increase activity
- Cough and deep breathing
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Oxygenation-circulation
- Leg exercise
- TED's, SCD's
- early ambulation
- no valsalva maneruver- pushing yourself out of bed
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Nutrition
- Increase protein and calcium
- Use nutritionally dense food
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Elimination-urination
- increase fluids, especially cranberry juice
- increase activity
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Elimication-intestinal
- increase fiber, fluids & prue juice
- increase exercise and activity
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Sensory/nu=eurological function
- repositioning, weight bearing, ROM, and ADL's
- provide sensory stimulation and activities
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Developmental support
support age specific needs
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Meaningful communication
provide opportunities for verbal contact
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Acceptance of health dependency
promote socialization, good body image, education materials
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Intamacy
encourage visits & social contacts
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Spiritual
Provide privacy, special requests, chaplin visits
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