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36 Cards in this Set
- Front
- Back
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What is documentation of what has been taught and what needs to be taught for self- care?
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discharge plans
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This is represented by a change in behavior. desire or requirement to know something that is presently unknown and knowledge or skill, physical ability, or behavior must occur for this to take place?
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Learning
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What three people had learning theories based on behavior?
These included positive reinforcement, modeling, and imitation. Utilization: identification of what is being taught, immediate practice and role models |
Pavlov, Skinner, and Bandura
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What three people had learning theories based on cognitivism?
These include thinking process, teacher/learner relationship, must look at cognitive stage, Domains: psychomotor, affective, cognitive. Utilization: Learner's developmental stage, multisensory techniques, and different learning styles. |
Piaget, Lewin, and Bloom
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What two people had a Humanism learning theory: cognitive and affective qualities of learner, relevant to learner. Utilization: focus on feelings and attitudes, self- motivation, resource person, mentor, nurse/patient relationship.
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Maslow, Rogers
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Always involve the patient in the planning of how they are going to be taught and prioritize what needs to be taught first.
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No answer
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Learning outcomes are _____ or measurable.
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observable
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What is the ability to move freely, easily, rhythmically, and purposefully in the environment?
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mobility
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Enery plus mobility are vital for _______.
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activity
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What kind of ROM are initiated by the person?
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Active
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What kind of ROM are initiated by a person other than the patient?
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Passive
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In this type of exercise the muscles shorten to produce muscle contraction and active movement; like with running, walking, swimming, cycling, and ADL's. Active ROM. This exercise increases muscle tone, mass, and strength, maintains joint flexibility and circulation.
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Isotonic
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This exercise is change in muscle tension, no change in muscle length, no muscle movement or joint movement.
examples: Quadriceps leg extensions from sitting position, tensing thigh muscle, and pressing knee against bed |
Isometric
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This type of exercise involves muscle contraction or tension against resistence; person moves (isotonic) or tenses (isometric) against resistence. Example would be weight lifting.
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Isokinetic
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This is an activity during which the amount of oxygen taken in the body is greather than that used to perform the activity. Uses large muscle groups in a rhythmic nature, and improves cardiovascular conditioning.
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Aerobic exercise
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This is an activity in which the muscle cannot draw out enough oxygen from the bloodstream, additional energy for a short time, such as endurance training for atheletes.
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Anaerobic exercise
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Complete bed rest is essential in the healing process why?
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Reduces the need for oxygen and the oxygen goes toward the healing process
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_____ is the lack of movement or the state of not being able to move. It affects multi- systems.
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Immobility
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_____ of altered mobility. Decreased muscle strength and tone, lack of coordination, altered gait (ataxic staggering undsteady, waddle duck like, hemiplegic- one leg paralyzed, festinating walking on toes); falls; decreased joint flexibility; and pain on movement.
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Manifestations
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What is anklosed?
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It is when the joint is permanently immobile.
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Three factors contribute to ____: Impaired venous return of blood to heart (positioning, edema); injury to vessel wall (blood gets caught and clots); and hypercoagulability (dehydration-blood viscosity to increase and elevated serum calcium levels- seen in immobilized clients).
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DVT
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Respiratory related to immobility
-Decreased lung span Decreased vital capacity Decreased inflation of lungs restricted movement pooling of secretions hypostatic _______ atelectasis (collapsed lung) Decreased gas exchange in the lungs |
Pneumonia
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Nutrition/metabolic rate with immobility
Decreased metabolic rate- basal metabolic rate decreases Alters drug metabolism Weight loss R/t loss of muscle mass and diuresis Negative Nitrogen Balance- Depletion of ______ stored and elevated urine nitrogen. |
protein
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What is the loss of appetite R/T decreased metabolic rate=decreased caloric needs which results in decreased energy and malnutrion.
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Anorexia
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Disuse ______- Bone demineralization secondary to immobility
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osteoporosis
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Immobility leads to ____ sores (decubitus), which are pressure induced sores because of decreased blood supply to tissue resulting in decreased nutrients, O2, waste removal decreased, cells die=necrotic.
Pressure is greater in teh supin position- Back, skull, elbows, sacrum, ischial tuberosities, heels |
Pressure
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Immobility leads to urinary ____
Decreased urge to void in supin position, inconvenient for the staff/bother, cannot void lying down, delayed micturition (urine pools in the bladder, overstretching of the bladder muscle which results in permanent change in bladder tone). |
stasis
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Urinary retention from immobility
_____ r/t stagnant urine Renal Caliculi (kidney stones) Urinary stasis increases serum calcium levels from the loss of calcium from the bones Urinary calcium can precipitate to for crystals that may produce stones Urine is more alkaline=calculi development |
UTI
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___________ from immobility
Abdominal and perineal muscles weaken causing decreased ability to bear down and exert pressure to pass stool. Decreased peristalsis causing hardening of stool, dehydration Impaction because of decreased activity, liquid stool will seep around the obstruction. |
Constipation
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Immobility interfers with normal sleep patterns
Lack of fatigue Increase _____ Awaken by frequent turning Unfamiliar noisy environment |
naps
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Cognition/Perception
_____ decreases freedom to socialize Preoccupation with somatic complaints Decreased ability to recognize and respond to pain r/t prolonged pressure. |
Immobility
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Self-Perception/self-concept
Feelings of powerlessness Dependence on others Embarrassment r/t devices such as crutches, walker, cane, and wheelchair |
no answer
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Roles/relationships with immobility
Disruption of school and social activities Inability to work Disruption of parental or spousal activities, care of children/parents |
no answer
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coping/stress with immobility
not a desired function ability trauma- permanent many hours alone bored and lonely depression, anxiety, anger- withdrawl and demanding |
no answer
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Sexuality with immobility
Limited mobility lack of privacy depression fatigue impede grooming- sexual identity |
NA
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What is a fiberoptic examination of abnormalities in the knees, hips, joints, and elbows?
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arthroscopy
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