Mobility (Ati Engage Fundamentals) Funds 100 2025 Update Exam
-a decrease in systolic blood pressure of 20 mm Hg or more OR a decrease in diastolic blood pressure of 10 mm Hg or more within 3 minutes of changing to a sitting or standing position - ANSWER-orthostatic hypotension rules:
-after only...
-a decrease in systolic blood pressure of 20 mm Hg or more OR a decrease in
diastolic blood pressure of 10 mm Hg or more within 3 minutes of changing to a
sitting or standing position - ✔✔✔ANSWER-orthostatic hypotension rules:
-after only 24 hours of bed rest body fluids normally present in lower extremities
will be redistributes to head, abdomen, and chest due to change in gravitational
force --> causes increases in blood volume returning to heart--> signals body to
release hormones to regulate fluid balance --> diuresis + dehydration decrease
blood volume + increase blood viscosity (thickness) therefore-->
, a lower circulating blood volume decreases amount of blood that is ejected when
heart contracts--> this lowered demand results in atrophy of the heart muscles =
cardiac deconditioning - ✔✔✔ANSWER-Cardiac deconditioning as a result of
Immobility
-an infection that often occurs in clients with limited mobility as a result of shallow
breathing, thickened mucus, and decreased ability to cough-->. patients experience
reduced ability to remove pathogens from lungs resulting in an infection -
✔✔✔ANSWER-Pneumonia as a result of immobility
-Clients who are immobile are at a greater risk for developing DVT due to their
increased blood viscosity and the atrophy of muscles that normally assist in
pumping the blood -> diminish the bodys ability to effectively circulate blood-->
leading to venous stasis = blood that is not moving freely or more likely to clot -
✔✔✔ANSWER-DVT (Deep Vein Thrombosis) as a result of immobility:
-decreased mobility can lead to psychological effects that negatively impact the
clients SELF-CONCEPT, self-esteem, and can lead to frustrations, anxiety, and
depression
ex. social isolation - ✔✔✔ANSWER-Psychological Effects due to Immobility
-Gastrointestinal tract uses gravity to move food from. mouth to the rectum but
clients in bed rest tend to have decreased appetite + overall food intake compared
to active clients
--> leading to malnutrition
-patients. who are frequently supine may have a decreased sensation of the need to
move their bowels - ✔✔✔ANSWER-Gastrointestinal System Effects due to
immobility how does it occur ?
ex. malnutrition, constipation and fecal impaction, gastroesophagal reflux
, -is a general term used to refer to the muscles and skeleton. (think Mucsu=muscle
and skeletal= skeleton)
-detailed grouping of tissues that are important for stability and proper body
functioning. - ✔✔✔ANSWER-Musculoskeletal System (definition)
-occurs 16 times more often in clients who are in bed rest then those that are active
due to combination of hardened stool and decreased urge to defecate
>Fecal impaction: if constipation becomes chronic and hardened mass of feces
creates.a blockage--> requires medical intervention - ✔✔✔ANSWER-
Gastrointestinal System effects: Constipation
.>ex. Fecal impaction (think feces impact pelvis and create a blockage)
-occurs during supine position as gastric fluids accumulate in upper portion of
stomach putting pressure on the lower esophageal sphincter to open and release
gastric fluid
(think picture of stomach with esophageal spinchter gateway opening and yellow
gastric fluid coming out) - ✔✔✔ANSWER-Gastrointestinal system effects:
Gastroesophageal reflex due to Immobility
-orthostatic hypotension= is a decrease in blood pressure + sensation of dizziness
when client sits or stands up--> reduced blood volume + cardiac reconditioning
increase effects due to immobility
-ex. orthostatic hypotension increases risk of client falls - ✔✔✔ANSWER-
Orthostatic hypotension as a result of immobility:
-prolonged immobility results in. pressure compressing the skin and tissues
between the bones to the. firm surface --> restricting the flow of blood and lymph
to those areas --> results in tissue damage= pressure injury - ✔✔✔ANSWER-
Integumentary System Effects due to Immobility how does it occur?
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