Mobility and Immobility

Mobility and ImmobilityUse of MobilityExpression of emotionSatisfaction of basic need with nonverbal gesturesTo show self defensePerform activities of daily living (ADL)Participate in recreational activities

Pathological Influences on MobilityPostural AbnormalitiesCongenital and acquiredMuscle AbnormalitiesInjury and diseaseDamage to the Central Nervous SystemTrauma, ischemia and or bacterial infectionDirect Trauma to the Musculoskeletal SystemFracturesFactors Influencing Mobility-ImmobilityBed restProlonged bed rest cause major physical, psychological and social effectsMetabolic ChangesSlow metabolic rate (carbohydrates, fats and protein)Increase BMR during an infectionRespiratory ChangesAtelectasisHypostatic pneumoniaFactors Influencing Mobility-Immobility contdCardiovascular ChangesOrthostatic HypertensionThrombusMusculoskeletal ChangesMuscle AtrophyOsteoporosisJoint contractureFootdrop

Factors Influencing Mobility-Immobility contdUrinary Elimination Changes Urinary StasisRenal CalculiIntegumentary ChangesPressure UlcerPsychosocial EffectEmotional, behavioral, sensory alteration, and changes in coping

Positioning TechniquesTrochanter rollTrapeze barSupported Fowlers PositionSupine PositionProne PositionSims PositionSide-lying (Lateral) Position

Transfer TechniquesMoving Patients

Transferring a Patient from a Bed to a Chair

Transferring a Patient from a Bed to a stretcherRestorative and Continuing CareInstrumental activities of daily living (IADLs)

Range of motion exercises

Walking