lunes, 6 de mayo de 2013

INMOBILITY


I believe that mobility is one of the most important indicators of health status at any age and that determines independence. In the elderly depend on specific factors:
- Motor Skills
- Degree of health and self-confidence
- Personal and environmental resources

Two types of immobility
- Relative: sedentary life but able to move
- Absolute: chronic bedridden, in which there may be problems for the patient as pressure ulcers and for caregivers and burnout syndrome

Some of the most important causes of immobility are the changes that the elderly suffer in their bones, muscles, heart and lungs and nervous system, either by physiological changes or diseases of age that may affect mobility.
From my point of view I think that the most important may be the decrease in muscle mass, osteoporosis and diseases like Parkinson's.

In patients with mobility problems we realize a rating, first try to get the maximum possible information possible with the help of family and caregivers to know the type of activities conducted scales we can help like Brathel and Lawton.
Also we will inform us about the drugs because some drugs can alter motility.

In my opinion is very important to conduct a home visit to determine the presence of architectural barriers as well as the family and social environments. Then I would conduct a physical exam comprehensive malaria, with special emphasis on the respiratory system, mucular, cardiac and neurological.
For the valuation are recommended two scales:
- Time up and go test
- Tinetti scale

Once the valuation will be proposed and relaistas individual goals, the main objective is to recover the baseline situation

The priority that we have in terms of the objectives of bedridden patients will be the prevention of skin problems by postural changes, hydration, hygiene and massage

Aids in immobility


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