Nursing 2230A/B Lecture Notes - Lecture 3: Orthostatic Hypotension, Valsalva Maneuver, Bed Rest
9 Dec 2016
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Upright and locomotion fundamental to human condition, fundamental characteristic of life gradually leads to (social) death. One of the most common phenomena in nursing (cid:494)bedridden(cid:495) typically holds a negative connotation and described as final state that. Bed rest was (cid:494)invented(cid:495) as a form of treatment in the 19th century. Bedridden should not be seen as a fate rather a complication. Belief that bedrest is restful and healing eg. for the elderly. Phase 4: local confinement bored, little interaction with outside world. Phase 5: being bedridden in bed 24 hrs/day, talked down to/over, bed becomes a work space. Orthostatic hypotension: what does orthostatic mean, olson article describes mechanisms, blood vessels get (cid:494)lazy(cid:495) Increases when in supine for long periods of time. Valsalva maneuver close glottis and bear down (bm, child birth, move up in bed: increases intrathoracic pressure, slows blood return, and with release of breath
