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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