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Fundamental Of Nursing :: Activity And Exercise Slide Transcript Activity and Exercise Fundamentals of Nursing Review Mobility The

ability to move freely, easily, ν rhythmically and purposefully Range of Motion The ROM of the joint is the maximum ν movement that is possible for that joint Exercise A type of physical activity defined as a ν planned, structure and repetitive bodily movement done to improve or maintain one or more components of physical fitness Types of Exercise ISOTONIC ν Dynamic exercise in which the muscle ν shortens to produce contraction and movement Running, walking, swimming, cycling ν Types of Exercise ISOMETRIC ν Are those in which there is a change in ν muscle tension but NO CHANGE in muscle length Tensing, extending and pressing ν exercises Other Types of Exercise ISOKINETIC ν Involves muscle contraction or tension ν against a resistance Aerobic exercise ν activity during which the amount of ν oxygen taken into the body is greater than that used to perform the activity Benefits of Exercise Increases joint flexibility, tone and ROM ν Bone density is maintained ν Increases cardiac output and perfusion ν Prevents pooling of secretions in the lungs ν Improves appetite and facilitate peristalsis ν Elevates the metabolic rate ν Prevents stasis of urine ν Produces a sense of well-being ν IMPAIRED PHYSICAL MOBILITY Complications of IMMOBILITY ν 1. Contractures, atrophy and stiffness ν 2. Foot drop ν 3. DVT ν 4. Hypostatic pneumonia ν 5. Pressure ulcers, skin breakdown, reduced skin turgor 6. muscle atrophy ν 7. osteoporosis ν 8. dependent edema ν 9. urine stasis ν 10. constipation IMPAIRED PHYSICAL MOBILITY ASSESSMENT ν Assess patient’s ability to move ν Assess muscle tone, strength Assess joint movement and positioning Nursing Interventions 1. Position properly to prevent contractures ν Place trochanter roll from the iliac crest to the mid-thigh to prevent EXTERNAL rotation ν Place patient on wheelchair 90 degrees with the foot resting flat on the floor/foot rest ν Place foot board or high-heeled shoes to prevent foot drop 2. Maintain muscle strength and joint mobility ν Perform passive ROME ν Perform assistive ROME ν Perform active ROME ν Move the joints three times TID 3. Promote independent mobility ν Warn patient of the orthostatic hypotension when suddenly standing upright 4. Assist patient with transfer ν Assess patient’s ability to participate ν Position yourself in front of the patient ν Lock the wheelchair or the bed wheel ν Use devices such as transfer boards, sliding boards, trapeze and sheets . Assist patient with transfer ν In general, the equipments are placed on the side of the STRONGER , UNAFFECTED body part ν Nurses assist the patient to move TOWARDS the stronger side ν In moving the patient, move to the direction FACING the nurse 5. Assist patient to prepare for ambulation ν Exercise such as quadriceps setting, gluteal setting and arm pushups Use rubber ball for hand exercise