What are some complications of immobility?
blood clots, pneumonia, bone demineralization, kidney stones, constipation, changes in ADLs, pressure ulcers, urinary retention, depression
refers to permanent plantar flexion of the foot
What is footdrop?
laying on back, arms at side/lying on stomach, arms at side
What is supine/prone?
Pulling toes up toward the ceiling, foot flexes down
What is dorsiflexion? What is plantar flexion?
Encouraging fluids, assisting the pt to urinate in a sitting position and assessing the pts output are all nursing interventions to prevent......
What are urinary complications?
maintaining proper body alignment while a pt is immobile...
What is preventing musculoskeletal complications from immobility?
refers to muscles getting shorter and tighter, the joints are no longer flexible, stiff
What are contractures?
lying on back, arms at sides, legs apart, knees bent, feet flat
What is dorsal recumbent?
palms up, palms down
what is supination, pronation?
When assisting an 80 yo man down the hallway at the hospital you should use a ____ ____.
What is a gait belt?
performing ROM exercises, supporting weight of the extremities at the joints, applying supportive or therapeutic devices for maintaining body alignment and assisting with ambulation as soon as orders permit
What are nursing actions to prevent contractures and osteoporosis?
refers to partial or complete collapse of lung tissue
Sitting upright with head of bed elevated 90 degrees or on the side of the bed with feet flat on the floor; pt leaning slightly forward with arms raised and elbows flexed, supported on an over-bed table.
What is Orthopneic position?
Decreasing the angle between two bones/ increasing the angle
What is flexion/extension?
A women who had a stroke may use a _____ due to weakness on her right side.
What is a cane?
a traveling blood clot
what is an embolus?
Sequential compression devices (SCDs) and anti-embolism stockings are devices used to prevent....
Venus status (pooling of blood in the legs)
Semi-sitting position with various degrees of head elevation with knees slightly elevated
What is Fowler's (low 30, semi 45, high 90)?
moving body part away from the midline, moving body part toward midline
What is abduction, adduction?
2 Nursing dx pertaining to immobility
Airway clearance, ineffective. Constipation. Mobility, impaired. Risk for impaired skin integrity.
a sudden drop in blood pressure upon changing positions
What is orthostatic hypotension?
refers to the natural movement of the intestines
What is peristalsis?
Lying on the left side in semiprone position with right leg flexed and drawn up toward the chest; left arm is positioned along the pts back
What is Left Sims'?
refers to ROM exercises performed by someone other than the pt
What are Passive ROM exercises?
A campaign that was instituted in response to the significant number of musculoskeletal disorders reported by nurses.
What is the ANA Handle With Care Campaign?