Mobility and Immobility. NUR216 Fall 2006 Kelli Shugart RN, MS. Mobility. Physiology and principles of body mechanics Alignment: posture Balance Gravity and friction. Regulation of Movement. Bones Joints Ligaments Tendons Cartilage Skeletal muscle. Muscle Movement and Posture.
Kelli Shugart RN, MS
a. Decrease activity and O2 demand
b. Reduce pain
* Muscular deconditioning may occur in a matter of days.
* Individuals on BR lose muscle strength at a rate of 3% QD
a. Physiological, emotional, and developmental factors influence tolerance
~ Client’s skin remains dry and intact
~ Nutritional needs: protein, calories, vitamins (B and C)
~ Promotion of chest and lung expansion
~ Removal of secretions
~ Maintenance of patent airway
~ Reducing orthostatic hypotension
~ Reducing cardiac workload: discourage Valsalva maneuver
~ Preventing thrombus formation: medication, exercise, fluids, TED stockings, pneumatic compression, positioning
~ Isometric exercise
~ Turning every 1 to 2 hours
~Protection: preventive aids
~Nutritional intake: fiber
~ Supports: footboards, trochanter rolls, hand rolls, and splints
~ Trapeze bar
~ Bed position: Fowler’s, supine, prone, side-lying, Sims’
~ Placed on stronger side.
~ Cane, weak leg, stronger leg…repeat…
~ Measurement and axilla
~ Rubber tips prevent slipping, keep dry
~ Basic crutch stance is the tripod position
~ Gives stability but requires weight bearing on both legs.
~ Requires weight bearing on one leg.
~ Weight on both crutches and affected leg, then uninvolved leg, repeat.
~ During early phases the affected leg does not touch. Progresses to touchdown then full wt.
~ Requires at least partial wt bearing on both legs.
~ A crutch and opposing leg then the other crutch and opposing leg. Movement similar to arms swinging.