Impaired Physical Mobility Rt Neuromuscular Involvement (right Sided Paresthesia Aeb Inability To Purposefully Move Body Parts. 5mi11

ASSESSMENT

DIAGNOSIS

SUBJECTIVE: “eto nga at hianng hina siya, hindi na niya magalaw ang right side niya” as stated by the significant other

IMPAIRED PHYSICAL MOBILITY rt neuromuscular involvement (right sided paresthesia) aeb inability to purposefully move body parts.

OBJECTIVE: -grade of 0 in the level of functioning -paresthesia in the right side of the body -0/5 muscle strength in the RUE -1/5 muscle strength in the RLE -impaired coordination -inability to purposefully move body part

SCIENTIFIC EXPLANATION HPN, age, alcohol, smoking ↓ Thrombus formation in he blood vessel ↓ Obstruction to the flow of blood ↓ Metabolic acidosis, anaerobic respiration ↓ Destruction of neurons ↓

PLANNING DISCHARGE PLAN: After 2 week of Nursing Intervention the client will be able to move and do minimal task such as: -go to the toilet with minimal assistance -ambulate moderately -eat without assistance -do tooth brushing without assistance

INTERVENTION

RATIONALE

*Observe movement when client is uaware of observation

*to note any incongruencies w/ reports or abilities

*schedule activities with adequate rest periods during the day

*to reduce fatigue and increase comfort.

* encourage energy conserving techniques for rising ADLs

*limit fatigue and maximize participation

*encourage adequate intake of fluids and nutritious foods like: fruits and vegetables.

*maximize energy production and aides in fast recovery.

EVALUATION DISCHARGE PLAN: After 2 week of Nursing Intervention the client had been able to move and do minimal task such as: -go to the toilet with minimal assistance -ambulate moderately -eat without assistance -do tooth brushing without assistance SHORT TERM:

SHORT TERM: After 1 week of Nursing Intervention the Significant other will be able to verbalize understanding of

*Plan for *Helps to minimize progressive frustrations and increase of activity rechannel energy. level/ participation in exercise, training as tolerated by the client, such as: -performing ROM

After 1 week of Nursing Intervention the Significant other had been able to verbalize understanding of the situation and

Weakness of the right side of the body ↓ Right sided paresthesia ↓ IMPAIRED PHYSICAL MOBILITY -BRUNNER, 1623

the situation and individual treatment regimes and safety measure.

exercise daily -and practice eating without assistance *Adjust activities to the capacity of a post c/s, such as: -performing ROM exercise -turning to sides

individual treatment regimes and safety measure. *Both activity tolerance and health status may improve with progressive training.

COLLABORATIVE: *consult w/ *to develop physical therapist individual exercise/ mobility program and identify appropriate devices *ister citicoline 1000mg BID as prescribe

*to increase blood flow and neuronal commuication