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  • Impaired Physical Mobility Cholecystectomy

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    Princess Danica Purcia
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    The nursing care plan is for a patient who had cholecystectomy surgery and is experiencing impaired physical mobility due to pain. The plan involves monitoring the patient's vital signs and pain level, instructing family to stay at the bedside during position changes, and encouraging activities with rest periods to promote independence and resume normal activities. The short term goal is for the patient to identify interventions to move safely, and the long term goal is to demonstrate behaviors enabling resumption of activities.

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    Impaired-Physical-Mobility-Cholecystectomy

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    Impaired-Physical-Mobility-Cholecystectomy

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    The nursing care plan is for a patient who had cholecystectomy surgery and is experiencing impaired physical mobility due to pain. The plan involves monitoring the patient's vital signs and pain level, instructing family to stay at the bedside during position changes, and encouraging activities with rest periods to promote independence and resume normal activities. The short term goal is for the patient to identify interventions to move safely, and the long term goal is to demonstrate behaviors enabling resumption of activities.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2K views2 pages

    Impaired Physical Mobility Cholecystectomy

    Uploaded by

    Princess Danica Purcia
    The nursing care plan is for a patient who had cholecystectomy surgery and is experiencing impaired physical mobility due to pain. The plan involves monitoring the patient's vital signs and pain level, instructing family to stay at the bedside during position changes, and encouraging activities with rest periods to promote independence and resume normal activities. The short term goal is for the patient to identify interventions to move safely, and the long term goal is to demonstrate behaviors enabling resumption of activities.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Cholecystectomy Nursing Care Plan: Impaired Physical Mobility

    Assessment
    S> O> The pt. manifested: >surgical incision on RUQ of the abdomen >guarding behavior The pt. may manifest: >cold clammy skin >perspiration >anxiety >restlessness >redness on the incision site >Administer medications prior to activity as needed for pain relief. >Schedule >support body parts/joints using pillows.

    Nursing Diagnosis
    Impaired Physical mobility r/t pain 2 Cholecystectomy

    Scientific Explanation
    Presence of surgical incision procedures causes the pt. to be reluctant in doing movements such as ROM, because those may result in the stimulation of the nerve endings, during movement, thus, increase pain sensation.

    Planning (Objective/Goal)
    Short term: After 1 of NI, pt. will be able to identify appropriate interventions or measures in order to move safely and freely

    Interventions
    >establish rapport.

    Rationale
    >to establish nursept. relationship. >to establish baseline data.

    Evaluation
    Short term: Pt. shall have identified appropriate interventions or measures in order to move safely and freely.

    >monitor V/S. >assess the degree of pain. >note emotional responses to problems of immobility. >to determine appropriate interventions. >feeling of frustration or powerlessness may impede attainment of goals. >for position changes/transfers. >instruct SO to stay at bedside. >to maintain position of function and reduce risk of pressure ulcers. >to permit maximal effort / involvement in activity. >to reduce fatigue.

    Long term: After 3 of NI, pt. will demonstrate behaviors that enable resumption of activities.

    Long term: Pt. shall have demonstrated behaviors that enable resumption of activities.

    >enhances selfconcept and sense of independence.

    activities with adequate rest periods during the day. >encourage performing diversional activities such as puzzles etc. >encourage tom increase oral fluid intake.

    >promotes well being and maximizes energy production. >to promote independence and enhance ROM exercises. >to maintain muscle strength. >to lessen pain and discomfort.

    >place essential equipments near the client. >encourage ROM exercises. >place client in a comfortable position.

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