Class notes
NUR 130 Mobility Lecture Notes
- Course
- NUR 130
- Institution
- Carrington College
This is a comprehensive and detailed lecture note on; mobility for Nur 130. An Essential Study Resource!!
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- Active Range of Motion: distance and direction of a joint when it is moved voluntarily by theclient
- Passive Range of Motion: distance and direction of a joint when it is moved by an external force
- Assistive Devices: object, piece of equipment, or technology designed to help an individual
achieve or maintain daily activities and independence
- Patients who are on bed rest or immobile because of an illness, injury, or surgery are at risk for
developing venous thromboembolism (VTE). Early ambulation is the nsT preventative strategy.
However, when ambulation is not an option, elastic stockings, sequential compression devices,
and venous foot pumps are used to promote venous return
- Elastic Stockings (antiembolic or thromboembolic device (TED) hose): provide continuous
pressure to the lower extremities to keep blood from pooling and blood clots from developing in
the deep veins of the lower extremities. Surgical patients wear them preoperatively,
intraoperatively, and postoperatively as prescribed
o Can be difficult to apply due to their firmness and lack of stretch
Use an inside-out technique to make the process easier and more comfortable
for the patient
- Sequential Compression Device (SCDs) (intermittent pneumatic compression (IPC) devices):
provide intermittent compression to the lower extremities to promote venous return and to help
prevent DVT (deep vein thrombosis). SCDs are contraindicated for patients who have severe
arterial disease
o Can be applied to one or both lower extremities, depending on the patient’s specific
needs.
o Available in knee length or thigh length
o Consists of an air pump, connection tubing, and sleeves that fit over or around the lower
extremity
o Provider specifies the amount of compression to apply
,** For elastic stockings and SCDs to be effective, they must fit properly. If they are too large, the
patient’s lower extremities will not be supported properly, and too little compression will be
applied. If too small, the can impair circulation in the lower extremities, resulting in injury
, ** To ensure proper size elastic stockings: measure the circumference of the leg with a tape
measure at various points along the leg. Compare the measurements to those on the sizing chart
and select the correct size stocking **
- Antiembolic Stocking: determine the correct size SCD by measuring the circumference of the
patient’s leg and then choosing the sleeve that is appropriate for that leg size. Once in place,
check the fit by placing two fingers between the sleeve and the patient’s leg. If two fingers do
not fit, the sleeve is too small
o IMPORTANT: Remove elastic stockings or SCDs at least every 8 hours, or according to
facility policy, and assess skin condition and circulatory status
o Patient typically applies stockings when waking before getting out of bed and removes
them at bedtime, unless otherwise prescribed
o Stockings should be hand washed to maintain elasticity and a clean pair used daily
o Educate patient’s about proper use and fit of elastic stockings and SCDs
Do NOT toll top of the stockings down or pull toe openings back over the foot, as
both can impede circulation
Avoid placing the SCD’s tubing and connection sites underneath the leg, as this
can increase the risk of pressure injuries and of device malfunction
- BEFORE assisting a patient with ambulation, transferring, or range-of-motion exercises, perform
a thorough assessment of the patient’s muscle strength, ability to move, and activity tolerance
as well as the need for assistive devices or additional staff
- Because assisting patient’s with ambulation, transferring, and range-of-motion exercises poses a
risk for injury – especially back injuries – be sure to use proper body mechanics and assistive
devices at all times
- Body Mechanics: the safe use of the body to maintain balance, posture, and alignment during
movement, especially bending, lifting, and walking. Proper use of body mechanics:
o Bending the knees instead of the waist to pick items up off the flow
o Using large muscles of the legs instead of the back to lift
o Keeping the patient close to your body and the bed at a comfortable working height to
avoid leaning or stretching while caring for the patient
o Keep your center fo gravity over a wide base of support (your feet) during strenuous
activities
o When turning, avoid twisting and instead move your entire body in the direction you
want to face
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