NUR 353 Exam 4
The state or quality of being mobile or movable
Mobility
The state of not moving; motionless, not being able to move
Immobility
A term that encompasses similar concepts and includes nursing diagnoses related to
inactivity. Risks for this include impaired skin integrity, constipation, altered respiratory
function, altered peripheral tissue perfusion, activity intolerance, impaired physical
mobility, injury, altered sensory perception, powerlessness, and body image
disturbance.
Disuse syndrome
A general downslide of overall physical strength and endurance. Although most patients
might have a tweak of this after a big surgery or major illness, this term is usually
applied when a formerly independent, or mostly independent, person is now not able to
perform routine activities, like their ADLs, and IADLs, and their progress continues to
decline.
Deconditioned
List two screening tools to detect mobility/immobility.
1. Osteoporosis
2. Fall risk assessment
When should fall assessment screening tools be used?
Look in Giddens
List some general care guidelines for a patient who is immobilized.
1. Frequent turning and changing positions every 2 hours in bed or 30 minutes in a
chair.
2. Frequent skin assessment and skin care.
3. Range of motion exercises
4. Deep breathing exercises
5. Weight bearing exercises if possible
6. Measures to optimize elimination, such as high fluids, high fiber, and laxatives or
stool softeners.
7. Ambulation, stretches, balance
What should you give to a patient before moving around to decrease pain when moving
their joints?

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