Patient Mobility and Immobility Flashcards
1
Q
potential causes of immobility
A
- direct injury/trauma to the musculoskeletal system
- central NS damage
- illness
- complications from surgery
2
Q
developmental consideration in infants, toddlers and preschoolers
A
- delay is gross motor skills, intelectual development, or musculoskeletal development
3
Q
developmental considerations in adolescents
A
- may effect growth patterns and the ability to gain independence
- social isolation can occur
4
Q
developmental considerations in adults
A
- physiological systems at risk
- changes occur in family and social structures
5
Q
developmental consideration in older persons
A
- progressive loss of total bone loss, muscle strength and aerobic capacity
- immobilization increases dependence on others and decreases their functional capacity fro self care
6
Q
how can nurses contribute ot the loss of self care abilities
A
by doing too much for the patient
7
Q
medically imposed mobility is also known as
A
bed rest
8
Q
bed rest
A
- reduces physical activity and oxygen needs
- reduces pain )can also cause it)’- promotes safety for patients recovering form the effects of anaesthetics
- allows patient who are ill or debilitated to rest
- allows patient who are exhausted the opportunity for uninterrupted rest
9
Q
deconditioning
A
a result of prolonged bed rest
10
Q
etiology of deconditioning
A
- pre hosptial functional capacity and reserve
- sleep
- pain
- depression
- bed rest and immobility
- medical and surgical conditions and comorbidities
- inflammation
- nutrition
11
Q
respiratory effects of immobility
A
- atelectasis
- hypostatic pneumonia
-mucous accumulation (can lead to bacterial growth, decrease gas exchange and cause dyspena) - decreased lung expansion
12
Q
cardiovascular effects of immobility
A
- orthostatic hypotension
- CO diminishes
-potential for falls increases - thrombus
- embolism
13
Q
thrombus
A
- blood clot that forms in a vessel as a result of injury (surgery), slow blood flow (bedrest), increased in blood viscosity (platelets or clotting factors)
14
Q
what is the most common type of thrombus
A
DVT
- deep vein thrombus
15
Q
Embolism
A
- dislodged venous thrombus (blood clot) can travel to parts of the body and cause ischemic event