Pressure Ulcers
In the article what treatment did they find the most beneficial for patients in the ICU in preventing future pressure ulcers?
5 Layer soft silicone foam dressing (Mepilex)
While using crutches the patient moves both crutches forward and then moves both legs forward past the crutches this is known as the what gait?
Swing through gait
What Level on the BMAT has a patient reached if they are able to get up and walk?
Level 4
What are some things that immobility can do to cardiovascular system?
Orthostatic hypertension, deep vein thrombosis (venous stasis), embolus formation, Increased cardiac workload.
Place high fall risk band on patient, have another team member assist, keep top 2 side rails up, secure locks on bed and stretcher and keeping bed in lowest position when not doing anything
What Stage pressure ulcer has partial skin loss and usually presents clinically as an abrasion, blister or shallow crater?
Stage II
When using a cane the patient will hold it on what side? the strong or the weak side?
Strong side
What task must a patient be able to do in order to get a BMAT level 4?
Walk
Why are some psychosocial effects from immobility?
depression, anxiety, anger, change of roles, change in body image.
What are some important consultations in the hospital for someone who is immobile?
occupational therapy, physical therapy, wound care specialist, dietician
How does my patients COPD affect the wound healing process?
lower quality and quantity of oxygen that is able to get delivered to the wound for it to heal
What can happen when someone is immobile and gets atelectasis in the lungs?
Pneumonia
What diagnostic test for mobility tells you how much muscle breakdown somebody is experiencing?
Creatinine Kinase
What are some complications on the GI system that immobility can cause?
Anorexia, constipation, and decreased peristalsis
What are important nursing interventions for the respiratory system for someone who is immobile?
What Stage pressure ulcer has full thickness skin loss with extensive destruction, tissue necrosis or damage to muscles, bones, or supporting structures?
Stage IV
What part of the brain helps us coordinate our mobility?
Cerebellum
What is the name of the of the assessment tool they used to see how mobile a patient is?
BMAT
What are some things that can happen to the urinary system from immobility?
Renal calculi, UTI, incontinence
What are some nursing interventions to help regulate the urinary system for someone who is immobile?
Proper catheter care, frequent fluid intake, promote upright position when patient is voiding, frequent turning.
What are some nursing interventions to prevent pressure ulcers, name three
Turning schedule, proper mattress, proper nutrition, monitor for incontinence, lots more, dry free wrinkle bed.
In a spinal cord injury what sections of the vertebrae are going to affect a patients breathing the most?
C3-C5
What task must a patient do in order to get a BMAT level 2?
Stretch and point
How long does it take for contractures to start forming with someone who is immobile?
They can start forming after 8 hours of immobility
What are some important nursing interventions for the GI system for someone who is immobile?
Give them privacy, stool softeners, proper diet with adequate fluid intake, prevention of constipation is most important.