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28 Cards in this Set

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