Lesson 8 - Understanding Mobility and Immobility Flashcards
(63 cards)
Potential Causes of Immobility
-direct injury (ie. sprain)
-CNS damage (ie. stroke)
-illness (ie. cancer)
-surgery complications
-advanced age
What is a developmental consideration for immobile school age children?
-delay in gross motor skills, intellectual or musculoskeletal development
What is a developmental consideration for immobile adolescents?
-growth patterns
-ability to gain independence
-social isolation
What is a developmental consideration for immobile adults?
-risk for physiological systems
-change in family and social structure
Which group is at the most risk of immobility?
older persons
What is a developmental consideration for immobile older adults?
-loss of bone mass and muscle strength
-increased dependence of other
-loss of capacity for self-care
How can you make older persons feel more independent and decrease immobility risk?
encouraging them to do as much self-care as possible
How do nurses contribute to loss of self-care?
by doing too much for patients
What are some of the “benefits” of bed rest?
-reduced activity and oxygen needs
-reduces pain
-promotes safety
-allows rest
Bed rest is a ______-_______ immobility.
medically-imposed
Deconditioning
when you have not used something in a while, your body forgets how to use it
What is deconditioning a result of?
prolonged bed rest
Etiology (reasons behind) deconditioning
-sleep
-pain
-depression
-immobility
-medical and surgical conditions
-inflammation
-nutrition
Atelectasis
-collapse of alveoli
-can lead to lung collapse
-impaired gas exchange
Hypostatic Pneumonia
-inflammation of the lung from pooling of secretions
-good medium for bacterial growth
Dyspnea
-difficulty breathing
Orthostatic Hypotension
-blood pressure drops when the patient changes from lying to standing
Why does orthostatic hypotension happen from bed rest?
-diminished cardiac output
-heart can’t keep up with changing vertical position
Why is orthostatic hypotension dangerous?
-dizziness may lead to falls
Thrombus
-blood clot that forms in a vessel as a result of vessel injury, slow blood flow, increase in viscosity
What is the most common type of thrombus?
DVT - Deep Vein Thrombosis
Embolus
-dislodged venous thrombus
-can travel and cause an eschemic event (ie. stroke)
Constipation
-may result from decreased GI mobility
Pseudodiarrhea
-may result from a fecal impaction
-liquid stool passes around the impaction
-may lead to mechanical bowel obstruction
