Activity mobility
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ACTIVITY /MOBILITY. Promoting Healthy Physiologic Responses. Necessary Skills To promote Healthy Physiologic Responses. Cognitive Skills Technical Skills Interpersonal Skills Ethical/Legal Skills. Define Key Terms. Table 38-1 AbductionAdductionCircumduction

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ACTIVITY /MOBILITY

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ACTIVITY /MOBILITY

Promoting Healthy Physiologic Responses


Necessary Skills To promote Healthy Physiologic Responses

  • Cognitive Skills

  • Technical Skills

  • Interpersonal Skills

  • Ethical/Legal Skills


Define Key Terms

Table 38-1

AbductionAdductionCircumduction

FlexionExtensionHyperextension

DorsiflexionPlanter FlexionRotation

Internal rotationExternal Rotation

*Additional terms you must know at the end of the chapter page #1009


PHYSIOLOGY OF MOVEMENT

Role of the:

Skeletal system

Muscular system

Nervous system

In the physiology of movement.


Activity variations based on: developmental level, assessment priorities, nursing interventions


FACTORS AFFECTING BODY ALIGNMENT AND MOBILITY

  • Developmental considerations

  • Physical health

  • Mental health

  • Lifestyle variables

  • Attitude & values

  • Fatigue & stress

  • External factors

  • Infant, toddler, child, adolescent, adult, older adult


Focus On The Older Adult

  • Cardiovascular Improvements

  • Respiratory Improvements

  • Musculoskeletal Improvements

  • Psychosocial and Cognitive Improvements

  • Improve sleep

  • Improve bowel function

  • Improve energy level


TYPES OF EXERCISE

  • Isotonic: involves muscle shortening and active movement

  • Isometric: involves muscle contraction without shortening

  • Isokinetic: Involves muscle contractions with resistance


EFFECTS OF EXERCISEAND IMMOBILITY ON MAJOR BODY SYSTEMS

  • ROLL OF EXERCISE IN PREVENTING ILLNESS AND PROMOTING WELLNESS

  • Table 38-3


RISK RELATED TO EXERCISE

  • PRECIPITATING A CARDIAC EVENT

  • ORTHOPEDIC DISCOMFORT & DISABILITY

  • ORTHOPEDIC PROBLEMS CAUSED BY IRRITATION OF BONES TENDONS, LIGAMENTS & SOMETIMES MUSCLES


THE NURSE AS ROLE MODEL

  • Uses principles of body mechanic’s in both leisure & work actives

  • Exercise regular

  • Maintains appropriate weight for height

  • Adequate muscle mass, tone and strength


ASSESSING

Nursing History

  • Daily activity level

  • Endurance

  • Exercise / fitness goals

  • Mobility problems

  • Physical or mental health alterations

  • External factors


Physical Assessment

  • Body alignment

  • mobility

  • activity intolerance


DIAGNOSING

  • Example of nursing diagnosis that correctly identify mobility problems amendable to nursing therapy.

  • Activity intolerance r/t dyspnea shortness of breath (SOB).

  • Impaired physical mobility r/t limited range of motion (ROM)


PLANNING:

  • expected outcomes (goals agreed on by nurse and patient) example; by 2/07/03 patient will identify four personal benefits of regular exercise.


IMPLEMENTING: nurse will

  • Positioning patients

  • Assisting with range of motion exercises

  • Moving and lifting the patient

  • Logrolling a patient

  • Using a hydraulic lift

  • Helping patients ambulate

  • Designing exercise programs

  • Teaching exercise benefits to populations at risk


EVALUATING

  • Was goal met?

  • Did we assign enough time to meet goal

  • Was goal unrealistic

  • Does goal need modifying

  • Should we start over by writing new goal


NURSING PROCESS IN CLINICAL PRACTICE:

  • Activity intolerance

  • Impaired physical mobility

  • Risk for injury, complications of immobility

  • Altered health maintenance: Lack of exercise program


Patient Care Study:

Essential Knowledge and skills

  • Become familiar with the patient care study’s at the end of the chapter. (FYI)


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