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  • Mobility and Immobility Issues and Solutions

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    This document discusses the causes and effects of client immobility and provides recommendations for prevention. Major causes of immobility include pain, musculoskeletal or nervous system impairment, weakness, and depression. Benefits of rest include reducing oxygen needs and directing energy to healing. Physiologic impacts of immobility include muscle atrophy, osteoporosis, respiratory issues like atelectasis, nutritional deficiencies, urinary problems, and psychological impacts like depression. The document recommends prevention strategies addressing these issues through exercise, positioning, diet, hygiene, and encouraging independence.

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    Mobility & Immobility

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    This document discusses the causes and effects of client immobility and provides recommendations for prevention. Major causes of immobility include pain, musculoskeletal or nervous system impairment, weakness, and depression. Benefits of rest include reducing oxygen needs and directing energy to healing. Physiologic impacts of immobility include muscle atrophy, osteoporosis, respiratory issues like atelectasis, nutritional deficiencies, urinary problems, and psychological impacts like depression. The document recommends prevention strategies addressing these issues through exercise, positioning, diet, hygiene, and encouraging independence.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    59 views18 pages

    Mobility and Immobility Issues and Solutions

    Uploaded by

    ucu suparyanti
    This document discusses the causes and effects of client immobility and provides recommendations for prevention. Major causes of immobility include pain, musculoskeletal or nervous system impairment, weakness, and depression. Benefits of rest include reducing oxygen needs and directing energy to healing. Physiologic impacts of immobility include muscle atrophy, osteoporosis, respiratory issues like atelectasis, nutritional deficiencies, urinary problems, and psychological impacts like depression. The document recommends prevention strategies addressing these issues through exercise, positioning, diet, hygiene, and encouraging independence.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    of 18

    MOBILITY & IMMOBILITY

    By
    Sri Ramdaniati

    Major reasons for client immobility


    Severe pain
    Impairment of the musculoskeletal or
    nervous system
    Generalized Weakness
    Psychosocial problem e.g. depression
    Infectious processes

    Benefits of rest
    Reduces the needs of the body cells for
    oxygen because of reduce metabolism
    secondary to reduced activity
    Direct energy resources toward the healing
    process rather than toward activity
    Reduces pain in some instances, thereby
    decreasing the needs for analgesics

    Physiologic responses to
    immobility

    Musculoskeletal system
    Atropy
    Disuse osteoporosis
    Fibrosis
    Ankilosis
    Contracture

    Cardiovaskular system
    Valsava manuver
    Orthostatic
    hypotension
    Thromboplebitis
    Embolus

    Respiratory system

    Atelectasis
    Hipostatic pneumonia

    Nutritional & Metabolic System

    Anorexia
    Hypoproteinemia

    Urinary & Endocrine System


    Natriuresis
    Urine statis
    Renal calculi
    Incontinence
    Retention
    Urinary reflux

    Fecal elimination
    Constipation, due to increased adrenalin
    production, peristaltic & colon motility are
    decreased & Sphincter are more tightly
    constricted (Kottke, 1990 )
    Fecal impaction

    Integumentary system
    Skin atrophy
    Loss in skin turgor
    Decubitus ulcer formation ( Pressure Sores)
    Cause by : Pressure, friction and shearing force.
    Factors affecting the formation : moisture,
    hygiene, nutrition, body heat, anemia & mobility

    Psychological impact
    Depression
    Sleep disorder

    Preventing Problems from immobility


    Musculosceletals Problems
    - Body repositioning
    - Weight bearing activity
    - Independence in ADLs
    - Isotonic & isometric exercise
    - ROM exercise
    - Resistive exercise

    Cardiovascular problems
    Movement & exercise
    Discouraging use of valsava maneuver
    Regaining peripheral vasoconstriction with
    vertical postures
    Elastic stocking
    Protective leg positioning

    Respiratory problems
    Deep breathing & coughing exercise
    Diapragmatic abdominal breathing
    exercise
    Turning, positioning & exercise

    Metabolic & nutritional problems


    Diet
    Vitamin & mineral supplement
    Weight bearing & exercise
    Parenteral & enteral dietary supplements

    Urinary & Endocrine problems


    Turning, repositioning & exercise
    Improving hydration
    Perineal hygiene
    Acidifying the urine
    Position & relaxation for urination
    Urinary Catheterization
    Preventing urinary incontinence

    Fecal elimination problems


    Movement & exercise

    Neurosensory Problems
    Turning, repositioning & exercise
    Increasing tactile stimuli

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