week 5 csl Flashcards
(18 cards)
Metabolic effects of immobility?
↓ Appetite → weight loss
↓ GI motility → constipation
Muscle wasting
Respiratory effects of immobility?
↑ Respiratory effort
Atelectasis
Hypostatic pneumonia
Cardiovascular effects of immobility?
↑ Cardiac workload
Orthostatic hypotension
DVT risk ↑
Musculoskeletal effects of immobility?
Muscle atrophy
Joint contractures
↓ Mobility
Impaired calcium metabolism
Urinary and skin effects of immobility?
Urinary stasis → ↑ UTI risk
Pressure injuries
Skin shearing
Why assess mobility?
Plan care
Prevent falls
Identify assistance needs
Promote rehabilitation
What to check in standing body alignment?
Head midline
Shoulders/hips straight
Arms relaxed
Balanced posture
What to check in sitting alignment?
Head/neck straight
Equal weight on hips
Thighs parallel
Feet flat, forearms supported
What to assess in lying position?
ROM, sensation
Circulation
Weight distribution
Use lateral position for immobile patients
Supine position purpose?
Horizontal with lumbar support; heels offloaded.
Lateral position purpose?
Lying on side for comfort and assessment.
Sims (semi-prone) position purpose?
Partial abdomen support; ↓ pressure on knees/ankles.
Prone position purpose?
Lying on stomach; relieves back & heel pressure.
Semi-Fowler’s vs High-Fowler’s?
Semi: 30–45° for breathing, meals.
High: 60–90° for chest expansion.
Why is proper bed-making important?
Prevents infection & skin damage
Improves hygiene & dignity
Reduces wrinkles/friction
What are mitred corners?
Linen folding technique to secure sheets & prevent wrinkles.
Types of bedpans?
Standard: For patients who can lift hips
Fracture pan: For limited mobility (e.g. spinal injury)
Bedpan placement key points?
Ensure privacy
Position in semi-Fowler’s
Maintain hygiene/infection control
