Week 7 - Mobility

Question 1

what are some possible causes for impairments in mobility (6)

Answer 1

• genetic
• demyelination of nerve fibers
• degeneration of neurons in brain
• degeneration of motor neurons
• injury to bone (ex. fractures)
• injury to spinal cord (vertebra or edema pushing on cord)

Question 2

what is an example of a genetic/inherited disease that impacts mobility

Answer 2

• duchenne muscular dystrophy

Question 3

what are some examples of diseases that impact mobility (4)

Answer 3

• MS
• ALS
• GBS
• lupus

Question 4

what are some examples of injuries that impact mobility (3)

Answer 4

• spinal cord injury
• TBI
• fractures

Question 5

how might changes to mobility impact a pt (3)

Answer 5

impact their:

• mind
• body (each system)
• future

Question 6

what impact might impaired mobility have on the pt’s mind (7)

Answer 6

• physical and mental fatigue
• impact their self identity
• depression
• impact their independence
• awareness of how they will die
• mood swings
• changes to behavior

Question 7

what impact can impaired mobility have on the CNS (3)

Answer 7

• pain
• fatigue
• emotional issues

Question 8

what impact can impaired mobility have on the CVS

Answer 8

• r/o clots

Question 9

what impact can impaired mobility have on the resp system (3)

Answer 9

• risk of PE
• pneumonia
• can decrease or stop cough and gage reflex

Question 10

what impact can impaired mobility have on the GI system (4)

Answer 10

• constipation
• incont
• impact ability to swallow
• increased risk of aspiration

Question 11

what impact does impaired mobility have on the GU system (3)

Answer 11

• retention
• incont
• risk of UTIs

Question 12

what psychosocial impact does impaired mobility have

Answer 12

• may cause social isolation

Question 13

what nursing interventions can be done r/t impaired mobility (5)

Answer 13

• resp system assessment and mngmt
• body & limb alignment
• turning/repositioning
• assess body & mind
• help pt & fam plan for/accept their future

Question 14

what nursing interventions r/t to the resp system can be done for impaired mobility (9)

Answer 14

• ensure clearance
• assess gag, cough reflex, risk of aspiration
• suction
• oral care
• assess resp system
• lung sounds
• assess S+S pneumonia, PE, atelectasis
• DB+C
• turning

Question 15

what nursing interventions can be done r/t body/limb alignment with impaired mobility (6)

Answer 15

• skin assessment
• keep skin clean & dry
• turn q2h
• prevent and assess for ulcers
• monitor for contractures
• ROM exercises

Question 16

what nursing interventions can be done for turning/repositioning r/t impaired mobility (2)

Answer 16

• assess for S&S of DVT, pneumonia, PE, ulcers, contractures

- turn q2h

Question 17

why might meds be used for mobility issues (9)

Answer 17

• slow disease progression
• prevent clots
• manage pain
• decrease muscle spasms
• antidepressants
• decrease fatigue
• GI issues (ex. prevent constipation)
• GU issues (ex. for bladder spasms, antibiotics if UTI)
• maintain general health

Question 18

what are 3 examples of meds used to prevent clot

Answer 18

• heparin
• dalteparin
• apixeberin

Question 19

what med is used for neuropathic pain

Answer 19

• gabapentin

Question 20

what med is used to decrease muscle spasms

Answer 20

• baclofen

Question 21

what are some examples of equipments needed and used for pts with mobility issues

Answer 21

• assistive devices (wheelchairs, braces, canes)
• splints
• aspen collar
• roho cushions, pillows
• lifts
• pressure relieving mattresses
• turning sheets/sliders
• transfer boards
• staff to assist w moving, lifting, and transferring
• sequential compression device
• binders
• prosthetics
• assistive devices for feeding, writing, bathing
• communication boards
• spirometer
• feeding tubes
• urinary cath

Question 22

what is the aspen collar used forq

Answer 22

• stabilization for a cervical injury