Download MOBILITY PRACTICE Exam Questions and Answers Latest Updates 2024 Rated A+. and more Exams Social Work in PDF only on Docsity! 1 MOBILITY PRACTICE Exam Questions and Answers Latest Updates 2024 Rated A+ Mobility - ✔✔Being mobile/movable Scope of Mobility - ✔✔Full Mobility - Partial/Impaired Mobility - Immobility Someone who is both mobile and immobile? - ✔✔- Partial paralysis - Advanced age - Weakness - Fractures - Pregnancy - Stroke - Hemiplegia - Paraplegic When is immobility beneficial? - ✔✔- After injury - Recovering from illness 2 - Both reduce risk of aggravation What is impaired mobility due to? - ✔✔- Neurologic conditions (brain, spinal, nerves) - Skeletal conditions - Muscle conditions - Joint conditions (cartilage, tendons, ligaments) Age-Related Changes: Neurologic System - ✔✔Thinning of intervertebral discs causing spinal nerve compression Age-Related Changes: Bone - ✔✔- Decreased bone density and risk of fracture - Vertebral collapse (kyphosis) Age-Related Changes: Joints - ✔✔- Degeneration of articular cartilage causing osteoarthritis - Stiffening of ligaments and joints Age-Related Changes: Muscles - ✔✔- Decreased muscle mass and strength Risk factors for impaired mobility - ✔✔- Advanced age - Chronic pain - Injury/trauma - Congenital deformities - Nutritional deficiencies - Stroke - Cardiovascular/respiratory disease 5 - Mobility: Improves blood flow through skeletal and respiratory muscle activity and improves gas exchange through chest cage expansion Modifiable Risk Factors for Osteoporosis - ✔✔- Low peak bone mass - Low Ca2 or Vit. D intake - Physical inactivity - Hormonal factors - Medications - Alcohol - Cigarette Smoking Effect of osteoporosis on mobility: - ✔✔- Pathologic Fractures - Choice to be less mobile due to fear of falling - Pain from fractures Non-Modifiable Risks for Osteoporosis - ✔✔- Age - Gender - Genetics - Ethnicity Peak Bone Mass - ✔✔30 years Factors influencing peak bone mass? - ✔✔Genetics + Endocrine + Nutrition + Lifestyle 6 After 30 - ✔✔- Bone resorption slowly exceeds bone formation Age-Related Changes (Osteoporosis) - ✔✔- Post menopause (after 50): Accelerated bone loss because of estrogen deficiency - Age: Reduced proliferative capacity of bone cells and decreases Vit. D activation - Bones become thinner/weaker/brittle with age Estrogen Deficiency - ✔✔- Estrogen inhibits osteoclasts to slow rate of bone resorption - Bone loss at its greatest during early menopause Diagnosing Osteoporosis - ✔✔- Bone Mineral Density (BMD) - T Score: How much one's bone density is higher/lower than the bone density of a healthy 30-year-old adult Consequences of Osteoporosis - ✔✔- Bones weaken - Fractures Function of bone remodeling - ✔✔- Maintenance of bone health - Release of mineral stores - Strengthening of bones in areas of stress Where does most of the remodelling primarily occur? - ✔✔Surface of trabeculae of spongy bone 7 Assessing Mobility: - ✔✔- Inspect/Observe - Interview/Ask - Measure/Count - Palpate - Test Inspect/Observe Assessment - ✔✔- Appearance - Posture - Skeleton and extremities - Joints - Muscles - Gait - ROM - Use of mobility assistive devices - Capability and effort required to change position - Chest expansion Interview/Ask Assessment - ✔✔- Risk Factors - Health history - LOC - History of falls