Keept Gate House Floor Plan

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NursesZone Survey

You are here:
Impaired Physical Mobility
  • Actual
  • Risk for (Potential)

Related To: [Check those that apply]

  • Activity intolerance
  • Perceptual or cognitive impairment
  • Musculoskeletal impairment
  • Neuromuscular impairment
  • Medical restrictions
  • Prolonged bed rest
  • Limited strength
  • Pain or discomfort
  • Depression or severe anxiety

As evidenced by: [Check those that apply]

  • Inability to move purposefully within physical environment, including bed mobility, transfers, and ambulation
  • Reluctance to attempt movement
  • Limited range of motion (ROM)
  • Decreased muscle endurance, strength, control, or mass
  • Imposed restrictions of movement, including mechanical, medical protocol, and impaired coordination
  • Inability to perform action as instructed

Patient’s Diagnosis: –
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Objective/Expected Outcome;The patient will:

  • performs physical activity independently or with assistive devices as needed.
  • be free of complications of immobility, as evidenced by: intact skin, absence of thrombophlebitis, and normal bowel pattern
  • Others

Note: you need to indicate time frame/target as objective must be measurable.

Nursing Interventions Scientific Rationale
Assess for impediments to mobility. Identifying the specific cause guides design of optimal treatment plan.
Assess patient'' sign, redness, localized swelling, and rise in temperature). Bed rest or immobility promotes clot formation.
Assess elimination status. Immobility promotes constipation.
Evaluate need for assistive devices. Proper use of wheelchairs, canes, transfer bars, and other assistance can promote activity and reduce danger of falls.
Evaluate the safety of the immediate environment. Obstacles such as throw rugs, children''s ability to ambulate safely.
Encourage and facilitate early ambulation and other ADLs when possible. The longer the patient remains immobile the greater the level of debilitation that will occur.
Encourage appropriate use of assistive devices in the home setting. Mobility aids can increase level of mobility.
Provide positive reinforcement during activity. Patients may be reluctant to move or initiate new activity from a fear of falling.
Allow patient to perform tasks at his or her own rate. Do not rush patient. Encourage independent activity as able and safe. Hospital workers and family caregivers are often in a hurry and do more for patients than needed, thereby slowing patient''s limited reserves.

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