Functional Issues (Immobility, Falls, Gait Disorders) for Progressive Care Certified Nurse (PCCN)

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