Mobility And Fall Risk

Question 1

What are 2 standardized tools used to assess fall risk?

Answer 1

Get up and go test

Morse fall scale

Question 2

What 3 P’s are we checking during hourly rounding?

Answer 2

Personal items, pee, pain

Question 3

What do we do if a patient falls in the hospital?

Answer 3

Full assessment, safe transfer back to bed, treat any injuries, incident report, and reflect with management .

Question 4

How often do we assess patients for fall risk?

Answer 4

Everyday, twice per day, every 12 hours

Question 5

What diseases related to bone formation or metabolism affect mobility?

Answer 5

Osteogenesis imperfecta, achondroplasia, Paget’s disease, and vitamin D and calcium deficiencies

Question 6

What is osteogenesis imperfecta?

Answer 6

Brittle bone disease

Question 7

What is Achondroplasia?

Answer 7

Related to dwarfism. Bones ossify/harden prematurely.

Question 8

What is Paget’s disease.

Answer 8

Metabolic bone disease related to hyperactive osteoclasts

Question 9

What problems affect bone integrity?

Answer 9

Osteoporosis, osteomyelitis, and bone tumors

Question 10

What are disorders of the CNS that affects mobility?

Answer 10

CVA, head/spinal cord injury, MS, myasthenia gracias, and progressive degenerative disorders like Párkinson’s

Question 11

What is myasthenia gracia?

Answer 11

Rapid fatigue of any of the muscles under voluntary control. Breakdown in normal communication between nerves and muscles.

Question 12

What is clonus?

Answer 12

Muscular spasms involving repeated contractions

Question 13

What is hemiplegia?

Answer 13

Paralysis of one side of the body

Question 14

What is paraplegia?

Answer 14

Paralysis of the lower body

Question 15

What is paresis?

Answer 15

Partial or incomplete paralysis

Question 16

What is spasticity?

Answer 16

Increased msl tone

Question 17

What is tremors?

Answer 17

Involuntary movements

Question 18

What is foot drop?

Answer 18

When the foot ends up extending downward because tendons begin to stretch out d/t immobility.

Question 19

Why is there increased excretion of calcium with immobility?

Answer 19

Because the parathyroid can be altered leading to risk of osteoporosis and fractures

Question 20

What is paralytic ileus?

Answer 20

Obstruction of the intestine d/t paralysis of the intestinal muscles. This can occur because of decreased mobility.

Question 21

What is Sim’s position ?

Answer 21

Semi prone position

Question 22

What is a sequential compression device?

Answer 22

Inflatable sleeves that wrap around legs