Impair body alignment and mobility & nursing care

Impair body alignment and mobility & nursing care

• 1.
  INTERVENTION FOR IMPAIREDBODY ALIGNMENT AND MOBILITY
• 2.
  ALIGNMENT
• 3.
  MOBILITY
• 4.
  STRUCTURE USE INPOSITION
• 5.
  NORMAL PHYSIOLOGICAL FUNCTION Alignment  Balance  Center of gravity  Body mechanics  Coordinated movement  Joint mobility
• 6.
  FACTOR AFFECTING MOBILITY lifestyle and habits  Intact musculoskeletal system  Nervous system control  Circulation and oxygenation  Congenital problem  Affective disorders  Therapeutic modalities  Nutritional factor
• 7.
  Center of gravity
• 8.
  HEALTH PROMOTION MEASURE PHYSICAL FITNESS PROMOTION  Nurse teach about value of exercise to patient  30 minute of exercise 3 time a weak  6 hour vigorous exercise in a month  Daily yoga  OSTEOPOROSIS PREVENTION  osteoporosis mean decrease bone mass and increase chance of fracture  Vita-D and ca+ diet  Smoking cessation  Limit alcohol consumption  Regular weight bearing exercise
• 9.
  Cont….  INJURY PREVENTION Injuriescommonly cause impaired mobility, but most of them are prevented. Promote automobile safety by wearing seatbelt Counsel the client about use of drug and alcohol. Help the client provide safe environment for themselves and families
• 10.
  Isometric exercise Isotonicexercise TYPE OF EXERCISE Tension develop in muscle but no visible movement Tension develop with visible movement
• 11.
  RANGE OF MOTIONEXERCISE  ROM(range of motion)  the complete extent of movement of which a joint is normally capable  ROM exercise  Exercises for maintaining and recovering range of motion of joint Active Passive
• 12.
  BENEFIT OF EXERCISE
• 13.
  Movement Definition Flexion Decreasingthe angle of the joint (e.g., bending the elbow) Extension Increasing the angle of the joint (e.g., straightening the arm at the elbow) Abduction Movement of the bone away from the midline of the body Adduction Movement of the bone toward the midline of the body Hyperextension The state of exaggerated extension. It often results in an angle greater than 180° Inversion A body part turning on its axis toward mideline of the body Eversion A body part turning on its axis away from the midline of the body Circumduction Movement of the distal part of the bone in a circle while the proximal and remains fixed Pronation Turning upward Supination Turning downward
• 14.
  NECK
• 15.
  SHOULDER
• 16.
  ELBOW
• 17.
  WRIST
• 18.
  HIP
• 19.
  KNEE
• 20.
  ANKEL & FOOT
• 21.
  ASSESSSMENT OF CLIENTBEFORE MOVING AND POSITIONING  Body alignment  Physical ability  Physician order  Tube and connection  Incision  Disease order
• 22.
  HOW TO ASSESSA WEAK PATIENT TO MOVE UP IN BED
• 23.
  TURNING THE CLIENTIN PRONE POSITION
• 24.
  TURNING THE CLIENTIN LATERAL POSITION
• 25.
  ASSISTING THE PATIENTTO SITTING POSITION ON SIDE OF BED
• 26.
  METHOD OF TRANSFERRINGTHE INJURED CAUSALITY  MANUAL LIFT  CARRY CHAIRS  STRECTCHERS
• 27.
  MANUAL LIFTING PRINCIPLE OFMANUAL LIFTING  Use the strongest muscle.  Keep your feet comfortably apart to keep the body stable and balanced.  Keep your back straight, bend at your knees.  Grip with your whole hand.  Hold the person as close as possible toward you.  Lower the casualty if you feel unbalanced; change your position in stun lifting him again.
• 28.
  TANSPORTATION BY MANUALLIFTING ONE AIDER  Human crutch  Drug method  Cradle method  Pick a back  Fireman’s lift and carry
• 29.
  TRANSPORT BY CARRYCHAIRS TWO AIDERS two hand seat four hand seat fore and aft method
• 30.
  TRANSPORT BY CARRYCHAIR  Chair method  Wheel chair method
• 31.
  TRANSPORT THROUGH STRETCHER Standard stretcher  Pole and canvas stretcher  Improvised stretcher  Trolley stretcher
• 32.
  Transfer of patientfrom bed to wheel chair and wheel chair to bed:
• 33.
  Method of transferof patient from bed to trolley and trolley to bed