Nursing 2230A/B Lecture Notes - Lecture 3: Bed Rest, Sepsis, Thoracic Diaphragm
9 Dec 2016
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* apply to a hospitalized patient, what would be different. * dont want to get up, not in own bed, don"t get up to change yourself, really sick so other symptoms, noisy, loss of power and autonomy. Bedridden should not be seen as a fate rather a complication. * supine: valsalva maneuver, closing glottis, increases thoracic pressure, blocks off the blood ow, then you release and it creates a rush of blood to heart, concern with pt with heart failure, when you lie in bed you decondition. * slows blood return, and with release of breath . * surge of blood is delivered to heart. * which is of particular concern for those with : trapeze > thing to help with getting out of bed. Lean over, tripod position, sit upright, deep breathing coughing. * pillows in-between legs, and other parts of bodies, splints, physio, range of motion, active and passive, maintain body alignment.
