Basic Care and Comfort 3 Mobility/Immobility and Assistive Devices

Mobility/Immobility

The mobility / immobility section includes quite a bit of different items that you need to know about. Here is a good overview –

https://www.registerednursing.org/nclex/mobility-immobility/

Here is a good slide show –
https://www.slideshare.net/nclexvideos/activity-and-exercise

— Complications of Immobility

Here is a good list of complications with immobility –
http://www.hcpro.com/LTC-286850-10704/Complications-from-immobility-by-body-system.html

— Assessing Mobility

Here is a good bedside mobility assessment tool –
https://www.safety.duke.edu/ergonomics/sphm/bmat-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 –
https://nurseslabs.com/proper-body-mechanics-for-nurses/

And a great resource for positioning patients for all types of procedures.

https://nurseslabs.com/patient-positioning/

Saunders has a chapter dedicated to positioning (Chapter 19 – page 230)

— traction devices (see above)

— Promoting circulation (see section on skin integrity)

Assistive Devices

An overview – https://www.registerednursing.org/nclex/assistive-devices/

Pay close attention to –

— assessing problems with communication

— manage the client using assistive devices

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