DEEP BREATH & COUGH, INCENTIVE SPIROMETER, HOB 90 DEGREES, INCREASE FLUIDS, ORTHOPNEIC POSITION
WHAT ARE INTERVENTIONS TO PREVENT RESPIRATORY COMPLICATIONS FROM IMMOBILITY
ATROPHY
Paralysis of all four extremities
Quadriplegia
GASTROINTESTINAL COMPLICATION FROM IMMOBILITY
ANOREXIA & CONSTIPATION
I CAN DEVELOP A HIGH PROTEIN, LOW CALCIUM, AND HIGH CALORIE MEAL PLAN FOR THE IMMOBILE PATIENT.
WHO IS THE DIETICIAN OR NUTRITIONIST
INTERVENTIONS TO PREVENT INTEGUMENTARY COMPLICATIONS
USE PRESSURE REDUCTION DEVICES
MANAGE MOISTURE
AVOID FRICTION & SHEER
T & P Q2H OR MORE IF PT NEEDS IT
Involuntary quivering movement of a body part
Tremor
Paralysis of the lower portion of the trunk and both legs
Paraplegia
ATELECTASIS & PNEUMONIA
RESPIRATORY COMPLICATION FROM IMMOBILITY
I provide psychosocial support and client services throughout the healthcare system to coordinate continuity of care.
SOCIAL WORKER
INTERVENTIONS TO PREVENT CARDIOVASCULAR COMPLICATIONS FROM IMMOBILITY
DVT prophylaxis
ROM to help prevent edema
Monitor heart rate
Hypertrophy
Increase in the size or bulk of a muscle or organ
Absence of muscle tone
Flaccidity
5 CARDIOVASCULAR COMPLICATION FROM IMMOBILITY
EDEMA, VENOUS STASIS, DVT, ORTHOSTATIC HYPOTENSION, TACHYCARDIA
I WILL EVALUATE AND RECOMMEND TREATMENT FOR INTEGUMENTARY IMPAIRMENTS.
WHO IS THE WOUND SPECIALIST
AROM & PROM
WHAT ARE INTERVENTIONS TO IMPROVE JOINT MOBILITY, INCREASE CIRCULATION, MAINTAIN FUNCTION AND PREVENT CONTRACTURES.
PARESTHESIA
Numbness, tingling, or burning due to injury of the nerve(s) innervating the affected area
Spasmodic contraction of opposing muscles resulting in tremors
CLONUS
4 GENITOURINARY COMPLICATION FROM IMMOBILITY
Renal calculi = Pain & low output
Urinary retention = low output
Urinary stasis = low output
Urinary tract infections
I focus on the rehabilitation of muscles and bones, helping clients gain optimal functioning in self-care skills for activities of daily living and learn how to use assistive devices.
PHYSICAL THERAPIST
PLACE IN ROOM WITH ANOTHER PATIENT, SOCAL WORKER CONSULT, ENCOURAGE PARTICIPATiON IN ACTIVITIES
what are interventions to decrease the psychosocial effects of immobility
Paralysis of one side of the body
Hemiplegia
SPASTICITY
Motor disorder characterized by increased muscle tone, exaggerated tendon jerks, and clonus
Psychosocial Effects of immobility
Depression
Behavioral changes
Sleep disturbances
Coping problems
Isolation
Sensory deprivation
Increased dependence
MY ROLE IS TO ASSIST PATIENTS TO PERFORM DAILY ACTIVITIES SUCH AS FEEDING THEMSELVES & BRUSHING TEETH
WHO IS THE OCCUPATIONAL THERAPIST
LIST 7 GI INTERVENTIONS TO COMPLICATIONS
Small frequent meals
Provide high calorie, high protein diet
Monitor weight
^ fluids as tolerated
^ fiber in diet
Monitor BM’s - COCAF
Stool softeners - DOCUSATE SODIUM
PARTIAL OR INCOMPLETE PARALYSIS
PARESIS
Disuse osteoporosis
Bone loss that results from not enough stress or pressure on the bones. Remember bones that don't bear weight release calcium into the blood stream.
INCREASED CALCIUM AFFECTS MY THYROID, BMR RATE DROPS, LOW ALBUMIN CAUSES MUSCLE LOSS AND EDEMA.
WHAT ARE METABOLIC EFFECTS OF IMMOBILITY
NAME 5 HEALTHCARE MEMBERS WE CAN COLLABORATE WITH FOR THE IMMOBILE PATIENTS
Occupational therapy
• Physical therapy
• Wound specialist
• Dietitian
Social worker