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Presentation on theme: "IMMOBILITY RISKS AND PREVENTION."— Presentation transcript:


2 Question: Which major body systems are impacted by immobility?

3 Answer: ALL OF THEM!!!!!

4 Factors impacting effects of immobility:
Extent & duration of immobilization Age of individual Physical condition Nutritional intake

5 Metabolic changes with immobility
Decrease in metabolic rate Alteration of nutrient metabolism Electrolyte imbalance Nitrogen imbalance Calcium loss

6 Gastrointestinal system
Decreased GI motility Anorexia Constipation Fecal impaction

7 Respiratory system Atelectasis Hypostatic pneumonia

8 Cardiovascular system
Orthostatic hypotension Increased cardiac workload Thrombus formation (DVT)

9 Musculoskeletal system
Osteoporosis Contractures Disuse atrophy (occurs at a rate of 3%/day in healthy people)

10 Genitourinary system Renal calculi (stones)
Urinary tract infection (UTI)

11 Integumentary system Diminished healing capacity
Decubitus ulcer formation

12 Psychosocial effects:
Emotional & behavioral changes Sensory alterations Sleep disturbances

13 ASSESSMENT Joint problems
Assess for stiffness, swelling, limitations,& inequality

14 Prevention of joint problems
Range of motion exercises Ambulation: ASAP!!!

15 Assessment Respiratory problems Auscultate lung sounds
Inspect color and viscosity of mucus Observe respiratory effort

16 Prevention of respiratory problems
Cough and deep breathe Incentive spiromater Fluid intake Ambulate ASAP!

17 Assessment Cardiovascular problems
Heart rate and quality of heart sounds Exercise tolerance Blood pressure: sitting and standing Calf circumference Homan’s sign

18 Prevention of cardiovascular problems
Dangling Transfer to chair TED hose/Sequential stockings Leg exercises (ankle pumps, foot circles,etc.) Fluid intake Medication if ordered (Heparin/Coumadin) Ambulate ASAP!!!

19 Assessment Skin integrity Color (inflammation, pallor)
Temperature (warmth, cold) Hydration Excoriation any break in integrity

20 Prevention of skin problems
Turn or reposition FREQUENTLY Hydration (2000cc daily) Hygiene Circulation Diet: high protein, high calorie, high fiber

21 Prevention of Psychosocial Problems
Listen well Respond to feelings Educate patient and family Limit noise & overstimulation Promote sleep and rest Allow choices and control


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