lOMoARcPSD|3013804
MDC EXAM 2 Review 11 19 19
Multidimensional Care II (Rasmussen
University)
)
, lOMoARcPSD|3013804
MDC EXAM 2 REVIEW 11:19:19
1. The effects of Immobility
a) Interventions that improve flexibility
P.R.E.P.(Perform passive ROM, Reposition Q2HR, Encourage independent activity
as much as possible even in bedrest, Provide assistive devices)
Know examples of exercises for flexibility
b) Assessment/ Findings of a patient with DVT
Assessment
(1) Compare distal pulses for pulse quality, observe the color and temp. of
extremities, evaluate sensation and motion, and determine speed of capillary
refill. Compare calf circumferences.
Findings
(1) Redness, warmth, tenderness, swelling (Thrombus formation), Peripheral and
sacral edema.
c) Identify patients at risk for skin breakdown
Older adults, immobile, cognitive impairments, incontinence, poor nutrition/
malnutrition. Medications may also cause vasoconstriction and result in poor tissue
perfusion.
2. Benefits of Exercise
a) Rationale for weight bearing exercise
Promotes bone reformation and growth (Makes bones stronger)
At least 3-5 times a week
Identify benefits of exercise
Bone reformation and growth
Cardiovascular health promotion
Promotes balance and stability
Reduce stress and increase energy levels
b) Identify benefits of exercise
Bone reformation and growth
, lOMoARcPSD|3013804
Cardiovascular health promotion
Promotes balance and stability
Reduce stress and increase energy levels
Improves pulmonary circulation, skeletal development, skin tone
Reduces systemic inflammation
c) Identify negative effects of immobility on musculoskeletal system
Osteoarthritis
Rheumatoid Arthritis
Loss of muscle strength
Impaired balance
Altered join mobility
Decreased stability
Osteoporosis
Depression, isolation, anxiety, and mood change
Can cause decreased peristalsis
d) Explain ways to maintain proper posture for a client
Place the spine in a neutral position(Resting)
This allows the bones to be aligned, reduce stress and fatigue & muscle joints, and
ligament can work efficiently
Avoid standing in 1 position for a long period of time
Do not lock your knees when standing
Keep core tight and don’t bend at the waist or neck
No slumping when sitting
Sit close to your work and use back support
Sit with feet flat on floor
Sleep on firm mattress
Do not wear high heels for a prolonged time, do not slump, and use a chair that
supports your back.
MDC EXAM 2 Review 11 19 19
Multidimensional Care II (Rasmussen
University)
)
, lOMoARcPSD|3013804
MDC EXAM 2 REVIEW 11:19:19
1. The effects of Immobility
a) Interventions that improve flexibility
P.R.E.P.(Perform passive ROM, Reposition Q2HR, Encourage independent activity
as much as possible even in bedrest, Provide assistive devices)
Know examples of exercises for flexibility
b) Assessment/ Findings of a patient with DVT
Assessment
(1) Compare distal pulses for pulse quality, observe the color and temp. of
extremities, evaluate sensation and motion, and determine speed of capillary
refill. Compare calf circumferences.
Findings
(1) Redness, warmth, tenderness, swelling (Thrombus formation), Peripheral and
sacral edema.
c) Identify patients at risk for skin breakdown
Older adults, immobile, cognitive impairments, incontinence, poor nutrition/
malnutrition. Medications may also cause vasoconstriction and result in poor tissue
perfusion.
2. Benefits of Exercise
a) Rationale for weight bearing exercise
Promotes bone reformation and growth (Makes bones stronger)
At least 3-5 times a week
Identify benefits of exercise
Bone reformation and growth
Cardiovascular health promotion
Promotes balance and stability
Reduce stress and increase energy levels
b) Identify benefits of exercise
Bone reformation and growth
, lOMoARcPSD|3013804
Cardiovascular health promotion
Promotes balance and stability
Reduce stress and increase energy levels
Improves pulmonary circulation, skeletal development, skin tone
Reduces systemic inflammation
c) Identify negative effects of immobility on musculoskeletal system
Osteoarthritis
Rheumatoid Arthritis
Loss of muscle strength
Impaired balance
Altered join mobility
Decreased stability
Osteoporosis
Depression, isolation, anxiety, and mood change
Can cause decreased peristalsis
d) Explain ways to maintain proper posture for a client
Place the spine in a neutral position(Resting)
This allows the bones to be aligned, reduce stress and fatigue & muscle joints, and
ligament can work efficiently
Avoid standing in 1 position for a long period of time
Do not lock your knees when standing
Keep core tight and don’t bend at the waist or neck
No slumping when sitting
Sit close to your work and use back support
Sit with feet flat on floor
Sleep on firm mattress
Do not wear high heels for a prolonged time, do not slump, and use a chair that
supports your back.
