NUR2356: Multidimensional Care I / MDC 1 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