1. Chapter 34 Mobility Fundamentals of Nursing: Standards & Practices, 2E

2.  Copyright 2002 by Delmar, a division of Thomson Learning 34-2 Overview of Mobility  Body Alignment refers to the position of body parts in relation to each other.  Body Mechanics Range of motion reflects the extent to which a joint can move.

3.  Copyright 2002 by Delmar, a division of Thomson Learning 34-3 Physiology of Mobility  The Musculoskeletal System Review Table 34-1 on the musculoskeletal system components  Nervous System Proprioception Postural Reflexes  Review Table 34-3 on reflexes that maintain postural tonus

4.  Copyright 2002 by Delmar, a division of Thomson Learning 34-4 Exercise  Types of Exercises Range-of-Motion Exercise  Physical Fitness Endurance and Strength Joint Flexibility Cardiorespiratory Fitness Body Composition Fitness in Older Adults

5.  Copyright 2002 by Delmar, a division of Thomson Learning 34-5 Factors Affecting Mobility  Health Status  Developmental Stage Children Adolescents Adults

6.  Copyright 2002 by Delmar, a division of Thomson Learning 34-6  Environment Review Nursing Tip on ensuring home safety  Attitudes and Beliefs  Lifestyle

7.  Copyright 2002 by Delmar, a division of Thomson Learning 34-7 Physiological Effects of Mobility and Immobility  Neurological Effects  Cardiovascular Effects  Respiratory Effects  Musculoskeletal Effects  Digestive Effects  Elimination Effects  Integumentary Effects

8.  Copyright 2002 by Delmar, a division of Thomson Learning 34-8 Assessment  Health History  Physical Examination Musculoskeletal Assessment Movement and Gait Alignment Endurance

9.  Copyright 2002 by Delmar, a division of Thomson Learning 34-9 Pathological Alterations Neurological Assessment Functional Assessment

10.  Copyright 2002 by Delmar, a division of Thomson Learning 34-10 Nursing Diagnosis  NANDA-approved diagnoses Activity Intolerance Impaired Physical Mobility Risk of Disuse Syndrome Self-Care Deficits Altered Health Maintenance Risks for Falls

11.  Copyright 2002 by Delmar, a division of Thomson Learning 34-11 Planning and Outcome Identification  Bed Rest  Restorative Nursing Care  Health Promotion and Fitness

12.  Copyright 2002 by Delmar, a division of Thomson Learning 34-12 Implementation  Meeting Psychosocial Needs  Applying Principles of Body Mechanics Review Procedure 34-1 on practicing proper body mechanics

13.  Copyright 2002 by Delmar, a division of Thomson Learning 34-13  Maintaining Body Alignment: Positioning Review Procedure 34-2 on positioning a client in bed Review Procedure 34-3 on performing range-of-motion (ROM) exercises  Transfer Techniques Moving Clients

14.  Copyright 2002 by Delmar, a division of Thomson Learning 34-14 Review Procedure 34-4 on moving a client in bed Review Procedure 34-5 on logrolling a client Transferring from Bed to Chair Review Procedure 34-6 on transferring a client from bed to chair

15.  Copyright 2002 by Delmar, a division of Thomson Learning 34-15  Splints Transferring from Bed to Stretcher Review Procedure 34-7 on transferring a client from bed to stretcher with minimum assistance

16.  Copyright 2002 by Delmar, a division of Thomson Learning 34-16 Review Procedure 34-8 on transferring a client from bed to stretcher with maximum assistance Assistive Devices Review Procedure 34-9 on using a hydraulic (mechanical) lift

17.  Copyright 2002 by Delmar, a division of Thomson Learning 34-17  Assisting with Ambulation Preparing the Client to Walk Review Procedure 34-10 on assisting a client with ambulation Assistive Devices Review Table 34-17 on assistive devices for ambulation

18.  Copyright 2002 by Delmar, a division of Thomson Learning 34-18 Review Procedure 34-11 on assisting a client with crutch walking  Wellness Promotion  Complementary Treatment Modalities

19.  Copyright 2002 by Delmar, a division of Thomson Learning 34-19 Evaluation  Measures of physical assessment, functional assessment, and performance of ADLs are used for follow-up evaluation of client’s status for activity and mobility.  Ongoing assessment of client’s activity and mobility is important because compliance with home exercise programs may lessen over time after discharge.

20.  Copyright 2002 by Delmar, a division of Thomson Learning 34-20  The nurse should observe the client in the home setting to note the client’s ability to function within his or her own environment.