Functional Issues (Immobility, Falls, Gait Disorders) for Progressive Care Certified Nurse (PCCN)
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Outline
Functional Issues (Immobility, Falls, Gait Disorders)
Definition/Etiology:
- Mobility concerns
-
- Immobility
- Falls
- Gait disorders
Pathophysiology:
- Examples of gait disorders
- Parkinson’s disease
- Restless leg syndrome
- Weakness
- Tremors
Noticing: Assessment & Recognizing Cues:
- Immobility Risks
- Pressure ulcer
- DVT
- Pneumonia
- UTI
- Pain/discomfort
- Decrease quality of life
- Increased mortality and morbidity
Interpreting: Analyzing & Planning:
- Prevent Falls
- Fall risk tool
- Call bell
- Alarms- maybe?
- Sitters
- Intentional rounding
- Patient education
- Safe environment
- Non-slip footwear
Responding: Patient Interventions & Taking Action:
- Progressive mobility measures
- *Build strength and stamina*
- PT/OT consult
- Walking
- Sitting up for meals
Reflecting: Evaluating Patient Outcomes:
- N/A
Linchpins (Key Points):
- If you don’t use it, you will lose it!
- *preserve function and promote safety*
- Immobility
- Prevent falls
- Improve mobility
- *preserve function and promote safety*
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Transcript
References
- LeLaurin, J. H. & Shorr, R. I. (2019). Preventing falls in hospitalized patient: State of science. Clinical Geriatric Medicine, 35(20), 273-283. doi: 10.1016.j.cger.2019.01.007.
- Mayo Clinic. (2022). Overview. Movement disorders.https://www.mayoclinic.org/diseases-conditions/movement-disorders/symptoms-causes/syc-20363893.
- Wu, X., Li, Z., Cao, J., Jiao, J., Wang, Y., Liu, G., Liu, Y., Li, F., Song, B., Jin, J., Liu, Y, Wen, X., Cheng, S., & Wan, X. (2018). The association between major complications of immobility during hospitalization and quality of life among bedridden patients: A 3 month prospective multi-center study. PloS One, 13(10), e0205729. doi: 10.1371/journal.pone.0205729
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Adaptive Brain SIMCLEX Study Plan – 5 Jan 2026
Concepts Covered:
- Delegation
- Perioperative Nursing Roles
- Communication
- Postoperative Nursing
- Documentation and Communication
- Factors Influencing Community Health
- EENT Disorders
- Integumentary Disorders
- Intraoperative Nursing
- Fundamentals of Emergency Nursing
- Basics of NCLEX
- Musculoskeletal Disorders
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HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)
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Patient Status Communication for Certified Perioperative Nurse (CNOR)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Patient Status Evaluation (Transfer of Care) for Certified Perioperative Nurse (CNOR)
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Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Functional Issues (Immobility, Falls, Gait Disorders) for Progressive Care Certified Nurse (PCCN)
Pressure Injuries (Ulcers) for Progressive Care Certified Nurse (PCCN)