WITH COMPLETE SOLUTIONS GRADED A++
mobility
All types of movement from one location to another.
The ability to move easily and independently
The musculoskeletal and nervous systems must be intact and functioning properly
Assessment of mobility focuses on:
- Range of Motion (ROM)
- Gait
- Exercise and activity tolerance
- Body alignment
Range of Motion (ROM)
the movement of a joint to the extent possible without causing pain
The maximum amount of movement achievable at a joint
Assessment baseline ROM
Assess joints for stiffness, swelling, pain, limited and/or unequal movement
, Nurse needs to assess type of ROM exercises patient can perform
Active ROM - patient moves joints through full ROM independently
Passive ROM exercises - nurse moves patient's joints through full ROM
Gait
Particular manner or style of walking
It is a coordinated action that requires the integration of sensory function, muscle
strength, proprioception, balance, and a properly functioning central nervous system
(vestibular system and cerebellum).
Assess patient's gait by observation for:
- (All of the following affect the risk of falling) Balance
Posture
Safety
Ability to walk with out assistance.
Activity Tolerance
Type and amount of exercise or work a patient is able to perform without undue exertion
or injury
Assess activity tolerance when planning activities such as walking, ROM exercises, or
ADLs
Monitor for dyspnea, fatigue, or chest pain
Immobility