Preventing the Complications
of Immobility
NATCEP Day Twenty-Eight
Objectives
List the negative effects of immobility on
the body
Describe activities that promote selfcare
Define range of m...
Nurses use the nursing process to
promote exercise and activity in all
persons to the extent possible.
To help promote exe...
Bedrest
Generally bedrest is ordered to:
Reduce physical activity
Reduce pain
Encourage rest
Regain strength
Promote heali...
Types of Bedrest
Strict bedrest
Everything is done for the person
Bedrest
Some activities of daily living (ADL) are
allow...
Complications of Bedrest
and/or Immobility
Skin: Pressure ulcers
Muscles: Atrophy
Joints: Contractures
Bones: Lose Calcium...
Good nursing care prevents
complications from bedrest.
Encourage self care
Frequent position changes
These are part of the...
What You Can Do – Prevention
Change a
resident’s position
every 2 hours or
more frequently
based on the
resident’s plan of...
Promote Activity
through Self Care
Encourage to feed self
Encourage to groom and/or dress self
Encourage to independently ...
Exercise – encourage the resident to be
active!
Exercise helps prevent:
Contractures
Muscle atrophy
Other complications of...
Elastic Stockings
Used to exert pressure on the
veins, promoting the return of venous blood
to the heart – check plan of c...
Elastic Stockings
Information you need from the care plan
and nurse before apply:
Size
Length
When to remove and for how l...
Devices for support or maintaining
position
Splints: Keep joints in a normal position
Slide 13
Trapeze
Used for exercises to strengthen arm
muscles
To move up and turn in bed
Slide 14
Bed Cradles
Keep the weight of
top linens off the
feet and toes
Slide 15
Foot Boards
Placed at the foot of the mattress to
prevent plantar flexion that leads to foot
drop (foot falls at ankle per...
Trochanter Rolls
Prevent the hip and
legs from turning
outward
Slide 17
Hip Abduction Wedge
A wedge to keep the hips abducted –
away from the midline
Slide 18
RANGE-OF-MOTION
EXERCISES
Range-of-motion exercises involve moving
the joints through their complete range of
motion.
Acti...
Key Terms
Abduction
Move body part away from the midline of the body
Adduction
Move body part toward the midline of the...
More Key Terms
Rotation
Turning the joint
Internal Rotation
Turning the joint inward
External Rotation
Turning the jo...
Joints to be Exercised
Neck
Shoulder
Elbow
Wrist
Fingers
Hip
Knee
Ankle
Toes
Slide 22
Safety Considerations
NEVER FORCE A JOINT TO MOVE; only
exercise to the point of pain
NEVER perform therapies unless you
h...
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Natcep day 28

Published on: Mar 3, 2016
Published in: Education      
Source: www.slideshare.net


Transcripts - Natcep day 28

  • 1. Preventing the Complications of Immobility NATCEP Day Twenty-Eight
  • 2. Objectives List the negative effects of immobility on the body Describe activities that promote selfcare Define range of motion (ROM) Describe ROM exercises for all joints including safety measures Identify measures that help prevent complications of immobility Slide 2
  • 3. Nurses use the nursing process to promote exercise and activity in all persons to the extent possible. To help promote exercise and activity, you need to understand: Bedrest How to prevent complications from bedrest How to help with exercise Slide 3
  • 4. Bedrest Generally bedrest is ordered to: Reduce physical activity Reduce pain Encourage rest Regain strength Promote healing Slide 4
  • 5. Types of Bedrest Strict bedrest Everything is done for the person Bedrest Some activities of daily living (ADL) are allowed. Bedrest with commode privileges Bedrest with bathroom privileges (bedrest with BRP) Slide 5
  • 6. Complications of Bedrest and/or Immobility Skin: Pressure ulcers Muscles: Atrophy Joints: Contractures Bones: Lose Calcium = become brittle & weak Kidneys: stones (calcium) Bladder: stagnant urine = infections Bowel Function: Constipation and fecal impaction Lungs: Fluid collects = Pneumonia (inflammation and infection of the lung) Circulation: sluggish = blood clots, especially in the lower legs Slide 6
  • 7. Good nursing care prevents complications from bedrest. Encourage self care Frequent position changes These are part of the care plan. Good alignment Range-of-motion exercises Slide 7
  • 8. What You Can Do – Prevention Change a resident’s position every 2 hours or more frequently based on the resident’s plan of care Sitting in chair? Change position every hour in chair Slide 8
  • 9. Promote Activity through Self Care Encourage to feed self Encourage to groom and/or dress self Encourage to independently performs ADLs Promote use assistive devices as needed Assist with bladder and bowel training Slide 9
  • 10. Exercise – encourage the resident to be active! Exercise helps prevent: Contractures Muscle atrophy Other complications of bedrest Some exercise occurs: With ADL Planned Activities When turning and moving in bed without help Hydration! Slide 10
  • 11. Elastic Stockings Used to exert pressure on the veins, promoting the return of venous blood to the heart – check plan of care Slide 11
  • 12. Elastic Stockings Information you need from the care plan and nurse before apply: Size Length When to remove and for how long Typically on for 8 hours and off for 30 minutes What observations to report and record When applied and/ or removed Skin color and temperature Leg and foot swelling Signs of skin breakdown Complaints of numbness and/or tingling When you washed stockings Slide 12
  • 13. Devices for support or maintaining position Splints: Keep joints in a normal position Slide 13
  • 14. Trapeze Used for exercises to strengthen arm muscles To move up and turn in bed Slide 14
  • 15. Bed Cradles Keep the weight of top linens off the feet and toes Slide 15
  • 16. Foot Boards Placed at the foot of the mattress to prevent plantar flexion that leads to foot drop (foot falls at ankle permanently) Slide 16
  • 17. Trochanter Rolls Prevent the hip and legs from turning outward Slide 17
  • 18. Hip Abduction Wedge A wedge to keep the hips abducted – away from the midline Slide 18
  • 19. RANGE-OF-MOTION EXERCISES Range-of-motion exercises involve moving the joints through their complete range of motion. Active range-of-motion exercises are done by the person. With passive range-of-motion exercises, someone moves the joints through their range of motion. With active-assistive range-of-motion exercises, the person does the exercises with some help. Slide 19
  • 20. Key Terms Abduction Move body part away from the midline of the body Adduction Move body part toward the midline of the body Extension Straightening a body part Flexion Bending a body part Hyperextension Excessive straightening of a body part Dorsiflexon Bending the toes and foot at the ankle Slide 20
  • 21. More Key Terms Rotation Turning the joint Internal Rotation Turning the joint inward External Rotation Turning the joint outward Plantar Flexion Bending the foot down at the ankle Pronation Turning the joint downward Supination Turning the joint upward Slide 21
  • 22. Joints to be Exercised Neck Shoulder Elbow Wrist Fingers Hip Knee Ankle Toes Slide 22
  • 23. Safety Considerations NEVER FORCE A JOINT TO MOVE; only exercise to the point of pain NEVER perform therapies unless you have been trained and approved by your facility Slide 23