Ch 26: Exercise & Activity Review ( Also on Quiz: Ch 32 Wound Care, decubitus ulcers + Ch 36 Rehab & Restorative Care) Exercise & Activity X-Wd: Green WB, p. 38-39 Range of Motion (ROM) information and motion names (see crossword & Green WB p. 20 - 30) were tested with the skill check off. Videos: Ambulation, Falling Patient, Transfer, ROM
Ch 26: Exercise & Activity: Complications of Bedrest – Decubitus ulcers – any injury caused by unrelieved pressure (also called pressure ulcer/sore, bedsore) p. 552 Constipation – passage of hard dry, stool Fecal impaction – (p. 381) prolonged retention/buildup of feces in rectum from unrelieved constipation. Person can’t defecate. Blood clots – also called thrombus, embolus is a traveling blood clot (p. 542) UTI (urinary tract infection like a bladder infection) Pneumonia - Inflammation & infection of lung tissue. Contracture – abnormal shortening of a muscle. A permanent deformity. (px: p. 464) Muscle atrophy - decrease in size or wasting away of muscle tissue (picture 464)
Range of Motion p. 466 – 471 The movement of a joint to the extent possible without causing pain. Joints are moved slowly, smoothly & gently The nurse tells you which joints to exercise. They can cause injury if done incorrectly.
Common Types of BR (p. 463) For all good body alignment is important. Bedrest: Some ADLs are allowed Strict Bedrest: –Everything is done for person. No ADL allowed Bedrest with commode privileges Bedrest with BRP
Equipment + terms – see Text Foot Board – Device to keep soles of feet flush against it with feet in flexed position. Helps prevent foot drop (plantar flexion) (picture 465) Bed cradle – Device only used to keep top linens off of the feet. (picture 466) Trochanter Roll – supports placed to prevent hips from turning outward (prevents external rotation of hips & legs. px 465) Hand Roll/Hand Grip – prevents contracture of thumb, fingers & wrist. (px 465) Hip abduction wedge (picture 465 ) A kind of pillow wedged between the legs to keep hips abducted after hip replacement surgery. Orthostatic or Postural Hypotension (p. 464) A drop in BP when the person stands up. More likely to happen when standing quickly., Key: Change position slowly! Syncope (p. 464): Fainting, brief loss of consciousness. May occur due to orthostatic hypotension
Braces, Crutches & Canes ID equipment on Fri Quiz Braces: Support weak body part, prevent/correct deformities and prevent joint movement. C/O redness, skin breakdown or pain/discomfort need to be reported. (p. 477) (p. 477, KNOW: AFO ankle/foot orthosis) Canes: used for weakness on one side of the body. They provide balance & support. A cane is used on the strong side of the body. (p. 476) Also: Quad Cane Crutches: Need to be fitted to patient Crutch tips are necessary Nonskid shoes are worn Clothing must fit well and not be loose. (p. 474) Walker: 4 point walking aid that gives more support than a cane. Standard walker picked up and moved 6 – 8 in ahead and then the person steps up to t he walker. Wheeled walkers are pushed ahead. (p. 477)
Ambulating the Patient Assist with ambulation (p. 472 by walking at the pt’s side and slightly behind. Use a gait belt prn. The falling patient: If a person starts to fall, ease him/her to the floor. This allows you to better control the fall and protect the person’s head. Always call the charge nurse before getting the fallen person up. (p.181)
Exercise & Activity X-Word Handroll Belt Complications Quadriplegia Quadcane Four Floor Atrophy Extension hemiplegia flexion Contracture Supination Walker Cradle Abduction passiverom activerom Side Footboard paraplegia