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Nursing examination inspect etc of mobility
• Subjective data:
◦ he patient's mobility and exercise level, collecting the patient's
and the patient's family's history of musculoskeletal conditions,
and asking the patient about any signs and symptoms of
musculoskeletal injury or conditions.
• Begin with
◦ Hand hygiene QPA, introduce, confirm pt, explain steps Ax
ABCs vitals sign
◦ mobility status fall risk assistive devices
• Focus interview:
◦ pain function mobility and activity level
• Inspect Palpate test muscle strength
◦ Bi lateral grip ROM of knees and dorsi/plantar flexion
◦ can they sit or get up
,• diagnosis of osteoporosis
BMD ax DEXA scan, blood tests x-rays
• Tx prevention of osteoporosis
and early detection vitamin D intake walking calcium
bisphosphonates inhibit bone resorption raloxifene in post-
menopausal women
Teriparatide stimulates bone remodeling Denosumab supress
bone resorption
What does mobility mean for an older adult?
- Moving freely and indecently and being able to sit stand move
How does the process of aging affect mobility?
- Loss of skin elasticity, thinking hair sensitive skin, can impact
job and not being able to do the same tasks as before at risk for
injury:
decreased muscle mass joint changes dehydration of discs.
smell touch: degeneration of nerve cells and decreased rate in
conduction. decrease in vision, decreased sensation immune
system decreases infection
,Primary secondary tertiary level of prevention of mobility
focus on preventing mobility issues
o Exercise regularly.
o Eat well and maintain a healthy weight.
o Stay safe to avoid injuries.
2. Secondary Level: Catch problems early and intervene:
o Get screened for mobility issues.
o Start therapy or treatment early.
o Learn about helpful tools and devices.
3. Tertiary Level: Manage existing problems:
o Go through rehab programs.
o Manage chronic conditions.
o Use community services for support.
Module 7 Cognition
What is cognition
- Process of acquiring knowledge and understanding through
thought, experience, and the senses
, Definition of cognition
• the mental action or process of acquiring knowledge and
understanding through thought, experience, and the senses.3
Six domains of cognitive function include perceptual motor
function,
language, learning and memory, social cognition, complex
attention, and executive function
• Memory definition
broadly refers to the retention and recall of past experiences
and learning. It is not a single, unified mental ability but,
rather, a series of different neural subsystems, each of which
has a unique localization in the brain
Scope of cognition
• Cognition represents a continuum because the level of
cognition is not a matter of "all or none" it can change over
time, and the degree of
impairment can be mild to severe