Immobility and Mobility Fundamentals

Flashcards covering the physiological impacts of immobility, mobility nursing assessments, proper body mechanics, and the staging of pressure injuries according to ATI fundamentals.

Immobility

An inability to move one or more body parts.

Venous stasis

The slowing of blood flow caused by prolonged bedrest, standing, or sitting, which increases the risk for blood clots.

Fibrofatty connective tissue

Tissue that forms within and between joint spaces during prolonged immobilization, restricting nourishment to joints.

Synovial joints

A fluid filled capsule that enables movement and flexibility.

Passive range of motion

Exercises performed to increase joint flexibility and reduce joint stiffness.

Mobility Assessment (Sitting)

An assessment component where the nurse asks the client to sit on the edge of the bed for $2$ minutes.

Cane use on stairs

Instructing the client to keep the cane at the same level as the affected leg when climbing stairs.

Proper Body Mechanics for Lifting

Standing close to the object being moved and keeping the back straight.

Stage 1 Pressure Injury

Intact skin with nonblanchable redness and no maroon or purplish discoloration.

Stage 2 Pressure Injury

Partial-thickness skin loss presenting as a pink/red wound bed that is moist and viable, or an intact or ruptured serum-filled blister.

Stage 3 Pressure Injury

Full-thickness skin loss where fat (adipose) and granulation tissue are visible, but fascia, muscle, ligaments, cartilage, and bone are not visible.

Stage 4 Pressure Injury

Full-thickness loss of skin and tissue where fascia, muscle, ligaments, cartilage, or bone are exposed.

Unstageable pressure injury

A pressure injury where slough and eschar conceal the extent of tissue loss, preventing determination of whether it is stage $3$ or $4$.

Deep tissue pressure injury

Localized area with nonblanchable deep red, maroon, or purple discoloration, which may include an intact blood-filled blister.

Urinary tract infection

The condition a nurse should monitor for if an immobile client experiences urinary retention.

Constipation Interventions

Encouraging ambulation (if not contraindicated) and increasing fiber and fluid intake.