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.
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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.