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IMMOBILITY RISKS AND PREVENTION
Question: Which major body systems are impacted by immobility?
Answer: ALL OF THEM!!!!!
Factors impacting effects of immobility:Extent & duration of immobilization Age of individual Physical condition Nutritional intake
Metabolic changes with immobilityDecrease in metabolic rate Alteration of nutrient metabolism Electrolyte imbalance Nitrogen imbalance Calcium loss
Gastrointestinal systemDecreased GI motility Anorexia Constipation Fecal impaction
Respiratory system Atelectasis Hypostatic pneumonia
Cardiovascular systemOrthostatic hypotension Increased cardiac workload Thrombus formation (DVT)
Musculoskeletal systemOsteoporosis Contractures Disuse atrophy (occurs at a rate of 3%/day in healthy people)
Genitourinary system Renal calculi (stones)Urinary tract infection (UTI)
Integumentary system Diminished healing capacityDecubitus ulcer formation
Psychosocial effects:Emotional & behavioral changes Sensory alterations Sleep disturbances
ASSESSMENT Joint problemsAssess for stiffness, swelling, limitations,& inequality
Prevention of joint problemsRange of motion exercises Ambulation: ASAP!!!
Assessment Respiratory problems Auscultate lung soundsInspect color and viscosity of mucus Observe respiratory effort
Prevention of respiratory problemsCough and deep breathe Incentive spiromater Fluid intake Ambulate ASAP!
Assessment Cardiovascular problemsHeart rate and quality of heart sounds Exercise tolerance Blood pressure: sitting and standing Calf circumference Homan’s sign
Prevention of cardiovascular problemsDangling Transfer to chair TED hose/Sequential stockings Leg exercises (ankle pumps, foot circles,etc.) Fluid intake Medication if ordered (Heparin/Coumadin) Ambulate ASAP!!!
Assessment Skin integrity Color (inflammation, pallor)Temperature (warmth, cold) Hydration Excoriation any break in integrity
Prevention of skin problemsTurn or reposition FREQUENTLY Hydration (2000cc daily) Hygiene Circulation Diet: high protein, high calorie, high fiber
Prevention of Psychosocial ProblemsListen well Respond to feelings Educate patient and family Limit noise & overstimulation Promote sleep and rest Allow choices and control
Immobility King Saud University Nursing College Concept of Nursing –NUR 123.
Immobility. Degrees of mobility Complete immobility e.g. unconscious patient Complete immobility e.g. unconscious patient Partial mobility e.g. patient.
The effects of Immobility. Factors Influencing obility/Immobility Mobility Ability to move about freely Immobility Inability to move about freely.
Basic Human Needs Mobility & the Hazards of Immobility
بسم الله الرحمن الرحيم.
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Copyright © 2013, 2009, 2005 by Mosby, an imprint of Elsevier Inc. Chapter 47 Mobility and Immobility.
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Chapter 23 Exercise and Activity All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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CARDIOVASCULAR MODULE: DEEP VENOUS THROMBOSIS THROMBOPHLEBITIS Adult Medical-Surgical Nursing.
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Care of client with traction
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Chapter Body Mechanics Activity and Exercise. Refers to persons routines of exercise, activity, leisure and recreation needs for rest and mobility.
Copyright © 2013 by Mosby, an imprint of Elsevier, Inc. MOBILITY.
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