Mobility

Question 1

6 facts of bedrest

Answer 1

• Sometimes prescribed for selected pt’s
• Reduces pain
• Allows exhousted pt’s to rest
• Reduces activity and O2 demand
• Allow ill or debilitated pt’s to rest
• Duration depends on illness or injury and prior state of health

Question 2

6 physical causes of immobility

Answer 2

Bone fracture
Surgical procedure
Major sprain or strain
illness
cancer
aging

Question 3

psychosocial causes of immobility

Answer 3

Stress
Decreased motivation
Hospitalization
Long term care
Voluntary sedentary lifestyle

Question 4

3 results of prolonged immobility

Answer 4

Reduced functional capacity
Altered metabolism
Numerous physiological changes

Question 5

What is one of the first systems affected by immobility? What does it cause>

Answer 5

Musculoskeletal
10% loss of muscle per week

Question 6

Inactivity does what to the bones?

Answer 6

Makes them denser

Question 7

ROM helps what?

Answer 7

Joint health/mobility

Question 8

Contractures

Answer 8

Limitation of Passive ROM for Joints

Question 9

Difference between active ROM and passive ROM

Answer 9

Active is done by the pt
Passive is done by nurse or other caregiver

Question 10

Why do we do an early ROM assessment?

Answer 10

to get a baseline

Question 11

Important part of cardiac assessment when pt is immobile?

Answer 11

Calf pain: can indicate DVT

Question 12

If calf pain is reported in immobile pt what should you NEVER do?

Answer 12

Rub the leg, DVT can move to elsewhere like the lungs

Question 13

What is very important to avoid DVT’s

Answer 13

Early ambulation

Question 14

2 devices to help with DVT’s

Answer 14

Thrombo-Embolic Detterent (TED) hose
SCD

Question 15

3 facts for TED hoses

Answer 15

Post surgical use
For Non walking pt’s
Doctors orders are needed

Question 16

3 facts for SCD’s

Answer 16

Alternately inflate and deflate
Post surgical/circulatory disorders
sleeves around legs

Question 17

Urinary stasis

Answer 17

Renal pelvis fills before urine inters the ureters

Question 18

Changes in urinary elimination due to immobility can lead to _____

Answer 18

Higher risk of UTI’s and kidney stones

Question 19

7 psychosocial effects of immobility

Answer 19

Social isolation
Loneliness
Decreased coping
Depression
Anxiety
Withdrawal
Delirium

Question 20

10 Benefits of Immobility

Answer 20

Strengthens muscles
Joint flexibility
Stimulates circulation
Prevents constipation
Prevents osteopoeosis
Stimulate appetite
Prevent UTI
Relieves pressure
Improves self esteem
Decreases anxiety and depression

Question 21

What is the best intervention for immobility complications

Answer 21

AMBULATION

Question 22

Restrains

Answer 22

Any manual device that immobilizes or reduces the ability of a pt to move

Question 23

4 restrains types

Answer 23

Extremity
Mitten
Posey
Belt