Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NS1881 > Week 5 Assessing and Supporting Mobility > Flashcards

Week 5 Assessing and Supporting Mobility Flashcards

1
Q

Four basic elements of normal movement

A
  • Body alignment (posture)
  • Joint mobility
  • Balance
  • Coordinated movement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Element
- Permits optimal skeletal alignment
- No strain
- Increases lung expansion

A

Alignment and posture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Element
- Muscles are characterised according to the type of movement they produce on contraction
- Stronger of the muscle type will dominate the joints movement

A

Joint mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Range of motion

A

Active or Passive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Person moves each joint in the body through its complete range of movement, maximally stretching all muscle groups

A

Active ROM exercises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Another person moves each the persons joints in the body through its complete range of movement, maximally stretching all muscle groups

A

Passive ROM exercises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Awareness of posture, movement and changes in equilibrium and the knowledge of position, weight and resistance of objects in relation to the body

A

Proprioception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Balanced, smooth, purposeful movement

A

Coordinated movement
Proper functioning of cerebral cortex, cerebellum and basal ganglia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Coordinates motor activities of movement

A

Cerebellum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Maintains posture

A

Basal ganglia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Operates voluntary movement

A

Cerebral cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Musculoskeletal system benefits of exercise

A
  • Maintains size, shape, tone and strength of muscles
  • Nourishes joints
  • Increases joint flexibility, stability and ROM
  • Maintains bone density and strength
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Musculoskeletal system effects of immobility

A
  • Disuse osteoporosis
  • Disuse atrophy
  • Contractures
  • Stiffness and pain in the joints
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Respiratory system benefits of exercise

A
  • Increases ventilation and O2 intake, improving gas exchange
  • Prevents pooling of secretions in bronchi and bronchioles
  • Decreases risk of infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Respiratory system effects of immobility

A
  • Decreased respiratory movement
  • Pooling of respiratory secretions
  • Atelectasis
  • Hypostatic pneumonia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

GI system benefits of exercise

A
  • Improves apetite
  • Increases GIT tone
  • Facilitates peristalsis
  • May improve IBS symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

GI system effects of immobility

A
  • Decreased metabolic rate
  • Negative nitrogen balance
  • Anorexia
  • Constipation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Metabolic/Endocrine system benefits of exercise

A
  • Elevates metabolic rate
  • Increases body heat production
  • Decreases serum triglycerides and cholesterol
  • Stabilises blood sugar and makes cells more responsive to insulin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Metabolic/Endocrine system effects of immobility

A
  • Decreased metabolic rate
  • Negative nitrogen balance
  • Anorexia
  • Negative calcium balance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Urinary system benefits of exercise

A
  • Promotes blood flow to kidneys causing body wastes to be excreted more effectively
  • Prevents stasis of urine in bladder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Urinary system effects of immobility

A
  • Urinary stasis
  • Renal calculi
  • Urinary retention
  • Urinary infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Psychoneurological system benefits of exercise

A
  • Elevates mood
  • Relieves stress and anxiety
  • Improves quality of sleep
23
Q

Psychoneurological system effects of immobility

A
  • Decline in mood elevating substances
  • Perception of time intervals deteriorates
  • Problem solving and decision making abilities deteriorate
  • Loss of control over events causes anxiety
24
Q

Cognitive and immune function benefits of exercise

A
  • Positive effects on decision making and problem solving processes, planning and paying attention
  • Induces cells in brain to build and strengthen neuronal connections
25
Q

Cognitive and immune function effects of excessive exercise

A
  • Pumps lymph fluid from tissues into lymph capillaries and vessels
  • Increases circulation through lymph nodes
  • Strenuous exercise may reduce immune function
  • Leaving window of opportunity for infection during recovery phase
26
Q

Integumentary system benefits of exercise

A
  • Increased circulation to epidermis
  • Increased nutrient supply to skin
  • Increased exposure to sunlight for vitamin D production
  • Decreased effect of fluid in dependent parts of the body
27
Q

Integumentary system effects of immobility

A
  • Skin atrophy
  • Fluid shifts to dependent parts of the body
  • Decreased circulation to skin
  • Decreased nutrient supply to skin
28
Q

Factors affecting body alignment and mobility

A
  • Growth and development
  • Nutrition
  • Personal values and attitudes
  • External factors (temp, humidity)
  • Prescribed limitations (casts, braces)
29
Q

Assessing and incorporating PCC

A
  • Health history
  • Physical examination
30
Q

Physical examination

A
  • Body alignment and gait
  • Appearance and movement of joints
  • Capabilities and limitations for movement
  • Muscle mass and strength
  • Activity tolerance
  • Problems related to immobility
31
Q

Angle for inclination

A

30’ lateral inclination alternating from side to side.

32
Q

Fowlers position

A
  • Semi sitting
  • Bed head and trunk 30 to 90’
33
Q

Low/semi Fowler’s position

A

Bed head and trunk 15 to 45’

34
Q

High Fowler’s position

A

Bed head and trunk raised 90’
Ideal for difficult CVS and respiratory problems

35
Q

Orthopnoeic position

A
  • Facilitates maximum chest expansion
  • Person sits either in bed or on side of bed with table across lap
36
Q

Dorsal recumbent position

A
  • Back lying position
  • Head and shoulders slightly elevated on small pillow
37
Q

Prone position

A
  • Abdomen lying position with head turned to one side
  • Prevents flexion contractors of hips and knees
  • Promoted drainage from mouth
38
Q

Supine position

A
  • Back lying position
  • Head and shoulders not elevated
39
Q

Lateral position

A
  • Side lying position
  • Flexing top hip and knee
  • Placing leg in front of body creates wider triangular base or support
40
Q

Sims’ position

A
  • Semi-prone position
  • Halfway between lateral and prone
  • Facilitates drainage of mouth and prevents aspiration
  • Reduces pressure over sacrum and greater trochanter of hip
41
Q

Steps to repositioning a person in bed

A
  • Administer pain relief prior
  • Prepare needed assistive devices and supportive equipment
  • Plan
  • Be alert to effects of medication
  • Explain procedure
  • Provide privacy
  • Raise height of bed
  • Put brakes on
  • Assume broad stance
  • Rock from front leg to back
42
Q

Pressure injuries

A
  • Localised damage to the skin and underlying soft tissue usually over a bony prominence or related to a medical/other device.
43
Q

Stage 1 Pressure Injury

A

Non-blanchable

44
Q

Stage 2 Pressure Injury

A

Partial thickness
Skin loss

45
Q

Stage 3 Pressure Injury

A

Full thickness
Skin loss

46
Q

Stage 4 Pressure Injury

A

Full thickness
Tissue loss

47
Q

Unstageable Pressure Injury

A

Obscured

48
Q

The type and amount of exercise or daily activities an individual can perform.

A

Activity tolerance

49
Q

The nurse assesses an open area over a person’s greater trochanter that is approximately 10 cm in diameter. The tissue around the area is oedematous and feels boggy. The edges of the wound cup in towards the centre. Which additional finding would indicate to the nurse that this is a stage IV pressure injury?

A

The joint capsule of the hip is visible.

50
Q

You are assisting Mr Harris ambulate with his single point stick. He is complaining of a sore left foot which he is unable to fully weightbear on. What would you advise him when using his stick?

A

Hold the stick on the opposite side as his sore foot and walk forward with his stick and his sore foot first.

51
Q

Which of the following statements are true about a person who requires minimal assistance with their mobility?

A
  • The person may require a transfer belt or other aids.
  • The person may require guidance for initation, balance and/or stability during mobilising.
  • The nurse should be standing directly next to the person at all times to provide hands on assistance ass required.
52
Q

The person who requires the use of a wheeled walker should be instructed to____onto the handles when transferring from the bed to a standing position.

A

NOT hold on

53
Q

SWL

A

Safe working load.

54
Q

A hoist transfer should be a___ staff procedure.

A

TWO

NS1881 (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions