1. Concept: Mobility

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

3. Systemic Effects of Immobility
Collaborative Learning
In your learning group make a concept map reflecting the systemic effects of immobility.

4. 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.

5. Topic:
Knowledge Base
Intervention

6. 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

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

8. 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)

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

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

11. 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

12. Cardiovascular Changes Orthostatic hypotension and thrombus
Assessment
Plan

13. Musculoskeletal changes osteoporosis, joint contracture, footdrop
Assessment
Plan

14. Urinary Elimination Changes Urinary status & renal calculi
Assessment
Plan

15. Bowel elimination changes constipation
Assessment
Plan

16. Integumentary changes Pressure ulcers
Assessment
Plan

17. Psychosocial Effects Depression
Assessment
Plan