NUR2356 /NUR 2356 Multidimensional Care I / MDC EXAM 2 REVIEW LATEST

MDC EXAM 2 REVIEW 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 • 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