![nursing diagnosis mobility impaired physical nursing diagnosis mobility impaired physical](https://medicinebtg.com/wp-content/uploads/2015/01/impaired%20physical%20mobility%20nanda%20nursing%20diagnosis-yhEz-660x510.jpg)
Mobilization efforts, ranging from dangling on the edge of the bed, sitting up in a chair, and assisting with early ambulation, depend on the patient’s unique circumstances, such as their medical condition and surgery performed. To avoid or minimize complications of immobility, mobilize the patient as soon as possible and to the fullest extent possible. Nursing interventions promote a patient’s mobility and prevent effects of immobility.
![nursing diagnosis mobility impaired physical nursing diagnosis mobility impaired physical](https://www.coursehero.com/thumb/b7/ac/b7ac91b7338681e5369b58f5430404c09bc7dbe7_180.jpg)
Limitation in independent, purposeful movement of the body or of one or more extremitiesĪ sample nursing diagnosis in PES format is, “Impaired Physical Mobility related to decrease in muscle strength as evidenced by slow movement and alteration in gait.” Outcome IdentificationĪ sample overall goal for a patient with Impaired Physical Mobility is, “The patient will participate in activities of daily living to the fullest extent possible for their condition.”Ī sample SMART outcome is, “The patient will demonstrate appropriate use of adaptive equipment (e.g., a walker) for safe ambulation by the end of the shift.” Planning Interventions The American Academy of Nursing issued a recommendation in 2014 stating, “Don’t let older adults lie in bed or only get up to a chair during their hospital stay.” This recommendation highlights the importance of implementing evidence-based measures to promote activity during hospitalization to prevent functional decline in older adults. Hospitalization poses a risk for altered functional status of older adults due to acute illness, decreased mobility, and the negative effects of bedrest. Conditions such as osteoarthritis, orthostatic hypotension, inner ear dysfunction, osteoporosis resulting in hip fractures, stroke, and Parkinson’s disease are among the most common causes of immobility in old age. Older adults are at increased risk for immobility. As teenagers become adults, the nurse provides education about the effects of alcohol and other drugs on balance and safety while driving.
![nursing diagnosis mobility impaired physical nursing diagnosis mobility impaired physical](https://nandadiagnoses.com/wp-content/uploads/Nursing-diagnosis-Impaired-physical-mobility.jpg)
When working with school-age children, nurses provide education to prevent injury that can occur with activity, such as using helmets and knee pads to prevent injury while bicycling and skateboarding. Parents are educated about these developmental milestones during well-child visits. For example, infants move their limbs, hold their head up, roll, sit, crawl, stand, and then eventually walk. Life Span ConsiderationsĪt each stage of growth and development, the nurse assesses a patient’s mobility and provides appropriate education. Note if urinary incontinence is occurring due to the inability of the patient to reach the restroom in time. Monitor 24-hour trend of intake and output, as well as for symptoms of dysuria, urgency, or frequency. Assess for the presence of urinary tract abnormalities related to immobility, such as suprapubic distention or tenderness that can result from urinary retention. If constipation is suspected, palpate the patient’s left lower quadrant for signs of stool presence. Ask the patient about the date of their last bowel movement, and monitor stool patterns and stool characteristics. Assess for potential signs of atelectasis and pneumonia.Īssess the gastrointestinal system by inspecting for distension, auscultating bowel sounds, and palpating the abdomen for tenderness. Assess for the presence of lower extremity edema and for signs of a potential deep vein thrombosis (DVT).Īssess the respiratory system, including respiratory rate, oxygen saturation, lung sounds, chest wall movement and symmetry, and depth and effort of respirations.
![nursing diagnosis mobility impaired physical nursing diagnosis mobility impaired physical](https://www.coursehero.com/thumb/93/50/935041ec9c385dbd9e6513f7f94e768646914fb7_180.jpg)
Assess the cardiovascular system, including blood pressure, heart sounds, apical and peripheral pulses, and capillary refill time. Read more details about performing a “ Musculoskeletal Assessment” in Open RN Nursing Skills.īecause immobility can negatively affect several body systems, perform a thorough assessment for patients with impaired mobility.