Immobility, Nursing Process, Smart Goals – Flashcards
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need
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moving is a human experience and a what?
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freedom
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moving ultimately expresses what
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alignment, balance, gravity, friction
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4 physics of motion
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alignment
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lining up for besteffect, using joints, muscles well, avoiding injury
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balance
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managing weight, avoiding falls
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weight, lifting, pressure
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three components of gravity
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work, damage
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friction leads to more what
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postural abnormalities, mpaired muscle development, damage to nerves or cns, musculoskeletal trauma
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4 pathological influences on mobility
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functional nursing diagnosis
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nursingdiagnosis that relates to ability to function insome way
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functional ability
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medical diagnoses may reflect the cause for altered what
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medical diagnoses
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what may reflect the cause for the altered functional ability
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prevent decreased mobility/increase mobility, avoid injuries, minimize complications
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3 general goals for mobility
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true
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true or false mobility to immobility is a continuum
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perfect motion yourself
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as a nurse you will take over responsibility for your patients normal activities like moving, you must be in what?
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3
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healthy person loses what percent of muscle strength each day
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bed rest
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intervention that restricts clients to bed for therapeutic reasons
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impaired physical mobility
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nursing diagnosis for bed rest
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hazards of immobility and disuses atrophy
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what does bed rest lead to (2)
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dangling
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have patient hang les off the side of the bed and wiggle feet to prevent hypotension when standing
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hypotension
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dangling is used for people on bedrest to prevent what when standing
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hypotension, increased cardiac workload, thrombosis/emboli
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what may occur in cardiovascular system due to bed rest(3)
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hypostatic pneumonia, atelectasis
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what may occur in respiratory system due to bed rest (2)
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constipation, gas
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what may occur in GI system due to bed rest (2)
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calcium loss, osteoporosis, fractures, contractures, footdrop
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what may occur in skeletal system due to bed rest
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urinary stasis, UTI, stones, dehydration
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what may occur in urinary system due to bed rest
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pressure ulcers
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what may occur in skin due to bed rest
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emotional and behavioral responses, sensory alterations, changes in coping
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psychosocial effects from being on bed rest (3)
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deprivation, depression, hostility, poor sleep
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sensory alterations from being on bed rest results in (4)
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ROM, exercise/activity tolerance, alignment
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assess present mobility with (4)
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goal
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braod statement that describes the desired change in a persons condition or behavior aim, intent, or end
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expected outcome
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measurable criteria to evaluate goal achievement
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expected outcome
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what determines when a person-centered goal has been met
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true
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true or false goal must be developed with your patient
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positioning techniques, transfers, ROM, exercise
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4 interventions for increasing mobility
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look ahead and see what you can prevent from immobility (bloodclot)
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what can you do when immobiliy cannot be avoided
