NURSING CARE PLAN

ASSESSMENT
SUBJECTIVE: Nanghihina ako, pakiramdam ko hindi ko kayang gumalaw (I feel
weak, I cant move)

DIAGNOSIS
Impaired physical mobility related to neuromascular impairment.

INFERENCE

PLANNING

INTERVENTION
INDEPENDENT: Continually assess motor function by requesting patient to perform certain actions like shrugging shoulders, spreading fingers. Assist with full range of motion exercises in all extremities and joints using slow, smooth movements. Position arms at 90-degree angle at regular intervals. Elevate lower extremities at intervals when in chair or raise foot or bed when permitted in individual situation.

RATIONALE
Evaluates status of individual situation, affecting type and choice of interventions.

EVALUATION
After 8 hours of nursing interventions, the patient was able to demonstrate techniques or behaviors that enable resumption of activity.

as verbalized by the patient. OBJECTIVE: Paralysis. Muscle atrophy. V/S taken as follows: T: 37.1 P: 89 R: 20 BP: 110/90

After 8 hours Kyphosis of nursing (Greek interventions, kyphos, a the patient hump), in will general terms, demonstrate is a curvature of techniques or the upper behaviors that spine. It can be enable either the result resumption of of bad posture activity. or a structural anomaly in the spine. In the sense of a deformity, it is the pathological curving of the spine, where parts of the spinal column lose some or all of their lordotic profile. This causes a bowing of the back, seen as a slouching posture. Symptoms of kyphosis, that may be present or not, depending on the type and extent of the deformity,

Enhances circulation, restores muscle tone and joint mobility.

Prevents frozen shoulder contractures. Loss of vascular tone and muscle action results in pooling of blood and venous stasis in the lower abdomen and lower extremities, with increased risk of hypotension and thrombus formation.

include mild back pain, fatigue, appearance of round back and breathing difficulties. Severe cases can cause great discomfort and even lead to death.

Prevents fatigue, Plan activities to allowing provide opportunity for uninterrupted rest maximal efforts periods. or participation Encourage by the patient. involvement within individual tolerance or ability. Encourage use of relaxation techniques. Inspect skin daily. Observe for pressure areas and provide meticulous care. Reduces muscle tension, may limit pain of muscle spasm. Altered circulation, loss of sensation, and paralysis potentiate pressure sore formation.

COLLABORATIVE: Consult with physical therapist. Helpful in planning and implementing individualized exercise program and identifying assistive devices to maintain function, enhance mobility and independence.