WEEK 6 MOBILITY

INTERVENTIONS

100

DEEP BREATH & COUGH, INCENTIVE SPIROMETER, HOB 90 DEGREES, INCREASE FLUIDS, ORTHOPNEIC POSITION

WHAT ARE INTERVENTIONS TO PREVENT RESPIRATORY COMPLICATIONS FROM IMMOBILITY

200

INTERVENTIONS TO PREVENT INTEGUMENTARY COMPLICATIONS

USE PRESSURE REDUCTION DEVICES

MANAGE MOISTURE

AVOID FRICTION & SHEER

T & P Q2H OR MORE IF PT NEEDS IT

300

INTERVENTIONS TO PREVENT CARDIOVASCULAR COMPLICATIONS FROM IMMOBILITY

• DVT prophylaxis

• ROM to help prevent edema

• Monitor heart rate 

400

AROM & PROM

WHAT ARE INTERVENTIONS TO IMPROVE JOINT MOBILITY, INCREASE CIRCULATION, MAINTAIN FUNCTION AND PREVENT CONTRACTURES. 

500

PLACE IN ROOM WITH ANOTHER PATIENT, SOCAL WORKER CONSULT, ENCOURAGE PARTICIPATiON IN ACTIVITIES

what are interventions to decrease the psychosocial effects of immobility

600

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 

DEFINE ME

100

A DECREASE IN THE SIZE OF MUSCLE TISSUE D/T LACK OF USE

ATROPHY

200

Involuntary quivering movement of a body part

Tremor

300

Hypertrophy

Increase in the size or bulk of a muscle or organ

400

PARESTHESIA

Numbness, tingling, or burning due to injury of the nerve(s) innervating the affected area

500

Paralysis of one side of the body

Hemiplegia

600

PARTIAL OR INCOMPLETE PARALYSIS

PARESIS

WHAT AM I

100

Paralysis of all four extremities

Quadriplegia

200

Paralysis of the lower portion of the trunk and both legs

Paraplegia

300

Absence of muscle tone

Flaccidity

400

Spasmodic contraction of opposing muscles resulting in tremors

CLONUS

500

SPASTICITY

Motor disorder characterized by increased muscle tone, exaggerated tendon jerks, and clonus

600

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.

IT'S COMPLICATED

100

GASTROINTESTINAL COMPLICATION FROM IMMOBILITY

ANOREXIA & CONSTIPATION 

200

ATELECTASIS & PNEUMONIA

RESPIRATORY COMPLICATION FROM IMMOBILITY

300

5 CARDIOVASCULAR COMPLICATION FROM IMMOBILITY

EDEMA, VENOUS STASIS, DVT, ORTHOSTATIC HYPOTENSION, TACHYCARDIA

400

4 GENITOURINARY COMPLICATION FROM IMMOBILITY

• Renal calculi = Pain &  low output

• Urinary retention = low output

• Urinary stasis =   low output

• Urinary tract infections 

500

 Psychosocial Effects of immobility

• Depression

• Behavioral changes

• Sleep disturbances

• Coping problems

• Isolation

• Sensory deprivation

• Increased dependence 

600

INCREASED CALCIUM AFFECTS MY THYROID, BMR RATE DROPS, LOW ALBUMIN CAUSES MUSCLE LOSS AND EDEMA.

WHAT ARE METABOLIC EFFECTS OF IMMOBILITY

WORK WITH ME

100

I CAN DEVELOP A HIGH PROTEIN, LOW CALCIUM, AND HIGH CALORIE MEAL PLAN FOR THE IMMOBILE PATIENT.

WHO IS THE DIETICIAN OR NUTRITIONIST 

200

I provide psychosocial support and client services throughout the healthcare system to coordinate continuity of care. 

SOCIAL WORKER

300

I WILL EVALUATE AND RECOMMEND TREATMENT FOR INTEGUMENTARY IMPAIRMENTS.

WHO IS THE WOUND SPECIALIST

400

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

500

MY ROLE IS TO ASSIST PATIENTS TO PERFORM DAILY ACTIVITIES SUCH AS FEEDING THEMSELVES & BRUSHING TEETH

WHO IS THE OCCUPATIONAL THERAPIST

600

NAME 5 HEALTHCARE MEMBERS WE CAN COLLABORATE WITH FOR THE IMMOBILE PATIENTS

Occupational therapy

• Physical therapy

• Wound specialist

• Dietitian

• Social worker