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Activity Lynn 11
Activity Damelio
Question | Answer |
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R.O.M. stands for | Range of Motion |
Name 4 effects of immobility on the cardiovascular system. | 1)venous stasis2)increased cardiac workload due to dehydration 3) clots formed by slow flowing blood 4)orthostatic hypotension |
Name effects of immobility on the respiratory system: | hypostatic pneumonia is a real threat. Atelectasis (lung atrophy from incomplete expansion), impaired coughing. |
Name effects of immobility on the musculoskeletal system: | Atrophy, contracture, ankylosis (immobility of a joint)osteoporosis (lack of stress on bone causes an increase in calcium) |
Name effects of immobility on the nervous system: | altered sensation, lack of feeling, peripheral nerve palsy |
Name effects of immobility on the GI system: | Disturbance in appetite, decreased motility, constipation, altered protein metabolism |
Name effects of immobility on the integumentary system: | Risk of skin breakdown, ulcers |
Name effects of immobility on the urinary system: | kidney stones (renal calculi), UTI, decreased bladder muscle |
Name effects of immobility on the metabolism: | increased risk of electrolyte imbalance, increased protein breakdown (neg. nitrogen balance), decreased metabolism, altered exchange of nutrients and gases |
Name effects of immobility on the psychosocial system: | decrease in self-esteem, body image distortions, decrease in sensory stimulation, decreased social interaction. |
Purposes of exercise for immobile patients | 1)maintain joint mobiity 2)prevent contracture 3)stimulate circulation 4)improve coordination 5)increase tolerance for activity 6)strength |
5 Types of exercises: Passive | 1.Passive are completely done by nurse |
Active Assistive | 2)Patient performs but has assistance from nurse |
Active | 3)patient does all alone to increase strength |
Resistive | 4)pulling or pushing against something |
Isometric | flex and relax muscles while in a fixed position. |
Flexion | state of being bent |
Extension | state of being in a straight line |
hyperextension | exaggerated extension |
Abduction | to move a limb AWAY from the body |
Adduction | to move a limb toward (ADD) the body |
Rotation | movement around an axis (like saying NO) |
circumduction | the whole enchilada (like arm circles) |
supination | palms or soles turned upward (Soup Please) |
pronation | palms or sole turned downward |
How often should ROM exercises be done? | At least two times a day. |
What do you include in ROM documentation? | evaluate in terms of fatigue, discomfort, and joint mobility. |