We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byKorbin Carver
Modified about 1 year ago
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 immobility Decrease in metabolic rate Alteration of nutrient metabolism Electrolyte imbalance Nitrogen imbalance Calcium loss
Gastrointestinal system Decreased GI motility Anorexia Constipation Fecal impaction
Respiratory system Atelectasis Hypostatic pneumonia
Cardiovascular system Orthostatic hypotension Increased cardiac workload Thrombus formation (DVT)
Musculoskeletal system Osteoporosis 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 capacity Decubitus ulcer formation
Psychosocial effects: Emotional & behavioral changes Sensory alterations Sleep disturbances
ASSESSMENT Joint problems Assess for stiffness, swelling, limitations,& inequality
Prevention of joint problems Range of motion exercises Ambulation: ASAP!!!
Assessment Respiratory problems – Auscultate lung sounds – Inspect color and viscosity of mucus – Observe respiratory effort
Prevention of respiratory problems Cough and deep breathe Incentive spiromater Fluid intake Ambulate ASAP!
Assessment Cardiovascular problems – Heart rate and quality of heart sounds – Exercise tolerance – Blood pressure: sitting and standing – Calf circumference – Homan’s sign
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!!!
Assessment Skin integrity – Color (inflammation, pallor) – Temperature (warmth, cold) – Hydration – Excoriation – any break in integrity
Prevention of skin problems Turn or reposition FREQUENTLY Hydration (2000cc daily) Hygiene Circulation Diet: high protein, high calorie, high fiber
Prevention of Psychosocial Problems Listen 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.
Mobility & Immobility Objectives: Define mobility, immobility, bed rest and disuse atrophy. State the causes of impaired physical mobility. List the.
Concept: Mobility 1. Mobility, the ability to move freely, easily, rhythmically, and purposefully in the environment, is an essential part of living.
Hazards of Immobility Module 8. To review nursing content while thinking like a nurse To use Concept Maps to visualize how a wide variety of nursing information.
Rest & Activity. Rest Condition of rest Adequate Sleep Mental Relaxation Physical Comfort.
Chapter 27 Exercise and Activity Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.
Pre-Op Care The day before surgery –tell family time to arrive –observe and report chest pain nausea or vomiting elevated temperature respiratory problems.
Chapter 15 Respiration and Circulation. Factors That Can Alter Tissue Perfusion Cardiovascular Disease –Arteriosclerotic heart disease, hypertension,
Musculoskeletal System Assessment Christine Dunn MSN, RN.
SCI Nutrition Angela DiTucci, R.D.. Gastrointestinal Genitourinary Respiratory Neuromuscular NUTRITION Skeletal Cardiovascular Integumentary Metabolic.
Copyright © 2013, 2009, 2005 by Mosby, an imprint of Elsevier Inc. Chapter 47 Mobility and Immobility.
Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 24 Exercise and Activity.
Nursing Management of Clients with Stressors that Affect Motor Function NUR101 Fall 2008 LECTURE # 4 K. Burger, MSEd, MSN, RN, CNE PPP By: Sharon Niggemeier.
Copyright © 2009 Elsevier Canada, a division of Reed Elsevier Canada, Ltd. Chapter 24 Exercise and Activity.
Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 26 Exercise and Activity.
Chapter 23 Exercise and Activity All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 41 Musculoskeletal Care Modalities.
CARDIOVASCULAR MODULE: DEEP VENOUS THROMBOSIS THROMBOPHLEBITIS Adult Medical-Surgical Nursing.
Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 26 Exercise and Activity.
AGE RELATED CHANGES IN HEALTH Geriatric Nursing Protocol: Age-Related Changes in Health Research Cited from: Constance M. Smith, PhD, Valerie T. Cotter,
1. Maintaining patent airway (why??). side, deep breathing, coughing, and IS. Position changing Q 2 hours, activities as tolerated and prescribed.
Understand nurse aide’s range of function in rehabilitative/restorative and maintenance care Unit B Resident Care Skills Resident Care Skills Essential.
Promoting Urine Elimination Concepts of Nursing NUR 123.
Ch 26: Exercise & Activity Review ( Also on Quiz: Ch 32 Wound Care, decubitus ulcers + Ch 36 Rehab & Restorative Care) Exercise & Activity X-Wd: Green.
Physiological Integrity: Basic Care and Comfort Ms. Kristine DeBarge.
CONCEPT OF NURSING Promoting Healthy Physiologic Responses Body Mechanics Activity and Exercise.
FUNDAMENTALS OF NURSING LESSON 5 PROMOTING ACTIVITY AND MOBILITY.
Chapter 18 Movement. Physical Benefits of Activity Improves the functioning of body systems: –Respiratory –Circulatory –Digestive –Excretory –Musculoskeletal.
Types: Bed Rest Strict Bed Rest: w/ and w/o BRP Ordered to: Reduce physical activity Reduce pain Encourage rest Regain strength Promote.
Chapter 41 Geriatric Medical Emergencies. © 2005 by Thomson Delmar Learning,a part of The Thomson Corporation. All Rights Reserved 2 Overview The Aging.
By : Miss. Sana’a AL-Sulami. Definition of Traction Indication for Traction Classification of Traction Complications of Traction Assessment.
NEO 111 Melanie Jorgenson, RN, BSN. Primary Causes of Falls Change in balance or gait disturbance Muscle weakness Dizziness, syncope, and vertigo Cardiovascular.
Copyright © 2008 Delmar Learning. All rights reserved. Unit 41 Musculoskeletal System.
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.
The Mature Adult The Mature Adult Chapter 12: The Mature Adult J Pistack MS/Ed J Pistack MS/Ed.
Postoperative Nursing Postoperative Complications Hemorrhage Look at dressing Look at drains Look under patient Know s/s of shock.
Chapter 24 Vital Signs. Vital Signs Temperature Pulse Respiration Blood pressure.
NURSING ASSISTANT III Unit 2 Chapter 11: Positioning, Lifting, and Transferring Patients and Residents.
Chapter 38 Acute Care. Measures to Promote Optimal Functional Independence Careful assessment to identify problems and risks Early discharge planning.
The Healthy Human Body CHAPTER 9. Learning Objectives Describe body systems and define key anatomical terms Describe each of the body systems: Integumentary.
Nutrition From Childhood through Adulthood BIOL 103, Chapter 13-2.
Managing Symptoms in Palliative Care. Aims To gain an awareness of the most common symptoms in patients with life limiting diseases and why these occur.
Elimination Elimination is the process of removing waste from the body. Hubbs Pre-CNA Elimination Unit SP2-AP2.
Chapter 28 and 29 Post Surgical Rehabilitation. Overview Although many musculoskeletal conditions can be treated conservatively, surgical intervention.
NEO111 M. Jorgenson, RN BSN Patient Safety, Comfort, & Mobility.
© 2017 SlidePlayer.com Inc. All rights reserved.