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

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

 

 

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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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