Activity and Exercise Active ROM Chapter 44 Copyright © 2014, 2009 by Saunders, an imprint of Elsevier Inc. All rights reserved.

Normal Movement Alignment and posture Joint mobility Balance ROM Balance Coordinated movement Copyright © 2014 by Elsevier Inc. All rights reserved.

Types of Exercise Isotonic Isometric Aerobic Anaerobic Copyright © 2014 by Elsevier Inc. All rights reserved.

Regular Exercise Benefits Guidelines

Factors Affecting Body Alignment and Activity Growth and development Nutrition Personal values and attitudes External factors Prescribed limitation

Immobilization Immobilization or bed rest may be required Stroke, trauma Neuromuscular disorder Chronic debilitating illness Complications caused by immobilization Pressure injuries, pneumonia Bone loss Loss of function in the immobilized part Copyright © 2014, 2009 by Saunders, an imprint of Elsevier Inc. All rights reserved.

Group Work Systemic Effects of Immobilization Body System Effects Problems Prevention Cardiovascular Venous stasis Blood clot

Assessment History Physical assessment

Nursing Process Nursing Diagnoses Goals

Implementing Positioning clients appropriately Moving and turning clients in bed Transferring clients ROM Ambulating with or without use of assistive devices Prevent complications of immobility Copyright © 2014 by Elsevier Inc. All rights reserved.

Contracture

Mechanical Aids for Walking Proper fit Proper use Requirements for use General nursing considerations Client teaching Copyright © 2014, 2009 by Saunders, an imprint of Elsevier Inc. All rights reserved.

Group Work Systemic Effects of Immobilization Body System Effects Problems Prevention Cardiovascular Venous stasis Blood clot SCDs

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