Multidimensional Care Final Exam
Immobility gastrointestinal - ANSSlow Peristalsis, constipation, paralytic Illeus
Assessment after a fall - ANSNeurovascular check, call for help, notify physician, notify
family
Cast care - ANSdon't cover until dry, handle with palms of hands, don't rest on hard
surfaces, keep above level of heart, check pulses, color , sensation. Complication of cast is
numbness, tingling, no pulses, bluish color of the skin
closed fracture - ANSbroken bone with no open wound
open fracture - ANSone in which the bone is broken and there is an open wound in the skin
transverse fracture - ANSoccurs straight across the bone- caused by pressure from top and
bottom
spiral fracture - ANSa fracture in which the bone has been twisted apart
comminuted fracture - ANSfracture in which the bone is splintered or crushed
impacted fracture - ANSfracture in which bone fragments are pushed into each other
greenstick fracture - ANSone in which the bone is bent and only partially broken
oblique fracture - ANSFracture that involves a separation from the two affected bones
Crepitus - ANSa crackling or grating sound usually of bones
Osteoarthritis - ANSLoss of articular cartilage in the joint
DVT - ANSdeep vein thrombosis- Prevention is prophylactic treatment with Lovenox, Ted
hose, SCD's (sequential compression devices), foot pumps
SCDs - ANSsequential compression devices
Promotion of Independence - ANSAllow patient to do as much Active range of motion/
encourage independent activity as possible
benefits of activity - ANSImproved CV and Respiratory health
--Decreased rates in CV disease
Improved strength and mobility
Maintenance of Bone Density
Maintenance of Healthy Weight and Metabolism
, Improved
Psychosocial Health
posture - ANSPosition of the body in relation to the surrounding space
Immobility - Musculoskeletal - ANSloss of 7-10% muscle strength per week, foot drop,
osteoporosis, decreased stability.
Immobility of the Genitourinary System - ANSUrinary Stasis / Retention
UTI
Renal Calculi
Immobility: Respiratory - ANSdecrease all muscle strengths including lungs, increases
secretion, decreased ventilation, decrease respiratory depth, air passage blockage can lead
to atelectasis.
Immobility of the Integumentary System - ANS- Pressure
- Shearing
- Bony prominences
- Pressure ulcers
-external pressure leads to compressed capillaries in the skin. Leads to tissue ischemia and
eventual necrosis.
Normal Vital Signs - ANSsystolic: 90-120 (120) diastolic: systolic 60-80 (80), 12-20
respiration, 60-100 bpm, 96-99F
Home Safety (Infant) - ANSRisk for poisoning, carbon monoxide, burns, drowning,
suffocation/ smother is the leading cause of death by suffocation in infants.
never events - ANSSerious but preventable errors that should never occur
Fall prevention - ANSscreenings, elements of focused history, physical examination,
functional assessment. adaption of the environment, minimization of psychoactive
medications, management of foot problems and footwear, exercise that emphasize balance,
strength and gait training.
Fall Risk - ANSMost reported- high risk is poor vision, cognitively impaired, weak, dizzy,
drowsy. Morse Fall Risk/ Scale- lower the number the less the risk of falling. Handrails in
bathrooms, ramp instead of stairs, wear rubber sole shoes, avoid scatter rugs, prevent
clutter, avoid slippery floors.
Therapeutic communication - ANSVerbal and nonverbal communication techniques that
encourage patients to express their feelings and to achieve a positive relationship.
importance of culture to health - ANSCulture is related to health behaviors
Culture is an important determinant of people's perceptions of illness
Culture affects usage of health services
Different cultures have different health practices
Immobility gastrointestinal - ANSSlow Peristalsis, constipation, paralytic Illeus
Assessment after a fall - ANSNeurovascular check, call for help, notify physician, notify
family
Cast care - ANSdon't cover until dry, handle with palms of hands, don't rest on hard
surfaces, keep above level of heart, check pulses, color , sensation. Complication of cast is
numbness, tingling, no pulses, bluish color of the skin
closed fracture - ANSbroken bone with no open wound
open fracture - ANSone in which the bone is broken and there is an open wound in the skin
transverse fracture - ANSoccurs straight across the bone- caused by pressure from top and
bottom
spiral fracture - ANSa fracture in which the bone has been twisted apart
comminuted fracture - ANSfracture in which the bone is splintered or crushed
impacted fracture - ANSfracture in which bone fragments are pushed into each other
greenstick fracture - ANSone in which the bone is bent and only partially broken
oblique fracture - ANSFracture that involves a separation from the two affected bones
Crepitus - ANSa crackling or grating sound usually of bones
Osteoarthritis - ANSLoss of articular cartilage in the joint
DVT - ANSdeep vein thrombosis- Prevention is prophylactic treatment with Lovenox, Ted
hose, SCD's (sequential compression devices), foot pumps
SCDs - ANSsequential compression devices
Promotion of Independence - ANSAllow patient to do as much Active range of motion/
encourage independent activity as possible
benefits of activity - ANSImproved CV and Respiratory health
--Decreased rates in CV disease
Improved strength and mobility
Maintenance of Bone Density
Maintenance of Healthy Weight and Metabolism
, Improved
Psychosocial Health
posture - ANSPosition of the body in relation to the surrounding space
Immobility - Musculoskeletal - ANSloss of 7-10% muscle strength per week, foot drop,
osteoporosis, decreased stability.
Immobility of the Genitourinary System - ANSUrinary Stasis / Retention
UTI
Renal Calculi
Immobility: Respiratory - ANSdecrease all muscle strengths including lungs, increases
secretion, decreased ventilation, decrease respiratory depth, air passage blockage can lead
to atelectasis.
Immobility of the Integumentary System - ANS- Pressure
- Shearing
- Bony prominences
- Pressure ulcers
-external pressure leads to compressed capillaries in the skin. Leads to tissue ischemia and
eventual necrosis.
Normal Vital Signs - ANSsystolic: 90-120 (120) diastolic: systolic 60-80 (80), 12-20
respiration, 60-100 bpm, 96-99F
Home Safety (Infant) - ANSRisk for poisoning, carbon monoxide, burns, drowning,
suffocation/ smother is the leading cause of death by suffocation in infants.
never events - ANSSerious but preventable errors that should never occur
Fall prevention - ANSscreenings, elements of focused history, physical examination,
functional assessment. adaption of the environment, minimization of psychoactive
medications, management of foot problems and footwear, exercise that emphasize balance,
strength and gait training.
Fall Risk - ANSMost reported- high risk is poor vision, cognitively impaired, weak, dizzy,
drowsy. Morse Fall Risk/ Scale- lower the number the less the risk of falling. Handrails in
bathrooms, ramp instead of stairs, wear rubber sole shoes, avoid scatter rugs, prevent
clutter, avoid slippery floors.
Therapeutic communication - ANSVerbal and nonverbal communication techniques that
encourage patients to express their feelings and to achieve a positive relationship.
importance of culture to health - ANSCulture is related to health behaviors
Culture is an important determinant of people's perceptions of illness
Culture affects usage of health services
Different cultures have different health practices
