Cues Nursing Inference Planning Nursing Rationale Evaluation

Diagnosis Intervention

S> Impaired Mobility is also After 8 hrs of 1.Encourage 1.The longer After 8 hrs of
“Nahihirapan Physical related to body nursing and facilitate the patient nursing
akong Mobility changes from intervention early remains intervention
maglakad as Immobility aging. Patient will ambulation and immobile the Patient will
verbalized by r/t Limited Loss of muscle independently other ADLs greater the independently
the patient” strength mass, ambulate five when possible. level of ambulate five
reduction in feet with Assist with debilitation that feet with
O> muscle assistive each initial will occur assistive device
Inability to strength and device by change: by discharge
move function, stiffer discharge.. dangling, as evidence by
purposefully and less sitting in chair, imposed,
within physical mobile joints, ambulation patient's
environment, and gait reluctant to
including bed changes 2. Allow patient 2. Encourage move.
mobility, affecting to perform independent
transfers, and balance can tasks at his or activity as able
ambulation significantly her own rate. and safe.
* Reluctance to compromise Do not rush
attempt the mobility patient.
movement Limited 3. This
* Limited range strength 3. Keep side promotes a
of motion rails up and bed safe
(ROM), in low position. environment.
coordination
* Inability to 4. Maintain 4. This
perform action limbs in prevents
as instructed functional footdrop and/or
alignment (e.g., excessive
with pillows, plantar flexion
sandbags, or tightness.
wedges, or
prefabricated
splints).

5. Perform 5. Exercise
passive or promotes
active assistive increased
ROM exercises venous return,
to all prevents
extremities. stiffness, and
maintains
muscle
strength and
endurance.