Definitions
Immobility/Effects
Immobility/Effects
Assessment
Factors Affecting Mobility
100
Pts with fractures, osteoarthritis, Parkinson's Disease, Multiple Sclerosis and Spinal Cord Injury (SCI).
What are the populations at risk for alteration in mobility?
100
Three factors that affect mobility.
What are health status (physical and mental), fatigue and stress developmental level (children, older adults), external factors, attitudes and values, lifestyle.
100
Disturbance in appetite, stress ulcers, decrease peristalsis, constipation, fecal impaction, altered digestion.
What are gastrointestinal effects of immobility?
100
Four primary structures of the musculoskeletal system.
What are the bones, muscles, ligaments, joints, tendons, cartilage?
100
A person's age and degree of neuromuscular and musculoskeletal development.
What are developmental considerations?
200
The active exertion of muscles involving the contraction and relaxation of muscle groups
What is exercise?
200
Increased workload, increased risk for orthostatic hypotension, in creased risk for venous thrombosis
What are two cardiovascular effects of immobility?
200
Alterations in all physiological systems.
What are problems associated with bed rest?
200
History of arthritis, history of joint or muscle swelling, frequency and type of activity, calcium intake, history of smoking.
What are questions a nurse might ask during musculoskeletal assessment?
200
Postural abnormalities, problems with mobility, musculoskeletal trauma, acute and chronic illnesses.
What are problems with physical health?
300
Muscle tone and strength, symmetry, movement, range of motion, spinal curves, amputations, splints and braces, gait.
What are the elements of musculoskeletal assessment?
300
Decrease in muscle size, tone, and strength, decrease in joint mobility and flexibility, bone demineralization, decreased endurance and stability, increase risk for contractures.
What are two musculoskeletal effects of immobility?
300
Risk for electrolyte imbalance, altered exchange of nutrients and gases.
What are metabolic effects of immobility?
300
Flexion, extension, abduction, adduction.
What are methods for assessing Range of Motion?
300
A person's condition with regard to their psychological and emotional well being.
What is mental health?
400
The absence of strength secondary to nervous system impairment.
What is paralysis?
400
Decrease depth of respiration, decreased respiratory rate, pooling of secretions, impaired gas exchange
What are respiratory effects of immobility?
400
Increase risk for skin breakdown, increase risk for pressure ulcers.
What are integumentary effects of immobility?
400
How the nurse assesses muscle strength.
What is asking the pateint to move against resistance?
400
Occupation, leisure activity, culture, hobbies.
What is lifestyle?
500
A nursing diagnosis used to describe a patients problem with moving after breaking both legs.
What is Impaired Physical Mobility related to musculoskeletal impairment secondary to Fractures?
500
Increase urinary stasis, increase risk for renal calculi, decrease bladder muscle tone.
What are urinary effects of immobility?
500
Sleep-wake disturbances, increase risk for depression, decrease self concept, increase sense of powerlessness, behavioral changes, decreased sensory stimulation, decreased social interaction, risk for learned helplessness (dependency),
What are psychological effects of immobility?
500
Loss of muscle mass and strength, decreased ROM, kyphosis, decreased height, osteoarthritic changes in joints.
What are common musculoskeletal variations seen in older adults?
500
Weather, lack of time, insufficient funds for gym membership, lack of equipment, air pollution, unsafe neighborhoods.
What are external factors affecting activity?
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