Professional Documents
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Activity (Ch. 33) Recording
Activity (Ch. 33) Recording
Activity (Ch. 33) Recording
33
2. D e sc r i b e t h e e ff e c t s o f e x e r c i s e a n d i m m o b i l i ty o n m a j o r b o d y
systems
3. A s s e s s b o d y a l i g n m e n t , m o b i l i t y, a n d a c t i v i t y to l e ra n c e
4. D e ve l o p n u r s i n g d i a g n o s e s t h a t c o r r e c t l y i d e n t i f y m o b i l i t y
p r o b l e m s t h a t c a n b e m a n a g e d w i t h n u r s i n g i n t e r ve n t i o n s
5. U s e s a fe p a t i e n t h a n d l i n g a n d m o ve m e n t t e c h n i q u e s w h e n
p o s i t i o n i n g , m ov i n g , l i f t i n g , a n d a m b u l a t i n g p a t i e n t s
PHYSIOLOGY
OF MOVEMENT
Purposeful, coordinated
movement of the body
and maintenance of
alignment require
integrated functioning of
the musculoskeletal and
nervous systems.
Skeletal System
Supports soft tissues
• Ske le ta l
• Ca r di a c
• Smoo th /V is c era l
Funct i on:
• Mot i on
• Ma i nte na nc e of p os tur e
• Sup p or t
• H e at p r od uct i on
Nervous
System
Neurons conduct
impulses between
diff erent par ts of the
body thereby moving
the muscular and
skeletal systems.
Normal Movement
and Alignment
Body Alignment or
Posture
Balance
Coordinated Body
Movement
Developmental Physical
Mental Health Lifestyle
Considerations Health
• Joint mobility
• Tr a u m a t o t h e m u s c u l o s k e l e t a l s y s t e m
Cardiovascular system
Respirator y system
Gastrointestinal system
Urinar y system
Eff ects of Exercise and Immobility on
the Body cont’d
Musculoskeletal system
Metabolic processes
Integumentar y system
Psychosocial outlook
The Nursing Process for Activity:
Assessing
Nursing History Physical Assessment
Diagnosing (Problem)
Re c o g n i z i n g c u e s t h a t i n d i c a t e b o t h p o t e n t i a l a n d
actual problems is essential when analyzing data
a b o u t a p a t i e n t ’s m o b i l i t y s t a t u s .
E x a m p l e s o f N u r s i n g d i a g n o s e s r e l a t e d t o m o b i l i ty :
• A c t i v i t y I n to l e ra n c e
• S e l f- C a r e D e fi c i t
• R i s k fo r I n j u r y
• R i s k fo r C o n s t i p a t i o n
The Nursing Process for Activity:
Planning
Individualize the outcomes.
Implementing
Evaluating
• Nurses routinely lift, carr y, push, pull, and move objects and
people
• U s e l o n g e s t a n d s t r o n g e s t m u s c l e s t o p r ov i d e p o w e r
• Wo r k c l o s e l y t o o b j e c t s t h a t n e e d t o b e l i f t e d o r m o v e d
• Av o i d t w i s t i n g t h e b o d y
• Ta k e b r e a k s a n d b r e a k u p h e a v y l o a d s i n t o s m a l l e r l o a d s
Ensure Safe Patient Handling
and Movement
Safe patient transfers
Gait belts
Lateral-assist devices
Friction-reducing sheets
Transfer chairs
Fo a m w e d g e s a n d p i l l o w s
Mattresses
Ad j u s t a b l e b e d s
Tra p e z e b a r
Tr o c h a n t e r r o l l s
Splints
S i d e ra i l s
* P r e v e n t Fo o t D r o p – u s e e q u i p m e n t a n d t e n t b e d d i n g
Patient
Positioning
Prone position Side lying/lateral
Fowler’s positioning:
High- Fowler’s
Semi-Fowler’s
Low-Fowler’s Sims’ position Supine
Graduated compression
stockings and Pneumatic
compression devices
TED hose
Sequential devices
Assisting the patient
to reposition
Tu r n i n g t h e p a t i e n t i n b e d
M ov i n g t h e p a t i e n t u p i n b e d
M ov i n g p a t i e n t f r o m b e d t o s t r e t c h e r
M ov i n g p a t i e n t f r o m b e d t o c h a i r
A s s i s t i n g w i t h ra n g e o f m o t i o n e x e r c i s e s
• Wa l k e r
• Cane
• Braces
• Crutches
"He who has health has
hope, and he who has
hope has ever ything."
~Arabian proverb
Test Prep
(Example NCLEX question)
Th e nu rse wri tes a c lien t problem of “a ctivity intolera nc e” for a clien t diagnosed
w ith an emi a. Wh ic h int er ven tions should th e nu rse im plem en t? Select all that
ap ply.
Test-taking Hint
Read the stem closely and choose only interventions that directly aff ect
activity.
T H E N U R S E W R I T E S A C L I E N T P R O B L E M O F “A C T I V I T Y I N T O L E R A N C E ”
FOR A CLIENT DIAGNOSED WITH ANEMIA. WHICH INTERVENTIONS
S H O U L D T H E N U R S E I M P L E M E N T ? S E L E C T A L L T H AT A P P LY.
1. P a c e a c t i v i t i e s a c c o r d i n g t o t o l e r a n c e .
2. P r o v i d e s u p p l e m e n t s h i g h i n i r o n a n d v i t a m i n s .
3. A d m i n i s t e r p a c k e d r e d b l o o d c e l l s .
4. M o n i t o r v i t a l s i g n s e v e r y 4 h o u r s .
Test Prep 5. A s s i s t w i t h p e r s o n a l c a r e a s n e e d e d .
(Example NCLEX
question)
1. T h e c l i e n t ’ s p r o b l e m i s a c t i v i t y i n t o l e r a n c e , a n d t h e p a c i n g o f
a c t i v i t i e s d i r e c t l y a ff e c t s t h e d i a g n o s i s .
2. T h i s i s a n a p p r o p r i a t e i n t e r v e n t i o n f o r i r o n o r v i t a m i n d e fi c i e n c y, b u t
not for activity intolerance.
3. T h i s m a y b e d o n e b u t n o t s p e c i fi c a l l y f o r t h i s d i a g n o s i s .
4. T h i s w o u l d n o t h e l p a c t i v i t y i n t o l e r a n c e .
5. A s s i s t i n g t h e c l i e n t w i t h p e r s o n a l c a r e a n d a m b u l a t i o n w i l l a d d r e s s
activity intolerance.
References
D oher ty, C. (2021) Med -Sur g Success: NCLEX-Styl e Q& A Revi ew,(4 t h Ed ) . F.A. D avi s