SJDC ADN Class of 2008

#30 Discuss the theraputic communication needed for the immobile person.
Immobility is the reduction in the amount and control of movement taht a person has. Normally people change positions when they are uncomfortable, which reduces pressure to any given area. For those with mobility impairments such as paralysis, pain, weakness or any other problem that limits freedom of movement adjusting position to aleviate pressure or discomfort can be difficult or impossible.
Immobility can lead to disuse syndromes, contractures, stiffness in joints and pressure ulcers.
Nursing strategies are aimed at preventing the complications of immobility, at risk clients should be identified early to prevent complications before they arise. Braden scales are used as identifiers. Patients should have physcians orders that specify activity levels, "such as out of bed w/assist". Most clients require assistance, it is up to the nurse to determine how much assistance is required.
Theraputic communication promotes understanding and fosters a constructive relationship with the client that is goal directed. The nurse should gather data, determin limitations and assistance required. (preinteraction phase). Then clarify the desired task to the client with expectations for each. ( introductory phase) followed by the (working phase) exploring thoughts and feelings and implementing the task. lastly the (termination phase) where summarization occurs.
Clients should be involved in their own care if possible.