*NURSING > EXAM REVIEW > Multidimensional Care (MDC) 1 MDC EXAM 2 REVIEW - (Rasmussen College) (All)

Multidimensional Care (MDC) 1 MDC EXAM 2 REVIEW - (Rasmussen College)

Document Content and Description Below

MDC EXAM 2 REVIEW 11:19:19 1. The effects of Immobility a) Interventions that improve flexibility • P.R.E.P.(Perform passive ROM, Reposition Q2HR, Encourage independent activity as much as possib le... even in bedrest, Provide assistive devices) • Know examples of exercises for flexibility b) Assessment/ Findings of a patient with DVT • Assessment (1) Compare distal pulses for pulse quality, observe the color and temp. of extremities, evaluate sensation and motion, and determine speed of capillary refill. Compare calf circumferences. • Findings (1) Redness, warmth, tenderness, swelling (Thrombus formation), Peripheral and sacral edema. c) Identify patients at risk for skin breakdown • Older adults, immobile, cognitive impairments, incontinence, poor nutrition/ malnutrition. Medications may also cause vasoconstriction and result in poor tissue perfusion. 2. Benefits of Exercise a) Rationale for weight bearing exercise • Promotes bone reformation and growth (Makes bones stronger) • At least 3-5 times a week Identify benefits of exercise • Bone reformation and growth • Cardiovascular health promotion • Promotes balance and stability • Reduce stress and increase energy levels b) Identify benefits of exercise • Bone reformation and growth • Cardiovascular health promotion • Promotes balance and stability • Reduce stress and increase energy levels • Improves pulmonary circulation, skeletal development, skin tone • Reduces systemic inflammation c) Identify negative effects of immobility on musculoskeletal system • Osteoarthritis • Rheumatoid Arthritis • Loss of muscle strength • Impaired balance • Altered join mobility • Decreased stability • Osteoporosis • Depression, isolation, anxiety, and mood change • Can cause decreased peristalsis d) Explain ways to maintain proper posture for a client • Place the spine in a neutral position(Resting) • This allows the bones to be aligned, reduce stress and fatigue & muscle joints, and ligament can work efficiently • Avoid standing in 1 position for a long period of time • Do not lock your knees when standing • Keep core tight and don’t bend at the waist or neck • No slumping when sitting • Sit close to your work and use back support • Sit with feet flat on floor • Sleep on firm mattress • Do not wear high heels for a prolonged time, do not slump, and use a chair that supports your back. e) Identify interventions in minimizing contractures (which is a negative effect of immobility) • Gently straighten out contracted extremity, fingers. Etc • Mobility-encouraging interventions such as passive ROM, and rotation. Flexion and extension exercises • These interventions should be performed about every 2hrs and as needed if the contractures are present 3. Identify bed positions • Semi-fowlers: Patient is on their back with the head raised between 15 and 45 degrees. • High-fowlers: Patient is on their back with the head of the bed raised between 60 and 90 degrees. • Prone: Lying on the abdomen with the head turned to one side • Supine: Lying on the back • Sims: Patient lies on their side with the left thigh slightly flexed and the right thigh acutely flexed on the abdomen. • Trendelenburg's Position: Patient is on their back whose lower section is inclined 15-30 degrees so that the head is lower than the body. • Reverse Trendelenburg's Position: Patient is in the supine position with the feet facing downward and head is inclined 15-30 degrees. • Lateral Position: Side lying position, and a pillow is often placed between the legs for patient comfort 4. Identify proper body mechanics for moving the patients in bed • Transfer board • Mechanical lift • Transfer belt • What are the proper ways to move patients in bed? 5. Explain how to use walkers to the elderly • Push or lift your walker 6-12 inches forward • Make sure all 4 tips or wheels of your walker are touching the ground before taking a step • Step forward with your weak leg first • Then step forward with your other leg placing it in front of the weaker leg 6. Be able to assess client with diabetic neuropathy • Monofilament test: touch foot at the same time and have patient which time they were touched • Vibration perception: use a 128 hz tuning fork and ask the patient if they are able to feel vibrations • Look for ulceration or inspection of the feet 7. Assessment of pain and questions to ask • P: What causes the pain or when did it start? What makes it better and what makes it worse? • Q: How does the pain feel? • R: Where is the pain? Does it spread from one area to another? • S: How does the pain rate on a scale of 1-10, with ten being the worst pain? • T: When did the pain start? Is it sudden or gradual? Intermittent or constant 8. Teaching plan for patients with bunionectomy and healing • Allow them to walk with foot shoe or boot • Healing time is 6 to 12 weeks (healing time is slow due to less blood flow) • Use assistive devices for ambulatory until full weight bearing and allowed after surgery which is several weeks postop. • When educating patients and they do not follow recommendations, ask them to tell about their experiences. 9. Osteomy elitis a) Interventions in prevention and risk of osteomyelitis • Proper dental care • Maintaining clean & intact skin • Proper hand hygiene • Not leaving catheters in long tern • Understanding who is at risk ::::::::::::::::::::::::::::::::::::::::CONTENT CONTINUED IN THE ATTACHMENT::::::::::::::::::::::::::::::::::::::::::::::::::: [Show More]

Last updated: 1 year ago

Preview 1 out of 10 pages

Add to cart

Instant download


Buy this document to get the full access instantly

Instant Download Access after purchase

Add to cart

Instant download

Reviews( 0 )


Add to cart

Instant download

Can't find what you want? Try our AI powered Search



Document information

Connected school, study & course

About the document

Uploaded On

Feb 24, 2021

Number of pages


Written in



Member since 3 years

142 Documents Sold

Additional information

This document has been written for:


Feb 24, 2021





Document Keyword Tags

Recommended For You

Get more on EXAM REVIEW »

What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 Questions? Leave a message!

Follow us on

Copyright © Browsegrades · High quality services·