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 – 18 Nov 2025
Concepts Covered:
- Communication
- Perioperative Nursing Roles
- EENT Disorders
- Integumentary Disorders
- Fundamentals of Emergency Nursing
- Basics of NCLEX
- Anxiety Disorders
- Musculoskeletal Disorders
- Microbiology
- Infectious Respiratory Disorder
- Lower GI Disorders
- Upper GI Disorders
- Renal Disorders
- Urinary Disorders
Study Plan Lessons
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Surgical Wound Classification Documentation for Certified Perioperative Nurse (CNOR)
Patient Status Communication for Certified Perioperative Nurse (CNOR)
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
Functional Issues (Immobility, Falls, Gait Disorders) for Progressive Care Certified Nurse (PCCN)
Wounds (Infectious, Surgical, Trauma) for Progressive Care Certified Nurse (PCCN)
Healthcare-Acquired Infections: Central-Line-Associated Infections (CLABSI) for Progressive Care Certified Nurse (PCCN)
Pressure Injuries (Ulcers) for Progressive Care Certified Nurse (PCCN)
Respiratory Infections (Pneumonia) for Progressive Care Certified Nurse (PCCN)
GI Surgeries (Resections, Esophagogastrectomy, Bariatric) for Progressive Care Certified Nurse (PCCN)
Wound Infections for Certified Emergency Nursing (CEN)
Patient Satisfaction for Certified Emergency Nursing (CEN)
Renal Calculi for Certified Emergency Nursing (CEN)