nursing responsibilty in impair body alignment and mobilty

1. INTERVENTION FOR IMPAIRED BODY
ALIGNMENT AND MOBILITY

2. ALIGNMENT

3. MOBILITY

4. STRUCTURE USE IN POSITION

5. NORMAL PHYSIOLOGICAL FUNCTION
 Alignment
 Balance
 Center of gravity
 Body mechanics
 Coordinated movement
 Joint mobility

6. FACTOR AFFECTING MOBILITY
 lifestyle and habits
 Intact musculoskeletal system
 Nervous system control
 Circulation and oxygenation
 Congenital problem
 Affective disorders
 Therapeutic modalities
 Nutritional factor

7. Center of gravity

8. HEALTH PROMOTION MEASURE
 PHYSICAL FITNESS PROMOTION
 Nurse teach about value of exercise to patient
 30 minute of exercise 3 time a weak
 6 hour vigorous exercise in a month
 Daily yoga
 OSTEOPOROSIS PREVENTION
 osteoporosis mean decrease bone
mass and increase chance of fracture
 Vita-D and ca+ diet
 Smoking cessation
 Limit alcohol consumption
 Regular weight bearing exercise

9. Cont….
 INJURY PREVENTION
Injuries commonly cause impaired mobility, but
most of them are prevented.
Promote automobile safety by wearing seatbelt
Counsel the client about use of drug and alcohol.
Help the client provide safe environment for
themselves and families

10. Isometric exercise Isotonic exercise
TYPE OF EXERCISE
Tension develop in muscle but no
visible movement
Tension develop with visible
movement

11. RANGE OF MOTION EXERCISE
 ROM(range of motion)
 the complete extent of movement of which a joint is normally
capable
 ROM exercise
 Exercises for maintaining and recovering range of motion of
joint
Active
Passive

12. BENEFIT OF EXERCISE

13. Movement Definition
Flexion Decreasing the angle of the joint (e.g., bending the
elbow)
Extension Increasing the angle of the joint (e.g., straightening the
arm at the elbow)
Abduction Movement of the bone away from the midline of the
body
Adduction Movement of the bone toward the midline of the body
Hyperextension The state of exaggerated extension. It often results in an
angle greater than 180°
Inversion A body part turning on its axis toward mideline of the
body
Eversion
A body part turning on its axis away from the midline of
the body
Circumduction Movement of the distal part of the bone in a circle while
the proximal and remains fixed
Pronation
Turning upward
Supination Turning downward

14. NECK

15. SHOULDER

16. ELBOW

17. WRIST

18. HIP

19. KNEE

20. ANKEL & FOOT

21. ASSESSSMENT OF CLIENT BEFORE MOVING AND POSITIONING
 Body alignment
 Physical ability
 Physician order
 Tube and connection
 Incision
 Disease order

22. HOW TO ASSESS A WEAK PATIENT TO MOVE
UP IN BED

23. TURNING THE CLIENT IN PRONE POSITION

24. TURNING THE CLIENT IN LATERAL
POSITION

25. ASSISTING THE PATIENT TO SITTING
POSITION ON SIDE OF BED

26. METHOD OF TRANSFERRING THE
INJURED CAUSALITY
 MANUAL LIFT
 CARRY CHAIRS
 STRECTCHERS

27. MANUAL LIFTING
PRINCIPLE OF MANUAL LIFTING
 Use the strongest muscle.
 Keep your feet comfortably apart to keep the body
stable and balanced.
 Keep your back straight, bend at your knees.
 Grip with your whole hand.
 Hold the person as close as possible toward you.
 Lower the casualty if you feel unbalanced; change
your position in stun lifting him again.

28. TANSPORTATION BY MANUAL LIFTING
ONE AIDER
 Human crutch
 Drug method
 Cradle method
 Pick a back
 Fireman’s lift and carry

29. TRANSPORT BY CARRY CHAIRS
TWO AIDERS
two hand seat
four hand seat
fore and aft method

30. TRANSPORT BY CARRY CHAIR
 Chair method
 Wheel chair method

31. TRANSPORT THROUGH STRETCHER
 Standard stretcher
 Pole and canvas stretcher
 Improvised stretcher
 Trolley stretcher

32. Transfer of patient from bed to wheel chair and wheel chair to bed:

33. Method of transfer of patient from bed to trolley and trolley to bed