ACTIVITY /MOBILITY Promoting Healthy Physiologic Responses

Necessary Skills To promote Healthy Physiologic Responses Cognitive SkillsCognitive Skills Technical SkillsTechnical Skills Interpersonal SkillsInterpersonal Skills Ethical/Legal SkillsEthical/Legal Skills

Define Key Terms Table 38-1 AbductionAdductionCircumduction FlexionExtensionHyperextension DorsiflexionPlanter FlexionRotation Internal rotationExternal 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 ImprovementsCardiovascular Improvements Respiratory ImprovementsRespiratory Improvements Musculoskeletal ImprovementsMusculoskeletal Improvements Psychosocial and Cognitive ImprovementsPsychosocial and Cognitive Improvements Improve sleepImprove sleep Improve bowel functionImprove bowel function Improve energy levelImprove energy level

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

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

RISK RELATED TO EXERCISE PRECIPITATING A CARDIAC EVENTPRECIPITATING A CARDIAC EVENT ORTHOPEDIC DISCOMFORT & DISABILITYORTHOPEDIC DISCOMFORT & DISABILITY ORTHOPEDIC PROBLEMS CAUSED BY IRRITATION OF BONES TENDONS, LIGAMENTS & SOMETIMES MUSCLESORTHOPEDIC 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 activesUses principles of body mechanic’s in both leisure & work actives Exercise regularExercise regular Maintains appropriate weight for heightMaintains appropriate weight for height Adequate muscle mass, tone and strengthAdequate muscle mass, tone and strength

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

Physical Assessment Body alignmentBody alignment mobility mobility activity intoleranceactivity intolerance

DIAGNOSING Example of nursing diagnosis that correctly identify mobility problems amendable to nursing therapy.Example of nursing diagnosis that correctly identify mobility problems amendable to nursing therapy. Activity intolerance r/t dyspnea shortness of breath (SOB).Activity intolerance r/t dyspnea shortness of breath (SOB). Impaired physical mobility r/t limited range of motion (ROM)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.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 patientsPositioning patients Assisting with range of motion exercisesAssisting with range of motion exercises Moving and lifting the patientMoving and lifting the patient Logrolling a patientLogrolling a patient Using a hydraulic liftUsing a hydraulic lift Helping patients ambulateHelping patients ambulate Designing exercise programsDesigning exercise programs Teaching exercise benefits to populations at riskTeaching exercise benefits to populations at risk

EVALUATING Was goal met?Was goal met? Did we assign enough time to meet goalDid we assign enough time to meet goal Was goal unrealisticWas goal unrealistic Does goal need modifyingDoes goal need modifying Should we start over by writing new goalShould we start over by writing new goal

NURSING PROCESS IN CLINICAL PRACTICE: Activity intoleranceActivity intolerance Impaired physical mobilityImpaired physical mobility Risk for injury, complications of immobilityRisk for injury, complications of immobility Altered health maintenance: Lack of exercise program 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)Become familiar with the patient care study’s at the end of the chapter. (FYI)