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44 Cards in this Set

  • Front
  • Back

Active Exercise

joint movement activated by the person

Ankylosis

fixation or immobilization of a joint

Atrophy

decrease in the size of a body structure

Body Mechanics

efficient use of the body as a machine and as a means of locomotion

Cartilage

hard, nonvascular connective tissue found in the joints as well as in the nose, ear, thorax, trachea, and larynx

Contracture

permanent contracted state of a muscle


fixation of the joint: flexor muscles are stronger than extensor muscles, the joint can stay in a nonfunctional possition

Dangling

position in which the person sits on the edge of the bed with legs and feet dangling over the side of he bed

Exercise

active exertion of muscles involving the contraction and relaxation of muscle groups

Flaccidity (hypotonicity)

decreased muscle tone

Footdrop

complication resulting from extended plantar flexion

Isokinetic Exercise

-exercise involving muscle contractions with resistance varying at a constant rate


-resistance from external sources/ device




Examples: lifting weights

Isometric Exercise

-exercise in which muscle tension occurs without moving the body


-ideal for immobilized patients




Examples: contraction and release of the gluteal muscles while in hospital bed

Isotonic Exercise

-movement in which muscles shorten (contract) and move


-enhance circulatory and respiratory functioning


-increase muscle mass, tone, and strength




Examples: Walking, swimming,dancing, bicycling, aerobics

Ligaments

tough, fibrous bands that bind joints together and connect bones and cartilage

Negative Nitrogen Balance

condition resulting in muscle wasting and decreased physical energy for movement and work




(e.g. anorexia nervosa and certain cancers)

Neurons

nerve cells, which conduct impulses from one part of the body to another

Orthopedics

the correction or prevention of disorders of body structures used in locomotion

Osteoporosis

condition characterized by loss of calcium from bone tissue

Paralysis (Plegia)

absence of strength secondary to nervous system impairment

Patient Care Ergonomics

practice of designing equipment and work tasks to conform to the capability of the worker in relation to patient care

Range of Motion (ROM)

complex extent of movement of which a joint is normally capable

Spasticity

Increased muscle tone

Tendons

strong, flexible, inelastic fibrous bands that attach muscle to bone

Tonus

normal, partially steady state of muscle contraction

Calculating Maximum Heart Rate

220-current age




60-90% of the maximum (depending on the health care provider's recommendations)

Benefits of Exercise- Cardiovascular

lowers BP


lowers HR


lowers cholesterol

Benefits of Exercise- Pulmonary

increased lung capacity


increased oxygen transport


builds endurance

Benefits of Exercise- Metabolic

increased triglyceride breakdown


increased body heat


increased body function

Benefits of Exercise- Muscukoskeletal

increased ROM


increased fluid in joints


coordination


increased muscle strength


increased flexibility

Benefits of Exercise- Activity Tolerance

decreased chronic illness


decreased risk for COPD and Asthma

Benefits of Exercise- Psychological

sharper Memory


decreased anxiety

Paresis

impaired muscle strength or weakness

Bed rest

medical order


pt can not be taken out of bed

Effects of Immobility- Psychological

increased sense of powerlessness


risk for learned helplessness





Effects of Immobility- Muscluloskeletal

loss of endurance, strength muscle mass


impaired calcium metabolism (osteoporosis)


joint abnormalities/ joint contractures

Effects of Immobility- Urinary

recumbent (flat) positions can cause urinary stasis where urine fills the renal pelvis, then overflows to ureters


decreased bladder tone


increased risk for UTI and Renal Calculi (stones)


fluid intake decreased


decreased output=concentrated= risk of calculi

Effects of Immobility- GI

decreased appetite


constipation


bowl obstruction due to fecal impaction


altered protein metabolism

Effects of Immobility-Respiratory

Atelectasis- collapse of alveoli could cause partial or total lung collapse




Hypostatic pneumonia: inflammation of the lung from stasis or pooling of lung secretions

Effects of Immobility- Cardiovascular

3 major changes


-orthostatic hypotension


-increased cardiac workload


-thrombus

Orthostatis Hypotension

increase in heart rate of more than 15% and a drop of 15 mmHG or more in systolic blood pressure when patient changes from supine to standing (one minute apart, per policy)




decreased circulating fluid volume, pooling of blood in lower extremities, decreased autonomic responses occur

Increased Cardiac Workload

as immobilization increases, cardiac output falls, decreasing cardiac efficiency and increasing workload

Thrombus formation

blood clot


-damage to vessel wall (surgical procedure)


-alterations of blood flow (slow flow due to immobility)


-alterations in blood constituents (change in clotting factors or increased platelet activity)

Effects of Immobility- Metabolic

-decreased metabolic rate


-slowing peristalsis


-increased risk for electrolyte imbalance


-negative nitrogen balance (body excretes more nitrogen than it ingests in protein)


-calcium resorption(loss) from bones


- if kidneys can not excrete the added calcium, hypercalcemia results

Effects of Immobility- integumentary

immobility causes increase pressure on skin


decreased appetite cases poor nutritional intake