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ACTIVITY /MOBILITY

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 Abduction Adduction Circumduction

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ACTIVITY /MOBILITY

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  1. ACTIVITY /MOBILITY Promoting Healthy Physiologic Responses

  2. Necessary Skills To promote Healthy Physiologic Responses • Cognitive Skills • Technical Skills • Interpersonal Skills • Ethical/Legal Skills

  3. Define Key Terms Table 38-1 Abduction Adduction Circumduction Flexion Extension Hyperextension Dorsiflexion Planter Flexion Rotation Internal rotation External Rotation *Additional terms you must know at the end of the chapter page #1009

  4. PHYSIOLOGY OF MOVEMENT Role of the: Skeletal system Muscular system Nervous system In the physiology of movement.

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

  6. 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

  7. Focus On The Older Adult • Cardiovascular Improvements • Respiratory Improvements • Musculoskeletal Improvements • Psychosocial and Cognitive Improvements • Improve sleep • Improve bowel function • Improve energy level

  8. TYPES OF EXERCISE • Isotonic: involves muscle shortening and active movement • Isometric: involves muscle contraction without shortening • Isokinetic: Involves muscle contractions with resistance

  9. EFFECTS OF EXERCISEAND IMMOBILITY ON MAJOR BODY SYSTEMS • ROLL OF EXERCISE IN PREVENTING ILLNESS AND PROMOTING WELLNESS • Table 38-3

  10. RISK RELATED TO EXERCISE • PRECIPITATING A CARDIAC EVENT • ORTHOPEDIC DISCOMFORT & DISABILITY • ORTHOPEDIC PROBLEMS CAUSED BY IRRITATION OF BONES TENDONS, LIGAMENTS & SOMETIMES MUSCLES

  11. 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

  12. ASSESSING Nursing History • Daily activity level • Endurance • Exercise / fitness goals • Mobility problems • Physical or mental health alterations • External factors

  13. Physical Assessment • Body alignment • mobility • activity intolerance

  14. 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)

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

  16. 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

  17. 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

  18. NURSING PROCESS IN CLINICAL PRACTICE: • Activity intolerance • Impaired physical mobility • Risk for injury, complications of immobility • Altered health maintenance: Lack of exercise program

  19. 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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