MULTIDIMENSIONAL CARE I
EXAM 2 MDC 1 EXAM 2
FINAL REVIEW HIGHLY
RATED 2
, NUR 2356 MULTIDIMENSIONAL CARE I EXAM 2 FINAL REVIEW
HIGHLY RATED COMPLETE GUIDE OF LATEST FALL
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