ATI: Older Adults (65 years and older): Safe Use of a Walker

Ans)ATI: Older Adults (65 years and older): Safe Use of a Walker:
Related content:
- Mobility is freedom and independence in purposeful movement.
- Mobility refers to adapting to and having self awareness of environment.
- Functional Musculoskeletal and nervous system are essential for Mobility.
- Immobility is the inability to move freely and independently at will.
- The risk of complications increases with degree of Immobility and length of time of immobilization.
- Periods of Immobility or prolonged bed rest can cause major physiological effects.
Underlying principle:
- Correct utilization of wheelchairs, canes, transfer bars, and other assistance can enhance activity and lessen the danger of falls in older adults.
- The risk for effects of immobility in older adults are muscle weakness, skin breakdown, pneumonia, constipation, thrombophlebitis, and depression are also to be considered in older patients with immobility.
Nursing Intervention:
- Assess the patient’s or caregiver’s understanding of immobility and its implications- Provides data to plan care.
- Present a safe environment: bed rails up, bed in down position, important items close by.
- Promote and facilitate early ambulation when possible. Aid with each initial change: dangling legs, sitting in chair, ambulation- Early mobility increases self-esteem about reacquiring independence and reduces the chance that debilitation will transpire.
- Show the use of mobility devices, such as the following: trapeze, crutches, or walkers- These devices can compensate for impaired function and enhance level of activity. The goals of using such aids are to promote safety, enhance mobility, avoid falls, and conserve energy.
- Help out with transfer methods by using a fitting assistance of persons or devices when transferring patients to bed, chair, or stretcher- Learning the proper way to transfer is necessary for maintaining optimal mobility and patient safety.
- Give positive reinforcement during activity- This is to boost the patient’s chances of recovering and to increase his or her self-esteem.
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