Activity and Exercise: Mosby Items and Derived Items © 2005 by Mosby, Inc

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Chapter 36

Activity and Exercise

Mosby items and derived items © 2005 by Mosby, Inc.


Body Mechanics, Exercise, and
Activity
• Body alignment
• Body balance
• Coordinated body movement
• Friction
• Exercise and activity
– Isotonic, isometric, resistive isometric
exercises

Mosby items and derived items © 2005 by Mosby, Inc.


Regulation of Movement

• Skeletal muscle
– Bones
– Joints
– Ligaments, tendons, cartilage

Mosby items and derived items © 2005 by Mosby, Inc.


Regulation of Movement (cont'd)

• Skeletal muscle
– Movement
– Posture
– Groups
• Synergistic
• Antigravity

Mosby items and derived items © 2005 by Mosby, Inc.


Regulation of Movement (cont'd)

• Nervous system
– Movement
– Posture
– Proprioception
– Balance

Mosby items and derived items © 2005 by Mosby, Inc.


Principles of Body Mechanics

• Pathological influences
– Congenital defects
– Disorders of bones, joints, and muscles
– Musculoskeletal trauma

Mosby items and derived items © 2005 by Mosby, Inc.


Developmental Changes in
Appearance and Function
• Infants
• Toddlers
• School-aged children
• Adolescents
• Young to middle adults
• Older adults

Mosby items and derived items © 2005 by Mosby, Inc.


Behavioral Aspects

• Support by significant others, health


care team
• Knowledge of exercise and activity
• Readiness to change behavior
• Program customized to meet
personalized needs

Mosby items and derived items © 2005 by Mosby, Inc.


Environmental Issues

• Worksite
• Schools
• Community

Mosby items and derived items © 2005 by Mosby, Inc.


Psychosocial Issues

• Cultural and ethnic influences


• Family and social support

Mosby items and derived items © 2005 by Mosby, Inc.


Assessment

• Body alignment and posture


– Standing
– Sitting
– Recumbent position

Mosby items and derived items © 2005 by Mosby, Inc.


Assessment (cont'd)
• Body alignment and posture (cont'd)
– Mobility
• Range of motion
• Gait
• Exercise
– Activity tolerance

Mosby items and derived items © 2005 by Mosby, Inc.


Nursing Diagnoses

• Activity intolerance
• Disturbed body image
• Risk for injury
• Impaired physical mobility
• Acute/Chronic pain

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Planning

• Goals and outcomes


– Examples
• Participates in prescribed activity
• Expresses understanding of
balancing rest and activity
– Setting priorities
– Continuity of care

Mosby items and derived items © 2005 by Mosby, Inc.


Implementation

• Health promotion: exercise programs


• Nursing safety
– Body mechanics
– Lifting techniques

Mosby items and derived items © 2005 by Mosby, Inc.


Implementation (cont'd)

• Acute care
– Muscle strengthening, isometric
exercise
– Joint mobility: ROM, CPM machines

Mosby items and derived items © 2005 by Mosby, Inc.


Implementation (cont'd)

• Ambulation
– Nurse assistance
– Assistive devices
• Walkers
• Canes
• Crutches

Mosby items and derived items © 2005 by Mosby, Inc.


Implementation (cont'd)

• Restoration of activity
– Coronary heart disease
– Hypertension
– COPD
– Diabetes mellitus

Mosby items and derived items © 2005 by Mosby, Inc.


Evaluation

• Activity tolerance
• Mobility, balance
• Client expectations

Mosby items and derived items © 2005 by Mosby, Inc.

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