Transcript Ch 38 Activity and Exercisex

Ch 38 Activity
and Exercise
NURS116
• Maintain balance
• Maintain posture
• Maintain body alignment
Coordination of M/S and
nervous system
• Relationship of one body part to another over horizontal
or vertical line
• Correct alignment reduces strain on joints, tendons,
muscles
Body alignment
• Occurs when relatively low center of gravity is balanced
over a wide, stable base of support and a vertical line falls
from center of gravity through the base of support
balance
• Widen base of support by separating feet
• Bring center of gravity closer to base of support
• Half of all back pain is related to manual lifting tasks
Safe activity for nurses
•
•
•
•
•
•
•
•
•
Assess the weight and amount of help needed
Use the lift team as a resource
Use equipment, adjust bed height, use slide sheets
Encourage pt to assist as much as possible
Maintain body alignment
Feet apart and knees flexed
Slide rather than lift
1-2-3
Manual lifting is a last resort
Preventing lift injuries
•
•
•
•
Depends on patient’s activity tolerance
Physiological, emotional, developmental factors
Maintains and promotes health
Essential treatment for chronic illnesses (name some!)
Promoting Exercise
•
•
•
•
•
Muscles contract and change in length
Walking, swimming, dance, bicycling
Enhances circulatory and respiratory functioning
Increases muscle mass and tone
Enhances osteoblastic activity
Isotonic Exercise
•
•
•
•
•
•
Tensing muscles without moving body parts
Quad set exercise, gluteal contractions
Can be performed by people confined to bed
Increases muscle mass and tone
Increases circulation to involved body site
Increases osteoblasts
Isometric Exercise
• Contracts the muscle while pushing against stationary
item
• Gradual increase in amount of resistance and time
• Push ups, hip ups, foot board ups
• Promotes muscle strength and osteoblasts
Isometric resistance
exercise
•
•
•
•
•
Age
Lack of time
Community
Physiological differences
Chronic illness
Barriers to Exercise
• Activity Intolerance
• Fatigue
• Risk for injury
• Related to:
• Decreased cardiac
function
• Excessive weight gain
• Pain
• Hypoxemia
• M/S abnormalities
• Deconditioning
Nursing diagnosis
• Include patient in plan to change behavior
• Incorporate active exercise into ADLs
• Make adjustments to programs to maintain safety for
older adults (box 38-11)
• Set goals
Health Promotion