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What are the primary effects of immobilization in children?
What are the nursing considerations for immobilized children?
What are the respiratory system effects of immobilization in children?
What are the integumentary system effects of immobilization in children?
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What are the major musculoskeletal consequences of immobilization in children?
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What can circulatory stasis combined with hypercoagulability of the blood lead to?
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What is a significant complication of immobilization related to circulatory stasis and hypercoagulability of the blood?
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What is essential for growth and development during childhood?
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What should be routinely worn to prevent complications of immobilization?
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What can lead to alteration of gravitational force and urinary retention in immobilized children?
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What can cause alteration of gravitational force and urinary retention in immobilized children?
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What can result in decreased joint mobility in immobilized children?
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What are some effects of immobilization on children, as mentioned in the text?
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What is a crucial aspect of development that is affected by immobilization in children?
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How does immobilization affect families of immobilized children?
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What are some strategies for preventing skin breakdown in immobilized children?
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What role do nurses play in the care of immobilized children?
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What is the Braden Q Scale used for in the context of immobilized children?
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What may children do in reaction to immobility, as mentioned in the text?
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What are some potential consequences of prolonged immobilization in children?
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How does immobilization impact sensory perception in children?
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What skills are crucial for children's development that may be affected by immobilization?
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What are some potential effects of immobilization on children's intellectual and psychomotor responses?
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What are some potential emotional reactions of children to immobilization?
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What is recommended for children unable to move?
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What is essential to prevent negative nitrogen balance caused by decreased mobility?
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What is effective in combating anorexia resulting from immobility?
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When are supplementary feedings or IV fluids reserved?
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What is crucial in promoting bowel and kidney function and preventing complications?
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What is a valuable tool for educating small children about immobilization methods?
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What benefits hospitalized children?
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What minimizes family disruption for hospitalized children?
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What is a useful intervention to help children cope with immobility and maintain autonomy?
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What is beneficial in the home to help children achieve independence and normalization?
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What can be challenging and often necessitate home modifications and suitable child care?
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Which system is affected by immobility through decreased efficiency of neurovascular reflexes, diminished vasopressor mechanism, and altered distribution of blood volume?
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What is a predictable consequence of immobilization in children?
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What are the most frequent reasons for immobility in children, as mentioned in the text?
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What is the increasing trend in health care regarding therapeutic interventions for immobilized children?
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What is a significant consequence of immobility in children related to decreased muscle mass and tissue breakdown?
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What is a crucial nursing consideration for the effects of immobilization on the cardiovascular system?
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What is a potential consequence of prolonged immobilization in children related to decreased food intake and negative nitrogen balance?
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What is a recommended nursing consideration for the effects of immobilization on the musculoskeletal system?
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What is a potential effect of immobility on a child's growth and development, as mentioned in the text?
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What are the primary changes caused by immobility in the musculoskeletal system?
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What is a nursing consideration for the effects of immobilization on the respiratory system?
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Which of the following is a primary effect of immobilization in children?
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What is a crucial impact of immobilization on children's development?
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What is a significant consequence of immobility in children related to decreased metabolism?
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What is a potential nursing consideration for the effects of immobilization on the respiratory system?
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Which of the following is a major effect of immobilization in children?
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What are the primary pathological changes that occur during immobilization in children?
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What is a potential consequence of immobilization in children?
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How do pathophysiological changes during immobilization affect body systems in children?
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Study Notes
Children's Immobility Management
- Children with illness or undergoing treatment should be encouraged to engage in as much activity as their condition allows.
- High-protein, high-calorie foods are essential to prevent negative nitrogen balance caused by decreased mobility and gastrointestinal function.
- Appetite stimulation through small servings of preferred foods can be effective in combating anorexia resulting from immobility.
- Supplementary feedings or IV fluids are reserved for serious disability when oral intake is difficult.
- Adequate hydration, an upright position, and remobilization are crucial in promoting bowel and kidney function and preventing complications.
- Passive exercise and movement are recommended for children unable to move, often in consultation with a physiotherapist.
- Using dolls or puppets to illustrate immobilization methods is a valuable tool for educating small children.
- Transporting children outside their room, using specially designed wheelchairs, and providing stimulating activities benefit hospitalized children.
- Allowing children to wear their own clothes, resume school activities, and have family members stay overnight minimizes family disruption.
- Participation in self-care is a useful intervention to help children cope with immobility and maintain autonomy.
- Consultations with various specialists and creating an enabling environment are also beneficial in the home to help children achieve independence and normalization.
- Family support and home care for children with complex or chronic conditions causing immobility can be challenging and often necessitate home modifications and suitable child care.
Effects of Immobilization on Children's Health
- Immobility can lead to primary changes in the musculoskeletal system and secondary alterations in the cardiovascular, respiratory, metabolic, and renal systems.
- Muscle disuse causes tissue breakdown and loss of muscle mass, leading to decreased strength and endurance, which may take weeks or months to restore.
- Immobility in otherwise healthy children can have lasting effects on their developmental progress, and the most frequent reasons for immobility in children are congenital defects, degenerative disorders, and infections or injuries.
- Therapeutic interventions such as traction and spinal fusion can cause prolonged immobilization, but the increasing trend in health care is early mobilization, rehabilitation, discharge, and outpatient treatment.
- Predictable consequences of immobilization include decreased venous return, decreased cardiac output, decreased metabolism, decreased exercise tolerance, bone demineralization, disuse atrophy and loss of muscle mass, catabolism, loss of joint mobility, weak back and abdominal muscles, and decreased muscle strength, tone, and endurance.
- Nursing considerations for these effects of immobilization include using antiembolism stockings or intermittent compression devices for promoting venous return, planning play activities to use uninvolved extremities, performing passive range-of-motion exercises, and maintaining correct body alignment.
- Immobility can also lead to decreased food intake, decline in nutritional state, negative nitrogen balance, impaired healing, hypercalcemia, and decreased production of stress hormones, with corresponding nursing considerations for each.
- The cardiovascular system is affected by immobilization through decreased efficiency of neurovascular reflexes, pooling of blood in extremities in upright posture, diminished vasopressor mechanism, altered distribution of blood volume, and decreased exercise tolerance.
- Nursing considerations for these effects on the cardiovascular system include monitoring peripheral pulses and skin temperature changes, providing abdominal support, using antigravitational pants in severe cases, monitoring hydration, blood pressure, and urinary output, and positioning horizontally.
- Immobilization can have profound physiological effects on a child's growth and development, as homeostatic mechanisms thrive on normal use and need feedback to maintain dynamic equilibrium.
- Inactivity leads to a decrease in the functional capabilities of the whole body, and immobility can impose lasting effects on a child’s developmental progress.
- Therapeutic interventions such as traction and spinal fusion are responsible for prolonged immobilization, but the increasing trend in health care is early mobilization, rehabilitation, discharge, and outpatient treatment.
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Description
Children's Immobility Management Quiz: Test your knowledge on managing immobility in children, including nutrition, physical activity, and psychological support. Explore the effects of immobilization on children's health and learn about therapeutic interventions and nursing considerations. Perfect for healthcare professionals and caregivers working with immobile children.
