ASSESSMENT

Nursing Diagnosis

Analysis

Objective of Care

Nursing Intervention

Rationale

Evaluation

Subjective Objective w/ pale palpebral conjunctiva, w/ pale nail beds, w/ capillary refill time w/ slurred speech, with limited ROM on upper and lower extremities, Movement induced shortness of breath.

Impaired physical mobility neuromuscul ar impairment as evidence by limited motor skills

The nervous system is made up of nerve cells called neurons that serve as the communication system Of the body. They carry messages in the form of Electrical impulses. The messages move from one neuron to another to keep the body Functioning.

After 4 hrs. Of Nursing Intervention, the pt. will be able to maintain increased strength and function of affected or compensatory Part. >Establish Rapport To gain pts therapeutic relationship

Was the patient able to maintain increased strength and function of affected or compensator y Part?

>Monitor Vital signs

> To identify any other deviations From normal.

Because neurons have, limited ability to repair themselves unlike other body tissues that is why nerve cells cannot be repaired if damaged Due to injury or disease. Reference www.google.com

>Assess patient condition

>To determine any other underlying cause of manifestations > To prevent further stress & fatigue

>Provide adequate rest periods as well as comfort & safety measures

>Turn pt. slowly from side to side

> To provide proper circulation of blood flow on both sides >To assess functional ability

>Determine pt. level of mobility

>Assist pt. in his activities

>To promote optimal level of function

>Encourage adequate intake of fluids & Nutritious foods

>Promotes wellbeing and maximizes energy Production.

>Involve clients SO in care

>To assist in learning ways of managing

Reference Nursing care plan by doenges et.al. 7th edition Pp 241-242.