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DUMO, RM, RN
Disuse Osteoporosis demineralization of bone due to absence of stress of weight bearing activity Disuse Atrophy unused muscle decrease in size, losing most of their strength and normal function Contractures permanent shortening of the muscle limiting joint mobility Ankylosis stiffness and pain in the joints
Diminished Cardiac Reserve imbalance in the Autonomic Nervous System resulting in preponderance of sympathetic activity over cholinergic activity that increases the heart rate, reducing diastolic pressure, coronary blood flow and the capacity of the heart to respond to any metabolic demands above the basal levels Increased use of Valsalva Maneuver refers to holding the breath and straining against a closed glottis
Orthostatic Hypotension or Postural Hypotension blood pools in the lower extremities and central blood pressure drops, cerebral perfusion is seriously compromised and th person feels dizzy or light headed or may even faint Venous Vasodilation and Stasis blood pools in the leg veins
Dependent Edema serous par of the blood is forced out of the blood vessel into the interstitial space surrounding the blood vessel causing edema
Decreased Respiratory Movement muscle atrophy of the respiratory muscle because there is no stimulus of activity Pooling of Respiratory Secretions secretions pool by gravity interfering the normal diffusion of O2 and CO2 in the alveoli Atelectasis collapse of a lobe or of an entire lung Hypostatic Pneumonia pooled secretion provide excellent media for bacterial growth
Decreased Metabolic Rate the BMR and GI motility and secretions of various digestive glands decrease as the energy requirements of the body decrease
Metabolism refers to the sum of all the physical and chemical processes by which living substance is formed and maintained and by which energy is made available for use by the body Basal Metabolic Rate the minimal energy expended for the maintenance of bodily processes
Negative Nitrogen Balance depletion of protein stores that are essential for building muscle tissue and for wound healing Anabolism protein synthesis Catabolism protein breakdown
Anorexia loss of appetite due to decreased metabolic rate and increased catabolism
Negative calcium Balance greater amount of calcium are extracted from the bone than can be replaced
Urinary Stasis stoppage or slow down of urine flow Renal Calculi urine becomes alkaline and calcium salts precipitate out as crystals to form renal stones
Urinary retention accumulation of urine in the bladder Urinary Infection static provides an excellent medium for bacterial growth Escherichia coli most common causative microorganism, normal flora of the colon
Reduced Skin Turgor skin atrophies causing loss of elasticity Skin Breakdown diminished supply of nutrients in the skin
pillows mattresses bed boards chair beds foot boot foot board
Low Fowlers/Semi-Fowlers head and trunk are raised 15 45 degrees High Fowlers head and trunk are raised 90 degrees
Orthopneic Position client sits either in bed or on the side of the bed with an over bed table across the lap
facilitates respiration by allowing maximum chest expansion
Dorsal Recumbent Position back lying with head and shoulders slightly elevated
Prone Position client lies in the abdomen with the head turned to one side
promotes drainage
Trendelenburge Position bed is inclined so that the feet are higher than the head Reverse Trendelenburge Position bed is inclined so that the head is higher than the feet Lithotomy Position lower extremities are elevated and supported by stirrups