Impair body alignment and mobility & nursing care

nursing responsibilty in impair body alignment and mobilty

1. INTERVENTION FOR IMPAIRED BODY ALIGNMENT AND MOBILITY PERSENTED BY YASH RAMAWAT RAKCON

2. ALIGNMENT

3. MOBILITY

4. STRUCTURE USE IN POSITION LIGAMENT

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 1 2

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 Injuries commonly 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 Isotonic exercise TYPE OF EXERCISE Tension develop in muscle but no visible movement Tension develop with visible movement

11. RANGE OF MOTION EXERCISE 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 Decreasing the 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 MOVEMENT IN JOINT

14. NECK

15. SHOULDER

16. ELBOW

17. WRIST

18. HIP

19. KNEE

20. ANKEL & FOOT

21. ASSESSSMENT OF CLIENT BEFORE MOVING AND POSITIONING Body alignment Physical ability Physician order Tube and connection Incision Disease order

22. HOW TO ASSESS A WEAK PATIENT TO MOVE UP IN BED

23. TURNING THE CLIENT IN PRONE POSITION

24. TURNING THE CLIENT IN LATERAL POSITION

25. ASSISTING THE PATIENT TO SITTING POSITION ON SIDE OF BED

26. METHOD OF TRANSFERRING THE INJURED CAUSALITY MANUAL LIFT CARRY CHAIRS STRECTCHERS

27. MANUAL LIFTING PRINCIPLE OF MANUAL 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 MANUAL LIFTING ONE AIDER Human crutch Drug method Cradle method Pick a back Fireman’s lift and carry

29. TRANSPORT BY CARRY CHAIRS TWO AIDERS two hand seat four hand seat fore and aft method

30. TRANSPORT BY CARRY CHAIR Chair method Wheel chair method

31. TRANSPORT THROUGH STRETCHER Standard stretcher Pole and canvas stretcher Improvised stretcher Trolley stretcher

32. Transfer of patient from bed to wheel chair and wheel chair to bed:

33. Method of transfer of patient from bed to trolley and trolley to bed