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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