NURSING 1I02 Lecture Notes - Lecture 8: Spinal Stenosis, Nursing Diagnosis, Muscular Dystrophy
Document Summary
If assessing unconscious or immobilized patient, remove pillows and positioning support, place patient in supine position: unless contraindicated to do so. Increased rom (more than normal) may indicate connective tissue disorders, ligament tears, possible joint fractures: gait: Injury: pain, physical development, life changes, medication, prolonged immobility, conditions to damage musculoskeletal system: Impaired mobility (i. e. parkinson"s, muscle dystrophy, paresis, paralysis: decreased sensation (i. e. spinal stenosis, diabetes, spinal cord injury) Impaired circulation (i. e. heart attack: lack of voluntary muscle control (i. e. spinal cord injuries) Flexion, extension: assesses degrees of damage of injury to a joint, hyperextension, dorsiflexion (toes pointed up) and plantar flexion (toes pointed down, abduction (away from midline) and adduction (toward midline, eversion and inversion, pronation and supination, circumduction. Mobility & immobility: mobility: ability to move easily and independently, to maintain, musculoskeletal and nervous systems must be intact and functioning. Illness, injuries, surgery, pain and aging can impair mobility (temporary or permanent)