The base of the body is represented by the feet, which carry the body weight and maintain balance. Translocation of a certain patient with mobilization issues, the base of the body should be well supported to avoid accidental falling and physical injuries.
Instructing the patient to lean backward would actually reduce the balance of the body. As a result weight stabilization decreases thereby increasing the risk for injuries. Stimulating abdominal muscle tension alone is not enough to increase the balanced weight distribution on the base of the body.
The nurse should not ask the patient to bend the knees as this is not enough to cause balanced weight distribution on the base.
Hence, the options 1, 3 and 4 are incorrect.
Positioning the legs farther apart provides more support and a well distribution of the body weight on the base of the body. Therefore, this should be ideally done while translocation of the patient.
Hence, the correct answer is option
Prolonged immobility results in the absence of regular functioning of the associated muscles and limbs thereby leading to their gradual dysfunction. The patient is diagnosed with an enlarged heart that is unable to meet the oxygen requirement of the body due to decreased cardiac output (CO).
The assessment data that confirm that the patient is developing disuse syndrome due to his occupational immobility is as follows:
1. Prolonged sitting- Prolonged sitting as required by the patient's occupation, results in absence of positional changes of the body parts and regular movement of the limbs. This would lead to loss of functionality of the body parts subjected to chronic immobility.
2. Obesity- Obesity results in lack of interest to promote movement or locomotion. This would lead to immobility associated disuse syndrome.
3. Edema- The patient has developed edema of potential size in both ankles. This indicates the severity of the immobility and the increased risk for disuse syndrome in the patient.
4. Decreased respiration rate- The patient's decreased respiration rate indicates less than body requirement oxygen circulation. This in turn would lead to muscle fatigue and the corresponding immobility. This would result in disuse syndrome.
5. Enlarged heart- The patient is diagnosed with an enlarged heart that is unable to meet the oxygen requirement of the body due to decreased cardiac output (CO). This results in imbalance issues, which disable the patient to continue spontaneous movement leading to immobility and disuse syndrome.
Physical immobility refers to the limitations in spontaneous and purposeful movement of one or more parts of the body as a result of neurological and cardiac disorders, prolonged bed rest due to chronic illness or deformities.
Immobility may lead to disuse syndrome of the limb or body part subjected to prolonged immobilization. The nursing care plan for the patient includes interventions for the patient's appropriate positioning and maintenance of muscular functions and flexibility.
This plan does not include obesity, which should have been included because of the following reasons:
1. The patient is already overweight indicated by his 102 Kg (kilograms) weight, which results in extra pressure on his lower limbs.
2. The extra weight of the body has already led to the formation of edema of a clinically significant size of 5 mm (millimeters) on both of his ankles and feet.
3. The obesity would further complicate the patient's condition by disrupting the patient's ability to mobilize spontaneously and maintain balance.