Impair body alignment and mobility & nursing care

INTERVENTION FOR IMPAIRED BODY ALIGNMENT

AND MOBILITY

PERSENTED BYYASH RAMAWAT

RAKCON

ALIGNMENT

MOBILITY

STRUCTURE USE IN POSITION

LIGAMENT

NORMAL PHYSIOLOGICAL FUNCTION

AlignmentBalanceCenter of gravityBody mechanicsCoordinated movementJoint mobility

FACTOR AFFECTING MOBILITY

lifestyle and habitsIntact musculoskeletal systemNervous system controlCirculation and oxygenationCongenital problemAffective disordersTherapeutic modalitiesNutritional factor

Center of gravity

1 2

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 yogaOSTEOPOROSIS 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

Cont….

INJURY PREVENTION Injuries commonly cause impaired mobility,

but most of them are prevented.Promote automobile safety by wearing

seatbeltCounsel the client about use of drug and

alcohol.Help the client provide safe environment for

themselves and families

Isometric exercise Isotonic exercise

TYPE OF EXERCISE

Tension develop in muscle but no visible movement

Tension develop with visible movement

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

BENEFIT OF EXERCISE

Movement DefinitionFlexion 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

NECK

SHOULDER

ELBOW

WRIST

HIP

KNEE

ANKEL & FOOT

ASSESSSMENT OF CLIENT BEFORE MOVING AND POSITIONING

Body alignmentPhysical abilityPhysician order Tube and connectionIncision Disease order

HOW TO ASSESS A WEAK PATIENT TO MOVE UP IN BED

TURNING THE CLIENT IN PRONE POSITION

TURNING THE CLIENT IN LATERAL POSITION

ASSISTING THE PATIENT TO SITTING POSITION ON SIDE OF BED

METHOD OF TRANSFERRING THE INJURED CAUSALITY

MANUAL LIFT CARRY CHAIRS STRECTCHERS

MANUAL LIFTING

PRINCIPLE OF MANUAL LIFTINGUse 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.

TANSPORTATION BY MANUAL LIFTING

ONE AIDERHuman crutch Drug method Cradle methodPick a backFireman’s lift and carry

TRANSPORT BY CARRY CHAIRS

TWO AIDERStwo hand seat

four hand seat fore and aft method

TRANSPORT BY CARRY CHAIR

Chair method Wheel chair method

TRANSPORT THROUGH STRETCHER

Standard stretcher Pole and canvas stretcher Improvised stretcher Trolley stretcher

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

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