Assessment Nursing Diagnosis Inference Interventions Rationale Outcome

Impaired Physical -defined as the -Screen for mobility -Screening mobility skills helps Patient was able to cooperate
Subjective: Mobility related to limitation in skills in the provide baselines of to interventions given to
None Musculoskeletal independent, following order: performance that can guide improve physical mobility.
impairement. purposeful physical (1) bed mobility; mobility-enhancement
Obj: movement of the (2) supported and programming and allows
 limited body or of one or unsupported sitting; nursing staff to integrate
ability to more extremities. movement and practice
perform Use this guide for opportunities into daily
gross motor your impaired routines and regular and
skills; physical mobility customary care.
 limited care plan.
ability to A modification in
perform movement or -Observe client for
fine motor mobility can either cause of impaired -Some clients choose not to
skills; be a transient, mobility. Determine move because of psychological
 limited recurring or more whether cause is factors such as an inability to
range of permanent dilemma. physical or cope or depression.
motion; And when it occurs, psychological.
 difficulty it becomes a
turning; complex health care - Monitor and
 slowed problem that record client's
movements involves many ability to tolerate
different members activity and use all
of the health care four extremities;
team. In fact, some note pulse rate,
degree of immobility blood pressure,
is very common in dyspnea, and skin
most conditions color before and
such as stroke, after activity.
leg fracture, multiple
sclerosis, trauma, -Consult with
and morbid obesity. physical therapist - Techniques such as gait
for further training, strength training, and
evaluation, strength exercise to improve balance
training, gait and coordination can be very
training, and helpful for rehabilitating
development of a clients
mobility plan.

- Obtain any
assistive devices
needed for activity,
such as walking
belts, walkers,
canes, crutches, or
wheelchairs, before
the activity begins.

- Use gestures and

nonverbal cues - Nonverbal gestures are part of
when helping clients a universal language that can
move if they are be understood when the client
anxious or have is having difficulty with
difficulty communication.
understanding and
following verbal
instructions.

- If client is Passive ROM exercises help

immobile, perform maintain joint mobility, prevent
passive range of contractures and deformities,
motion (ROM) increase circulation, and
exercises at least promote a feeling of comfort
twice a day unless and well-being
contraindicated;
repeat each
maneuver three
times.