N 325 Lecture 13: Mobility and Immobility
Document Summary
Immobility: inability to move about freely: can cause changes to the cardiovascular, skeletal, and multiple organs. Bed rest: an intervention that restricts patients for therapeutic reasons: apparent muscle deconditioning can occur within a few days. 3% of muscle strength for each day of bed rest. Therefore, the longer the bed rest, the more pronounced is the consequences. *older adults: will decondition much faster than younger adults. Be aware that decrease walking or activity will result in loss of independence and increases the risk for falls. This can lead to prolong hospitalization or nursing home placement. Metabolic: endocrine, calcium, absorption, and gi function, altered metabolic function. Musculoskeletal changes: loss of endurance and muscle mass and decreases stability and balance. Muscle effects: loss of muscle mass, muscle atrophy. Urinary elimination: urinary stasis, renal calculi. Atelectasis (collapse of alveoli: regular aerobic exercises enhance respiratory functioning. Therefore, lack of movement can cause atelectasis and hypostatic pneumonia.
