Concept: Mobility

Concept: Mobility Mobility, the ability to move freely, easily, rhythmically, and purposefully in the environment, is an essential part of living.

Systemic Effects of Immobility Collaborative Learning In your learning group make a concept map reflecting the systemic effects of immobility. www.nwmissouri.edu/library/courses/research/conceptMap.html

Systemic Effects of Immobility Collaborative Learning In your learning group, discuss the assigned systemic effect of immobility. Be prepared to teach information to another groups. Use the form to format your information.

Topic: Knowledge Base Intervention

Systemic Effects of Immobility Collaborative Learning Metabolic changes & Psychosocial Effects: Depression Respiratory Changes Cardiovascular Changes Musculoskeletal changes &Integumentary changes: Pressure ulcers Urinary status & renal calculi & Bowel elimination changes: constipation

Systemic Effects of Immobility Collaborative Learning In your learning group, discuss the other assigned systemic effects of immobility that you just learned.

Metabolic changes ↓ Appetite → Negative Nitrogen Balance Hypercalcemia Wt loss, ↓muscle mass, and weakness Hypercalcemia Pathological fractures ↓GI mobility Constipation Fecal impactions Monitor I & O Monitor % of food intake Monitor wound healing Monitor lab values: electrolytes, serum protein, BUN Monitor elimination patterns A deficiency in calories and protein is characteristic of pts with a decreased appetite secondary to immobility. The body is constantly synthesizing proteins and breaking them down into amino acids to form other proteins. When pt is immobile, his body often excretes more nitrogen (the end product of amino acid breakdown) than it ingests in proteins, resulting in negative nitrogen balance. Wt loss, decreased muscle mass, and weakness result from tissue catabolism. Calcium resorption (loss) from bones. Immobility causes the release of calcium into the circulation. Normally the kidneys excreta the excess calcium. However, if the kidneys are unable to respond appropriately, hypercalcemia results. Pathological fractures occur if calcium resorption continues as the pt remains on bed rest or continues to be immobile. Impairment of GI functioning caused by decreased mobility vary. Difficulty in passing stools (constipation) is a common symptom, although pseudodiarrhea often results from a fecal impaction (accumulation of hardened feces)

Respiratory Changes Atelectasis (collapse of alveoli) Hypostatic pneumonia (inflammation of the lung from stasis or pooling of secretions)

Respiratory System Atelectasis Hypostatic pneumonia Monitor RR and characteristics of respiratory system Monitor Breath Sounds every 2 hrs

Cardiovascular Changes Monitor for s/s: ↑ HR, ↓ pulse pressure and drop in BP Mobilize patient as soon as possible Dangle OOB lll Activities maintain muscle tone and increases venous return

Cardiovascular Changes Orthostatic hypotension and thrombus Assessment Plan

Musculoskeletal changes osteoporosis, joint contracture, footdrop Assessment Plan

Urinary Elimination Changes Urinary status & renal calculi Assessment Plan

Bowel elimination changes constipation Assessment Plan

Integumentary changes Pressure ulcers Assessment Plan

Psychosocial Effects Depression Assessment Plan