NUR 212: Concepts of Nursing Care of the Adult I
Pre class assignment: Week 5
Concepts: Mobility and Sensory Perception
Task
Clustering related information
Predicting and managing potential complications
Giddens describes physiologic consequences (potential complications) of immobility.
List these below. Identify nursing interventions specific to each complication.
Potential complication Nursing interventions
Monitor the patient PT/INR, give Rx anticoagulant, monitor for DVTs,
Blood clot cap refill, skin assessment-warmth redness tenderness
Skin checks often, keep patient clean and dry, if incontinent change
Possible skin the soiled linen and provide barrier cream. Ensure STNAs are giving
breakdown the patient proper hygiene needs/bathing
Encourage deep breath, use incentive spirometer, turning and
Risk of pneumonia repositioning, monitor if a smoker
Monitor bowel schedule, give Rx med if no BM after three days, give
constipation stool softeners, encourage fluids if not on restrictions
Ensure safety precautions monitor for falls and provide safety barriers
Bone demineralization (alarms, fall pads, call light in reach) obtain order for PT eval
Proper diet, give/assist with ROM. Safety measures in place.
Muscle wasting
Encourage the patient to attend activities and socialize with others.
Mood Allow the patient to voice concerns. Monitor for mood changes give
changes/depression Rx meds as ordered
Updated 12/17/19 Page 1 of 11
, NUR 212: Concepts of Nursing Care of the Adult I
Pre class assignment: Week 5
Task
Clustering related information
For the each of the 6 interrelated concepts below, describe how it can have an impact
on sensory perception, or how it can be impacted by problems with sensory perception.
Add other interrelated concepts and describe similarly.
Concept Impact
Interpersonal
relationships
Intracranial regulation If trauma occurs in the brain (cerebrum) the patient may suffer from
issues with vision, hearing, may be extra emotional.
Nutrition If a patients taste/smell is altered (such as a chemo patient) the
nutritional intake may suffer and the patient may not be eating or
wanting to eat
Pain Affects the patient at all levels. Neurological disorders can affect the
patient. Some patients may not feel any pain such as patients who
are paralysis. Others may feel any sign of pain and may be more
intense that normal such as patients who suffer fibromyalgia.
Development Affects children more so, they may be with delayed
language/communication, speech issues. May be from genetics,
trauma or lack of prenatal care.
Mobility May suffer neurologic impairments may be cause of trauma or the
patient may suffer from strokes
Patient may suffer from dementia and may not be able to remember.
Cognition Or patient may have mental retardation where they don’t understand
motor skills, ADL needs.
Updated 12/17/19 Page 2 of 11
Pre class assignment: Week 5
Concepts: Mobility and Sensory Perception
Task
Clustering related information
Predicting and managing potential complications
Giddens describes physiologic consequences (potential complications) of immobility.
List these below. Identify nursing interventions specific to each complication.
Potential complication Nursing interventions
Monitor the patient PT/INR, give Rx anticoagulant, monitor for DVTs,
Blood clot cap refill, skin assessment-warmth redness tenderness
Skin checks often, keep patient clean and dry, if incontinent change
Possible skin the soiled linen and provide barrier cream. Ensure STNAs are giving
breakdown the patient proper hygiene needs/bathing
Encourage deep breath, use incentive spirometer, turning and
Risk of pneumonia repositioning, monitor if a smoker
Monitor bowel schedule, give Rx med if no BM after three days, give
constipation stool softeners, encourage fluids if not on restrictions
Ensure safety precautions monitor for falls and provide safety barriers
Bone demineralization (alarms, fall pads, call light in reach) obtain order for PT eval
Proper diet, give/assist with ROM. Safety measures in place.
Muscle wasting
Encourage the patient to attend activities and socialize with others.
Mood Allow the patient to voice concerns. Monitor for mood changes give
changes/depression Rx meds as ordered
Updated 12/17/19 Page 1 of 11
, NUR 212: Concepts of Nursing Care of the Adult I
Pre class assignment: Week 5
Task
Clustering related information
For the each of the 6 interrelated concepts below, describe how it can have an impact
on sensory perception, or how it can be impacted by problems with sensory perception.
Add other interrelated concepts and describe similarly.
Concept Impact
Interpersonal
relationships
Intracranial regulation If trauma occurs in the brain (cerebrum) the patient may suffer from
issues with vision, hearing, may be extra emotional.
Nutrition If a patients taste/smell is altered (such as a chemo patient) the
nutritional intake may suffer and the patient may not be eating or
wanting to eat
Pain Affects the patient at all levels. Neurological disorders can affect the
patient. Some patients may not feel any pain such as patients who
are paralysis. Others may feel any sign of pain and may be more
intense that normal such as patients who suffer fibromyalgia.
Development Affects children more so, they may be with delayed
language/communication, speech issues. May be from genetics,
trauma or lack of prenatal care.
Mobility May suffer neurologic impairments may be cause of trauma or the
patient may suffer from strokes
Patient may suffer from dementia and may not be able to remember.
Cognition Or patient may have mental retardation where they don’t understand
motor skills, ADL needs.
Updated 12/17/19 Page 2 of 11
