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Mobility is dependent on synchronized efforts of these two systems.
What is musculoskeletal and nervous system
Purposeful physical movement.
What is mobility?
The term for an inability to move.
What is immobility?
A state in which a person has a limitation in physical movement but is not immobile.
What is impaired physical mobility?
In order for mobility to "run smoothly" your body needs adequate amounts of these three things.
What is oxygenation, perfusion and cognition?
Spinal cord transports ______ signals from the body to the brain.
What is sensory?
What is motor?
This percentage of spinal cord injuries occurs in males.
What is 80%?
The _______ the level of SCI, the greater the extent of motor and sensory deficits.
What is higher?
Name two of the three major psychosocial concerns with impaired mobility.
Name 1 cardiovascular complication that can occur with an SCI.
What is autonomic dysreflexia; DVT?
Name two respiratory complications that can occur with an SCI.
What is difficulty breathing; atelectasis; pneumonia?
Contractures can begin to form after _______ hours of immobility.
What is 8?
Loss of muscle tone can result in a decrease in these. (hint: there are 3, these are from class)
What is decreased strength, decreased endurance, decreased coordination?
This part of the brain is responsible for voluntary motor activity (impulse sent to brain, through spinal cord & peripheral nerves, to target muscle)
What is the motor cortex?
This part of the brain is responsible for coordinating movement, equilibrium, muscle tone, and proprioception.
What is the cerebellum?
Name two of the four major effects that impaired mobility can have on the renal system.
What is incontinence (overflow); urine stasis; renal calculi; infection?
Name two nursing implications to promote adequate functioning of metabolic effects in patients with impaired mobility.
What is keeping patient as mobile as possible; elevating HOB when possible; increasing fluid intake and high protein; active or passive ROM; reduce aspects of stress response.
The term for the shortening of muscle fibers and muscle length.
What is contractures?
Name two of the three major effects that impaired mobility has on the cardiovascular system.
What is orthostatic hypotension, increased cardiac workload, increased thrombus formation?
Name two of the three major effects that impaired mobility can have on the respiratory system.
What is decreased ventilation, O2/CO2 imbalance (V/Q ratio decreases), stasis of secretions?
Name two nursing implications to promote adequate functioning of the respiratory system in patients with impaired mobility.
What is a strong respiratory assessment; increase mobility as soon as possible; adequate pain management; turn, cough, deep breath; teach patient to breath deeply.
Name two of the three major effects that impaired mobility can have on the gastrointestinal system.
What is decreased peristalsis, anorexia, constipation?
Name two nursing implications to promote adequate functioning of the GI system in patients with impaired mobility.
What is provide privacy; assure proper diet with adequate fluids; stool softeners; prevention