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28 Cards in this Set
- Front
- Back
What is mobility?
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abaility to move around freely in the environment
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What 3 body systems must function to maintain normal physican mobility?
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nervous, muscular, skeletal
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What can immobility be a result of?
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health problems - injuries, surgeries
Therapeutic - cast, traction, restraint |
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What is bed rest?
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intervention where person restricted to bed for thera peutic reasons
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What does bed rest do?
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reduces phys. act. and oxy. needs of body, prevent further injury, client can rest and regain strength
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What is partially mobile?
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motor or sensory impairment in region of body or therapeutic restriction
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What are the two types of Loss of mobility?
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temporary or permanent
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What are some effects of immobility?
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systemic and functional, no system immune, gradual or immediate
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What are some metabolic changes from immobility?
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decreased BMR, loss of body mass, you metabolize food differently
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What is the effect of immobility of the GI tract?
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increased risk of constipation and impaction
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What are some respiratory changes from immobility?
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lowered hemoglobin and lung expansion, muscle weakness - more labored breathing, stasis of secretions
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What are some cardiovascular changes from immobility?
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orthostatic hypertension, increased cardiovascular workload - higher pulse, pulmonary emboli
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Musculoskeletal changes from immobility?
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loss of muscle, stability and balance, strength and indurance
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skeletal changes from immobility?
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joint contracture, disuse osteoporosis
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What is joint contracture?
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shortening of tendons and fibers around a joing resulting in permanent loss of movement
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What is joint contracture char. by?
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flexion and fixation caused by disure, atrophy and shortening of muscle fibes surrounding joint tissue
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What are some integument changes from immobility?
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skin breakdown, pressure ulcers
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Where are some main sites where pressure ulcers form?
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coccyx-sacral region, heels, elbows, back of head, etc. bony regions
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How many stages are there to a pressure ulcer?
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4
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What is the first stage of a pressure ulcer?
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nonblanchable erythema of intact skin
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What is the 2nd stage of a pressure ulcer?
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partial thickness skin loss involving epidermis and/or dermis
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What is the 3rd stage of a pressure ulcer?
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full thickness skin loss involving damage or necrosis of subQ tissue
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What is the 4th stage of a pressure ulcer?
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Full thinkness skin loss occurs with extensive destruction, tissue necrosis, damage to muscle, bone or supporting structure
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What are urinary elimination changes from immobility?
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risk of UTI, stones, incontinence
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What causes urinary stasis
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recumbent position from immobility
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What are some psychosocial effects from immobility?
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depression, behavioral changes, changes in sleep wake cycle, impaired coping
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What are some developments aspects of immobility in the older adult?
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increased phys dependence accelerates functional loss in physiological system
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What should you encourage in older adults with any form of immobility?
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performing self-care as much as possible
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