Ch 39 activity and exercise

Question 1

osteoporosis

Answer 1

results in reduction of bone density or mass, bone remains biochemically normal but has difficulty maintaining integrity and support

Question 2

osteomalacia

Answer 2

inadequate and delayed mineralization resulting in compact and spongy bone

Question 3

inflammatory joint disease (arthritis)

Answer 3

inflammation or destruction of the synovial membrane and articulate cartilage and systemic signs of inflammation

Question 4

articular disruption

Answer 4

trauma to the articular capsules and can be mild (sprain) to severe (dislocation); may be congenital

Question 5

base of support and low center of gravity technique-2

Answer 5

1. widen the base of support by seperating feet to a comfortable distance
2. increase balance by bringing the center of gravity closer to the base of support

Question 6

safe patient movement rule

Answer 6

<200lb-use friction reducing device and 2-3 caregivers

>200lb- use friction reducing device and at least 3 caregivers

Question 7

activity intolerance assessment

Answer 7

• assess pt strength, coordination, baseline vital signs, and balance to determine type of assistance needed
• check orientation and signs of distress
• evaluate environment and provide rest points
• use non-skid shoes, gait belt, and dangling before starting

Question 8

cane length

Answer 8

equal to distance from greater trochanter to floor

Question 9

single straight-legged cane

Answer 9

used to support balance w decresed leg strength

Question 10

quad cane

Answer 10

used wihen there is partial or complete leg paralysis or some hemiplegia

Question 11

transferring from bed to chair-6

Answer 11

1. help pt to sitting position
2. apply transfer belt
3. spread feet and flex hips and knees aligning with pt knees
4. using gait belt, rock pt up to standing position keeping knees slightly flexed
5. pivot on foot farther from chair
6. flex knees and hips while lowering pt to chair