Immobility Lecture Learning Objectives

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40 Questions

Which type of devices can help decrease the risk of injury when lifting and transferring patients?

Assistive or mechanical devices

What group of disorders can lead to muscle weakness and loss of strength?

Muscular dystrophy

What can cause damage to the cerebellum or the motor strip in the cerebral cortex?

Head injury

Why is it important to assess body alignment and range of motion in patients?

To assess body alignment and mobility

What is one effect of congenital or acquired postural abnormalities on the musculoskeletal system?

Impaired alignment and mobility

Which type of muscles are typically stronger: those used for pulling or pushing?

Pulling muscles

What can assist in ensuring proper body alignment, balance, and appearance?

Knowledge about common postural abnormalities

To prevent falling and improve body alignment while lifting heavy objects, it is recommended to wear shoes with:

Low heels, closed backs, and nonslip soles

If you are lifting a heavy object, what is recommended to avoid straining your back muscles?

Pulling the object towards you

When lifting heavy objects, what should you do to protect your back?

Use your leg muscles to do the lifting

Why is it important to pull rather than push an object when lifting heavy loads?

Pushing strains the back muscles

Which type of back-friendly footwear is recommended for lifting heavy objects?

Work boots

What should you do to ensure proper body alignment while lifting heavy objects?

Keep your knees bent and lift with your legs

When lifting a heavy object, what should you do with your breathing?

Inhale as you lift

What is the main focus of proper body mechanics?

Avoiding injury and muscle fatigue

Why is it recommended to bend at the hips and knees instead of the waist?

To maintain balance by distributing weight evenly

What is the nature of the force exerted on the body due to gravity?

Weight

Which system is responsible for coordinated movements of the musculoskeletal and nervous systems?

Nervous system

Why is it important to spread your feet apart when maintaining proper body mechanics?

To improve overall balance

Which term refers to the force that occurs in a direction opposite to movement?

Friction

What does body mechanics involve?

Coordination of musculoskeletal and nervous systems

What is the recommendation regarding twisting or bending at the waist?

It should be avoided during movements.

What type of mobility aid has two legs rather than a full frame and can be used with one or both hands?

Walker-cane hybrid

Which mobility aid allows the user to rest their knee on a padded cushion while propelling themselves forward with their stronger leg?

Knee walker

What type of mobility aid is more suitable for people with severe disabilities or when travel over greater distances is required?

Wheelchair

Which mobility aid is specifically designed for those who lack upper body strength or flexibility to use a manual wheelchair?

Mobility scooter

Which mobility aid can be propelled by neural impulses, as mentioned in the text?

Electric wheelchair

What distinguishes a walker-cane hybrid from a standard cane?

It provides greater support.

Which mobility aid is intended for users who are unable to walk or should not put weight on their lower limbs?

Wheelchair

Which mobility aid provides positive impact on the lives of many users due to their choice of mobility aid?

Mobility scooter

Which activity is not included in the required return demonstration?

Assessment of patient's vital signs

What is one of the learning objectives related to patient mobility?

Identification of changes in physiological function associated with immobility

According to the references, where can information about proper body mechanics be found?

Drugs.com

What is a key aspect of formulating appropriate nursing diagnoses for patients with impaired mobility?

Recognizing physiological changes due to immobility

Which activity is NOT part of the required return demonstration?

Change of position from standing to walking

What is a key difference between active and passive range of motion exercises?

Active exercises are performed independently by the patient, while passive exercises require assistance.

Where can information about the prevention of pressure ulcers be found based on the references?

Mangar Health website

What is a focus area for interventions to improve or maintain a patient's mobility?

Interventions specifically tailored to improve mobility

What is a common misconception regarding patient positioning?

Maintaining one position for a long time can prevent immobility-related issues.

How can nurses differentiate between active and passive range of motion exercises?

By the body part that is being exercised

Study Notes

Postural Abnormalities

  • Can affect the efficiency of the musculoskeletal system and body alignment, balance, and appearance
  • Can cause pain, impair alignment or mobility, or both

Muscle Abnormalities

  • Injury and disease can lead to alterations in musculoskeletal function
  • Muscular dystrophy is a group of over 30 disorders that lead to muscle weakness and consequent loss of strength

Damage to the Central Nervous System

  • Can result in impaired body alignment, balance, and mobility
  • Can be caused by trauma from a head injury, ischemia from a stroke or brain attack, or bacterial infection such as meningitis

Proper Body Mechanics

  • Use shoes with low heels, closed backs, and nonslip soles to prevent falling and improve body alignment
  • Pull rather than push an object to avoid strain on back muscles
  • Bend at the hips and knees instead of the waist to maintain balance and divide weight evenly between the upper and lower body
  • Spread feet apart to create a foundation of support
  • Keep the back, neck, pelvis, and feet aligned when turning or moving
  • Avoid twisting or bending at the waist

Mobility Aids

  • Walkers: can be used to provide support and balance
  • Walker-cane hybrids: a cross between a cane and a walker, providing greater support than a standard cane
  • Wheelchairs: used by people who should not put weight on their lower limbs or who are unable to walk
  • Mobility scooters: beneficial for those without the upper body strength or flexibility to use a manual wheelchair

Transfers

  • Important to perform transfers safely and correctly to avoid injury
  • Required return demonstration includes:
    • Change of position from lying to sitting
    • Transfer of patient from bed to chair
    • Transfer of patient from chair to bed
    • Change of position from sitting to lying

Learn about the changes in physiological and psychosocial functions associated with immobility, formulate nursing diagnoses for patients with impaired mobility, understand the difference between active and passive range of motion exercises, and develop interventions to improve or maintain a patient's mobility.

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