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8/12/2019 PPT Bhs.Inggris'

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MOBILISING PATIENTS


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Definition

Mobilization is a person's ability to move

freely, easily, regularly, have a purpose to

meet the needs of healthy life, and

essential to independence (Barbara

Kozier, 1995).


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Mobilization capability can be reduced or

disappear on a person suffering from

disorders muscle or bone such as

fractures, neurological disorders such as

stroke, inadequate energy such as heart

problems or with pain such as a person of

after surgery.


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Immobilization conditions were long and

continuous, can interfere with a person's

health because cardiovascular untrained,

constant muscle so it can occur atrophy,

can also lead to psychological disorders

because independence is not optimal.


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Mobilization needs to carried step by step,

adapted to the patient's physical abilities

and psychological readiness of patients.

Before the mobilization exercises alsoneed to be assessed the ability of the

client's body tolerance to the activity, to

avoid collapse, for example in patientswith cardiovascular disorders and severe

pain.


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Mobilization capability can be reduced or

disappear on a person suffering fromdisorders muscle or bone such as

fractures, neurological disorders such as

stroke, inadequate energy such as heart

problems or with pain such as a person of

after surgery.


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Mobilization

Passivemobilization

mobilization where the

patient in moving thebody in a way assistedby other people in total.

Activemobilization

mobilization where thepatient in moving the

body doneindependently withoutthe assistance of other

people


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Purpose

Increasing functional independence

Meet the basic human needs

Prevent the occurrence of trauma Maintain the level of health

Preventing the loss of the body's ability to

function


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Additionally, for critically ill patients,

mobilisation may reduce the incidence ofrespiratory complications, hasten

recovery, decrease the duration of

mechanical ventilation, and reduce thelength of ICU or hospital stay.


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Types of Mobilization

1. Full Mobilization

Is a person's ability to move fully and

freely so it can doing social interactions

and daily roles. The full mobility shows

motor nerve and sensory nerve function

can control all areas of the body.


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2. Partial Mobilization

Is a person is not able to move freely asinfluenced by disturbances of sensory and

motor nerves. Commonly encountered in

stroke patients, after an accident, andothers.


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Activity Tolerance

Sign which can be examined on the activity

intolerance, among others (Gordon, 1976):

Increased pulse frequency and irregularrhythm

Usually there is a decrease in blood

pressure


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An increase in respiratory rate, rapid and

shallow breathing

A decrease in skin color and body

temperature

Instability of the position of the body

Status emotional instability.


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Important things to know:

Activity tolerance assessment is veryimportant, especially in clients with

cardiovascular disorders such as angina

pectoris, myocardial infarct or in clientswith long immobiliasi due to paralysis. It is

usually assessed at the time before doing

mobilization, while mobilization and after

mobilization.


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Mobilization Guidelines

1. Mobilization Exercise in Patients Post-

Surgery

Mobilization after surgery is the process of

post-surgical activities carried out startingfrom light exercise on the bed (breathing

exercises, effective coughing exercises and

move the legs) until the patient can get out ofbed, walked to the bathroom and walked out

of the room (Brunner & Suddarth , 1996).


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Stages of mobilization in patients with

post-surgery by Rustam Mochtar (1992),

include:

1. On the first day of 6-10 hours after the

patient is conscious, the patient can

doing breathing exercises and effective

coughing exercises then right oblique -left oblique already be started.


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2. On the second day, the patient is

seated for 5 minutes, prompting

breathing exercises and coughing

effective to loosen respiratory .

3. On the third day to the fifth day, the

patient is advised to learn to stand and

then walk around the room, to thebathroom, and left the room alone.


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2. Mobilization Exercise on Client Fractures

Conditions fracture will receive medical

treatment appropriate severity levels.

Fractures that require surgery, need to bemobilization exercise guidelines in

accordance with the guidelines on post-

surgical patients at point 1.


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On fracture healing without surgery, such

as is done immobilization with cast, need

to be supervised vascularization

conditions in the fracture area.


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Passive mobilization of the joints in the

area of the fracture needs to be done to

prevent contractures.

Active mobilization is done phased when

the muscle and bone strength is adequate.

Active mobilization is done by moving the

fracture area, then phased done to theActivity Daily Living corresponding fracture

area strength.


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Usually in adults, the unification of upper

limb bones occurred in 2 months, and the

lower extremities in 4-6 months.

To ascertain whether has occurred union

of bone, necessary roentgen.


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3. Mobilization Exercise in Patients After

Stroke Attack

Mobilization of stroke patients can be done

with:

1) passive exercise is client limb actuated by

other people to stimulate blood flow andstimulates muscle contraction

2) active exercises which the client try to move

his own body Exercises are carried as early as possible

and repeated will be motion controlled.


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