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Nursing diagnoses specifically addressing problems of immobility 1.

DIAGNOSA ( Utama ) Impaired Physical Mobility Definisi Limitation in independent, purposeful physical movement of the body or of one or more extremities ( Keterbatasan dalam hal kemandirian, gerakkan fisik yang berguna dari tubuh atau satu atau lebih ekstrimitas ). Batasan Karakteristik Limited ability to perform fine motor skills ( keterbatasan kemampuan untuk melakukan keterampilan motor yang baik ) Limited ability to perform gross motor skills Limited range of motion Faktor yang Berhubungan Activity Intolerance Contractures Deconditioning Decreased muscle control Decreased muscle mass Decreased muscle strength Depressive mood state Discomfort Disuse Joint stiffness Malnutrition Musculoskeletal impairment Neuromuscular impairment Pain Sedentary lifestyle

2. DIAGNOSA Activity Intolerance Definisi Insufficient physiological or psychological energy to endure or complete required or desired daily activities Batasan Karakteristik Reports feeling weak

Faktor yang Berhubungan Bedrest Generalized weakness Immobility Sedentary Lifestyle

Nursing diagnoses that describe the effect of mobility alteration 1. DIAGNOSA ( Utama ) Impaired Skin Integrity Definisi Altered epidermis and / or dermis ( perubahan epidermis dan / atau dermis ) Batasan Karakteristik Destruction of skin layers ( Kerusakan lapisan kulit ) Disruption of skin surface ( disrupsi permukaan kulit ) Faktor yang Berhubungan Physical Immobilization ( imobilisasi fisik ) Moisture Extremes of age Humidity ( kelembaban )

2. DIAGNOSA Urge Urinary Incontinence Definisi Involuntary passage of urine occurring soon after a strong sense or urgency to void Batasan Karakteristik Observed inability to reach toilet in time to avoid urine loss Reports inability to reach toilet in time to avoid urine loss Faktor yang Berhubungan

3. DIAGNOSA

Atrophic urethritis Fecal impaction

Imbalanced Nutrition: Less Than Body Requirements Definisi Intake of nutrients insufficient to meet metabolic needs ( Intake nutrisi tidak cukup untuk memenuhi kebutuhan metabolik ) Batasan Karakteristik Body weight 20% or more below ideal weight range Loss of weight with adequate food intake Perceived inability to ingest food Weakness of muscles required for mastication Weakness of muscles required for swallowing

Faktor yang Berhubungan Biological factors Inability to ingest food

4. DIAGNOSA Constipation Definisi Decrease in normal frequency of defecation accompanied by difficult or incomplete passage of stool and/ or passage of excessively hard dry stool. Batasan Karakteristik Atypical presentations in older adults Change in bowel pattern Faktor yang berhubungan Abdominal muscle weakness Inadequate toileting Insufficient physical activity Depresion Emotional stress Poor eating habits

5. DIAGNOSA Powerlessness Definisi The lived experience of lack of control over a situation, including a perception that ones actions do not significantly affect an outcome. Batasan Karakteristik Dependence on others Depression over physical deterioration Reports frustration over inability to perform previous activities Reports lack of control

Faktor yang berhubungan Illness-related regimen

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