NUR 2356 Multidimensional Care I - Exam 2 Concept Guide | NUR2356 Multidimensional Care I
MDC I Concept Guide Exam_2 – Updated
Multidimensional Car
... [Show More] e I - Exam 2 Concept Guide
Extension Straightening the hinge joint to 180 degrees.A straightening movement that increases the angle between body parts.
Flexion Bending the hinge joint at 90 degrees.The action of bending or the condition of being bent,
especially the bending of a limb or joint.
Abduction
Movement of a limb away from the midline of the body.
Adduction
Movement of a limb toward the midline of the body.
Active range of motion Patient moves the joint alone.
• Movement performed without assistance
Passive range of motion Patients move the joint with help.
• Joint movement performed by someone other than the patient
Fowler’s position (High
and standard)/supine positioning
High Fowlers: This is when the patient is sitting straight up with the head of the bed (HOB) at 60-90 degrees.
Reasons for this position: This position could be used to do a procedure like inserting an NGtube to help facilitate swallowing or if there are swallowing deficits. This positioning also helps to open up the airway especially if the patient is having a hard time breathing.
Fowlers: This is a comfortable sitting up in bed position with the HOB at 45-60 degrees.
Reasons for this position: Helps facilitate better digestion and respiratory expansion and decrease respiratory effort due to proper airway alignment. It's common for patients with cardiac or respiratory conditions because it helps increase oxygenation.
Supine: The patient is lying flat on their back and the HOB is flat.
Reasons for this position: This is used commonly following surgical procedures as it helps to normalize the hemodynamics. The patient may also have a neck roll in place to help align the airway a little better.
Crepitus
Crepitus is a crackling or popping sound that occurs as a result of tissues rubbing together abnormally. The sound results from an abnormal interaction between air, fluid or bone
Crepitus is often the result of arthritis or a previous joint injury.
Proper body mechanics
Moving clients up in
bed
Transferring clients out
of bed
Benefits of
regular exercise 1. Benefits
a. Heart and lung improvement
i. Improved cardiac efficiency
ii. Improved lung capacity
iii. Decrease in hypertension
b. Increases strength and mobility
i. Improves:
1. Coordination
2. Alignment
3. Balance
4. Endurance
c. Burns fat
i. Improves body composition
d. Cognitive functions
i. Improves mood
ii. Enhances memory
iii. Slows neurodegenerative decline [Show Less]