The mobility / immobility section includes quite a bit of different items that you need to know about. Here is a good overview –
Here is a good slide show –
— Complications of Immobility
Here is a good list of complications with immobility –
— Assessing Mobility
Here is a good bedside mobility assessment tool –
— Skin assessment
Chapter 46 in Saunders is dedicated to the skin.
A large pdf (42 pages) that deals with skin assessment.
— traction (using it)
Saunders page 941-942
This page has a great section about traction –
Search for Medical–Surgical Nursing: Traction
— correct body alignment / positioning
Some good body alignment for nurses –
And a great resource for positioning patients for all types of procedures.
Saunders has a chapter dedicated to positioning (Chapter 19 – page 230)
— traction devices (see above)
— Promoting circulation (see section on skin integrity)
Pay close attention to –
— assessing problems with communication
— manage the client using assistive devices