Presentation is loading. Please wait.

Presentation is loading. Please wait.

IMMOBILITY RISKS AND PREVENTION. Question: Which major body systems are impacted by immobility?

Similar presentations


Presentation on theme: "IMMOBILITY RISKS AND PREVENTION. Question: Which major body systems are impacted by immobility?"— Presentation transcript:

1 IMMOBILITY RISKS AND PREVENTION

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


Download ppt "IMMOBILITY RISKS AND PREVENTION. Question: Which major body systems are impacted by immobility?"

Similar presentations


Ads by Google