Definitions
Inability to move independently
Immobility
What are two assessment for the cardiovascular system related to immobility?
Blood pressure, heart rate, daily weights, intake and output
A nurse is caring for a client who had a stroke and is immobile. the nurse should identify that the client is at risk for which of the following conditions?
a. deep vein thrombosis
b. asthma
c. hernia
d. hypertension
a. deep vein thrombosis
The nurse should identify that the client is at risk for developing deep vein thrombosis. Blood clots can develop when a client is immobile due to an increase in blood viscosity and atrophy of the muscles. This can then result in decreased blood circulation, which can lead to blood clots and deep vein thrombosis.
Two systems that need to be coordinated for proper mobility.
Neurological and musculoskeletal
Purposeful physical movement that includes gross simple movements, fine complex movements, and coordination
Mobility
What are 3 nursing interventions for respiratory system related to immobility?
Turn, cough, deep breath, incentive spirometer, pain management, increase mobility, etc.
A nurse is caring for a client who had a stroke and reports having difficulty with proprioception. the nurse should plan to assess the client for which of the following?
a. restricted movement due to abnormal fixation of a joint
b. a drop in blood pressure that occurs with a change in position
c. altered gait with dragging of the toes while ambulating
d. diminished awareness of body position and balance
d. diminished awareness of body position and balance
Proprioception, or kinesthesia, is a sense of self-awareness and body position. It is the result of feedback from nerve sensory receptors that alert the brain to fine-tune muscle movement in order to regulate balance, coordination, and movement.
Example of a person you see deconditioned.
Former athletes who fails to maintain an optimal level of training or also someone who experiences an extended period of immobility that results in an overall deconditioned state.
A loss of physical fitness
Deconditioned
Name 2 things that can result from immobility related to the renal system.
Incontinence, urine stasis, infection, and renal calculi
A nurse is assessing a client's mobility and notes one of the client's feet drags behind them when ambulating. Which of the following conditions should the nurse suspect the client is experiencing?
a. atrophy
b. joint contracture
c. foot drop
d. disuse osteoporosis
c. foot drop
The nurse should suspect the client is experiencing foot drop. Foot drop occurs when the joint of the foot becomes contracted and results in the inability to perform dorsiflexion, or pulling the toes upward. This is due to nerve damage that causes shortening of the muscle. The foot is left with the toes pointing downward and in a dropped position.
Proper mobility depends on...
hint: 3 concepts we discuss in class
Perfusion, oxygenation, and cognition
Limitations in physical mobility but not immobile.
Impaired physical mobility
Name 3 nursing interventions related to pressure injuries due to immobility.
Frequent repositioning, skin assessments, dry and wrinkle free bed, high protein diet, early identification, prevention, prevent infection, etc.
A nurse is caring for a client who is at risk for developing atelectasis. which of the following actions should the nurse take?
a. reposition the client every 2 hours while in bed
b. remind the client to use the incentive spirometer
c. obtain the client's weight daily
d. encourage the client to eat foods that are high in fiber
b. remind the client to use the incentive spirometer
The nurse should remind the client who is at risk for developing atelectasis to use the incentive spirometer. Using the incentive spirometer prevents atelectasis from occurring because the client takes slow, deep breaths to promote lung expansion.
Responsible for voluntary motor activity.
Motor cortex in the frontal lobe.
A process on the continuum of care that occurs between the time of cancer diagnosis and the beginning of acute treatment.
Cancer prehabilitation
There is one system that we did not discuss today but was discussed in lecture on Wednesday. What is that system and name one way it is impacted.
Psychosocial
Change in body image, change in roles, and change in perceptual field and consequent behavior
A nurse is providing teaching for a client who has kyphosis. which of the following information should the nurse include?
a. kyphosis is when the upper back extends posteriorly to the lower back
b. kyphosis is an inward curvature of the lower back
c. kyphosis is a sideways curvature of the spine
d. kyphosis is a rounded upper back with the pelvis tilted forward
d. kyphosis is a rounded upper back with the pelvis tilted forward
Kyphosis is when the upper back is abnormally rounded with the pelvis tilted forward.
Mobility issues are often due to _______ ________ or changes in ____ __ ________ _____________.
Joint pain, how a joint functions.