Mobility Basics
What is the definition of mobility?
The state or quality of being mobile or moveable.
When ambulating, what side of the patient whould you stand on?
The patient's weak side.
What is the most common injury resulting from a fall in order adults?
Hip Fracture
Your patient is weak on the left side after a stroke. Which side should you walk on while assisting the patient with ambulation?
The left (weaker) side.
What device provides balance but not weight support?
A cane
Name one cardiovascular complication of impaired mobility.
Orthostatic hypotension or decreased cardiac output
When rising from a seated position, should the patient use the walker or chair arms?
The Chair arms, not the walker
What is the Morse Fall Scale used for?
To assess a patient's fall risk
A patient becomes dizzy when standing. What should you assess next?
Orthostatic blood pressure
How should the nurse check gait belt placement before ambulation?
Two fingers should fit snugly between the belt and patient's waist.
What respiratory complication may occur due to immobility?
Atelectasis or Pneumonia
What does the COAL stand for?
Cane Opposite Affected Limb
Name three risk factors for falls.
Age > 65, Impaired balance or vision, & Medications (sedatives, diuretics)
An elderly patient keeps getting up unassisted at night. What interventions can reduce risk?
Place call light within reach, Keep bed lowest position, Use night light, & Frequent rounding
When using a walker, which leg moves first if one leg is weak?
The weaker leg moves first into the walker.
What musculoskeletal complication occurs when muscles are not used?
Muscle Atrophy or Contractures
What should a nurse do if a patient becomes dizzy while walking?
Guide the patient to the floor with your legs, making a wide base.
What environmental modifications reduce fall risk in a hospital room?
Keep bed in lowest position, Clear clutter, Non-skid socks, & Call light within reach
A patient with Parkinson's disease has shuffling gait and frequent falls. What type of fall is this?
Anticipated physiologic fall
What is the correct order when transferring a patient gfrom bed to wheelchair?
Lock bed/ wheelchair, apply gait belts, pivot on strong side, ensure safety
What is one integumentary system risk associated with immobility?
Pressure injuries due to reduced perfusion
What are two key safety steps when using a wheelchair?
Lock wheels before transfers and cue patient to sit when they feel the chair on their legs.
What should you do if a patient is found on the floor?
Assess of injury, call for help, take vital signs and complete incident report.
A patient suddenly collapses due to a stroke. What type of fall is this?
Unanticipated physciologic fall
What should you do if a patient starts to fall while walking?
Ease them to the floor safely using the gait belt.