Impaired Physical Mobility 5p5v34

Impaired Physical Mobility Assessment Subjective: “Hindi na ko makatayo kung wlang umaalalay sa akin”- as verbalized by the client. “Mahina na din ang mag binti ko at halos hirap na akong igalaw ang mag ito”as verbalized by the client.

Nursing diagnosis Impaired physical mobility related to activity intolerance secondary to decrease muscle strength

Planning Short term goal: At the end of the shift the client will: o

Demonstrate a technique that enables continuation of the activities.

Long term goal: After 5 days of hospitalization the client will:

Objective: o -difficulty in moving his legs. - Difficulty in turning side to side. -positive gait change -positive slow movement. -limited ability to perform gross motor skill function level.

Maintain or increase the strength and functioning of affected compensatory part.

Intervention Independent: 1. Assessed client’s condition. 2. Vital signs monitored and recorded. 3. Determined diagnosis that contributes to immobility.

Rationale

Evaluation

-For focused assessment regarding client’s condition and health status.

Goal met the client verbalizes techniques that enables him to do such activity with no assistance.

-For the baseline data.

-it identifies the possible treatment for the necessary 4. Determined condition and for the presence of formulation of the complications related appropriate to immobility. intervention. Dependent:

Collaborative:

-it will prevent further complications that might experience by the client; it also helps in the early detection of any abnormalities the client may experience.

1. Encouraged client’s significant

-This may help the client to consider

1. istered medication prior to activity as needed to permit maximum effort in the activity.

other in decision making as much as possible.

different options contributed by his family.