ACTIVITY MOBILITY Promoting Healthy Physiologic Responses Necessary Skills

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 Flexion Extension Hyperextension Dorsiflexion Planter Flexion Rotation Internal rotation External Rotation *Additional terms you must know at the end of the chapter page #1009

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

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

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

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

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

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

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

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

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

Physical Assessment • Body alignment • mobility • activity intolerance

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)

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

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

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

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

Patient Care Study: Essential Knowledge and skills • Become familiar with the patient care study’s at the end of the chapter. (FYI)