When working with school-age children, nurses provide education to prevent injury that can occur with activity, such as using helmets and knee pads to prevent injury while bicycling and skateboarding. Parents are educated about these developmental milestones during well-child visits. For example, infants move their limbs, hold their head up, roll, sit, crawl, stand, and then eventually walk. Life Span ConsiderationsĪt each stage of growth and development, the nurse assesses a patient’s mobility and provides appropriate education. Note if urinary incontinence is occurring due to the inability of the patient to reach the restroom in time. Monitor 24-hour trend of intake and output, as well as for symptoms of dysuria, urgency, or frequency. Assess for the presence of urinary tract abnormalities related to immobility, such as suprapubic distention or tenderness that can result from urinary retention. If constipation is suspected, palpate the patient’s left lower quadrant for signs of stool presence. Ask the patient about the date of their last bowel movement, and monitor stool patterns and stool characteristics. Assess for potential signs of atelectasis and pneumonia.Īssess the gastrointestinal system by inspecting for distension, auscultating bowel sounds, and palpating the abdomen for tenderness. Assess for the presence of lower extremity edema and for signs of a potential deep vein thrombosis (DVT).Īssess the respiratory system, including respiratory rate, oxygen saturation, lung sounds, chest wall movement and symmetry, and depth and effort of respirations. Assess the cardiovascular system, including blood pressure, heart sounds, apical and peripheral pulses, and capillary refill time. Read more details about performing a “ Musculoskeletal Assessment” in Open RN Nursing Skills.īecause immobility can negatively affect several body systems, perform a thorough assessment for patients with impaired mobility.
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