isotonic contraction
tension in a muscle remains the same as the length of a muscle changes (bicep curl)
BMAT 2.0 four steps
sit and shake: sit up and shake m y hand
stretch: stretch iut elg and pump up and down
stand
step: take step forward and back
disuse atrophy
when cells and tissue reduce in size and function in response to prolonged activity
-move it or lose it
immobility metabolic changes
decreased metabolic rate/burn less calories
decreased peristalsis
constipation -> fecal impaction
calcium RESORPTION (loss)
immobility respiratory changes
atelectasis (alveoli collapse)
hypostatic pneumonia (inflammation of the lung from pooling of secretions or stasis)
immobility cardiovascular changes
orthostatic hypotension: significant drop in blood pressure when patient goes from sitting to standing
increased cardiac workload
thrombus: blood clot in the wall of artery or vein
immobility musculoskeletal changes
decreased body and muscle mass
increased fatigue
impaired calcium metabolism (osteoporosis)
joint contracture: fixation of a joint (ex: foot drop)
immobility urinary changes
urinary stasis: condition where urine remains in the bladder for an extended period, leading to a buildup of fluid and complications
increased risks of UTIs
renal calculi (kidney stones)
immobility integumentary changes
pressure ulcer
increased moisture
respiratory intervention
listen to lungs and monitor O2 sats (shouldnt be below 90) q2h
use incentive spirometer!
musculoskeletal intervention
passive ROM eprformed by nurse
active ROM performed by patient
reposition and turn patient q2h
urinary intervention
monitor intake and output
encourage fluids
gastrointestinal intervention
monitor intake and output
administer laxatives as ordered
cardiovascular intervention
ambulate (move around/walk) patient
monitor BP and O2
apply compression stockings
metabolic intervention
encourage high protein and caloric food
physical assessment 6 Ps
pain: scale 0-10
pulses
paralysis
pallor: skin color changes
paresthesia: changes in sensation
pressure: swelling
osteoarthritis
slow progressive non-inflammatory disorder of synovial joints
heberden’s nodes
end of fingers
bouchard’s nodes
middle of fingers
ice is to
reduce swelling
heat is to
reduce stiffness
what screening can detect osteoporosis
bone density scans
what screening can detect scoliosis
spinal screenings
Analyze physical assessments applicable to Mobility across the lifespan
-Assessing ROM
-Inspection and palpation