nursing interventions to prevent complications of immobility

The Applying Prosthetics and Orthotics section in Chapter 8 describes devices such as a foot split to prevent musculoskeletal contracture. Risks of immobility are well-known, and complications are viewed as avoidable. Home / NCLEX-RN Exam / Mobility and Immobility: NCLEX-RN. Wound discharge, which is also referred to as wound exudate, is assessed and described as the lack of any drainage or the presence of some drainage which be described in terms of color, amount and characteristics. The client should attempt to hold their breath for as long as possible (at least five seconds) and then exhale and rest for a few seconds. Mobility is vital to independence; a fully immobilized person is as vulnerable and dependent as an infant" (Berman and Synder, 2012). Traction forces are classified and categorized as Inline or running traction and balanced traction. Conditions such as osteoarthritis, orthostatic hypotension, inner ear dysfunction, osteoporosis resulting in hip fractures, stroke, and Parkinsons disease are among the most common causes of immobility in old age. There are additional devices that can prevent a clients hand contracture, as well as prevent their fingernails from creating open skin areas in their palm. An incentive spirometer consists of a plastic chamber with a ball, a mouthpiece and tubing. The best way for nursing assistants to prevent DVT is to assist clients to ambulate or otherwise complete as much activity as they can tolerate. Assess the gastrointestinal system by inspecting for distension, auscultating bowel sounds, and palpating the abdomen for tenderness. Demonstrate placement of patient in various positions, such as Fowler's, supine (dorsal), Refer to the Objective and Subjective Signs of Pain subsection in Chapter 6.3 to review observations to make and report. Regular socks or slippers can be placed over the TEDs for warmth if desired. Assess the respiratory system, including respiratory rate, oxygen saturation, lung sounds, chest wall movement and symmetry, and depth and effort of respirations.

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