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NCP Impaired physical mobility

NCP Impaired physical mobility

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Published by: John Michael Sajor Fernandez on Nov 13, 2013
Copyright:Attribution Non-commercial

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02/06/2015

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Cues Nursing Diagnosis Analysis Objectives Interventions Rationale Evaluation Objective data:
 
Limited range of motion
 
Slowed movement
 
Reluctance to attempt movement V/S
 
T :38.2°C
 
P : 75 bpm
 
R : 20 bpm
 
BP:130/80mmHg Impaired physical mobility, inability to stand alone related to skeletal impairment to facture of the left femoral neck Fractures occur when the bone is subjected to stress greater that it can absorb. When the bone is broken, adjacent structures are also affected, resulting in soft tissue edema, hemorrhage into the muscles and joints,  joints dislocations, ruptured ten-dons, severed nerves, and damaged blood vessels. Body organs maybe injured by the force that caused the fracture fragments. After a fracture, the extremities cannot function properly because normal functions of muscle depend on the integrity of the bones which they are attached.(Gulanick &Myers: 2007, p.126) After 8 hours of rendering nursing intervention, the patient will be able to:
 
Increase strength and function of affected body part
 
Move within range of motion
 
Have normal Respiratory Rate.
 
Recite the non-pharmacologic ways to lessen pain.
 
Demonstrate the non- pharmacologic ways to lessen pain. INDEPENDENT:
 
Assist with activity/ progressive ambulation
 
Encourage and facilitate early ambulation and other ADLs when possible
 
Assist with each initial change: dangling, sitting in chair, ambulation
 
Until healing occurs, activity Is limited and advanced slowly according to individual tolerance
 
The longer the patient remains immobile the greater the level of debilitation that will occur After 8 hours of rendering nursing care, the goals was met as evidenced by:
 
Move within range of motion
 
Demonstrate increasing function of the extremities.
 
Regain or maintain mobility at the highest possible level.

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