Elderly Nursing Care Plan - Immobility and Functional Mobility

Various changes occur in the musculoskeletal system, including bone loss (osteoporosis), enlarged joints, tendon stiffness, limited motion, thinning of the intervertebral disc, and muscle weakness, occurs in the aging process.

In the elderly, the collagen structure is less able to absorb the energy. Joint cartilage degeneration and areas that support the body longer to heal. This resulted in the occurrence of osteoarthritis. So also in muscle mass and strength is also reduced.

Definition

Mobility is the movement that gave freedom and independence for someone. Although this type of activity changed throughout human life, mobility is central to participate in and enjoy life. Maintaining optimal moblitas very important for the mental and physical health of all elderly.

Mobility is not an absolute and static in determining the ability to walk; optimal but mobility is something individualistic, relative, and depends on the dynamic interaction between environmental factors and social, afetif and physical function. For one, optimal mobility may be running about 8 kilometers per day; for others, mobility may involve limited movement with the help.

Immobility is broadly defined as the level of activity that is less than optimal mobility. Barriers to physical mobility nursing diagnosis, potential disuse syndrome, and activity intolerance providing a more limited definition of immobility and immobility included in a broader definition.

Immobility, activity intolerance and disuse syndrome often occurs in the elderly. Studies on the incidence of nursing diagnoses used for the elderly who are in care institutions revealed that barriers to physical mobility is the first or the second diagnosis most often appear. The prevalence of this problem extends beyond the institutions to involve the entire elderly.


Impaired Physical Mobility

Definition

A state of the limited ability of independent physical movement experienced by a person.

Defining characteristics :

  • Inability to move with purpose in the environment, including bed mobility, move, and ambulation.
  • Reluctance to perform the movement.
  • Limitation of range of motion.
  • Decrease the power, control, or muscle mass.
  • Experienced restrictions on movement, including protocols and medical mechanical.
  • Impaired coordination.

Related factors :
  • Activity intolerance.
  • Decreased strength and endurance.
  • Pain and discomfort.
  • Perceptual or cognitive disorders.
  • Neuromuscular disorders.
  • Depression.
  • Severe anxiety.

Potential Disuse Syndrome

Definition

A state of someone who is at risk to suffer damage as a result of the body's systems of musculoskeletal inactivity recommended by the physician or unavoidable.

Risk factors :
  • Paralysis
  • Mechanical immobilization
  • Immobilization recommended by the doctor
  • severe pain
  • Changes in level of consciousness


Activity Intolerance

Definition

A state of energy insufficiency in physiological or psychological on a person to survive or complete activities of daily living is needed or desired.

Defining characteristics :
  • Verbal report of fatigue or weakness.
  • Heart rate or blood pressure is not normal to the activity.
  • Discomfort or dyspnea after the move.
  • Electrocardiographic changes indicating the presence of dysrhythmias or ischemia.

Related factors :
Bed rest and immobility
General weakness
Sedentary lifestyle
Imbalance between oxygen supply and requirement

Read More : http://nandahealth.blogspot.com/2013/09/nursing-care-of-elderly-with-immobility.html

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