Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective Risk for injury related Short term Independent Short term (GOAL
to pakinson’s disease MET)
“Nahihirapan ako as evidence by altered After 2 hour of Assess ambulation Aids in planning of
maglakad” as mobility and nursing intervention and movement. interventions.
verbalize by the involuntary the After 2 hour of
patient movements nursing intervention
Instruct patient to These actions assist
•Patient will the
swing arms and lift gait and prevent falls.
Objective:
remain safe from heels during
ambulation. •Patient will able
•Altered mobility environmental
•involuntary to remained safe
hazards resulting Teach patient to To prevent the
movements from
•loss of balance from cognitive turn in wide arcs. crossing of one leg environmental
•shuffling gait impairment. over the other,
•muscle rigidity hazards resulting
which could cause
•Family will from cognitive
a fall.
ensure safety Remind patient to impairment.
precautions are maintain an upright Stooped posture may
posture and look up cause the patient to •Family will able
instituted and when walking. collide with objects. to ensured safety
followed.
Instruct a wide-based precautions are
gait To improve instituted and
Long term
balance. followed.
Teach range of
After 4 hours of motion exercises and
nursing intervention stretching to be Long term (GOAL
the performed daily. Exercising increases MET)
flexibility and
improves strength and After 4 hours of
•Patient will Dependent balance. nursing intervention
remain in a safe the
Administer Parlodel
environment as ordered
with no •Patient will able
 To reduce the sign
complications or Collaborative and symptoms like to remained in a
tremors, rigidity,
injuries obtained. Educate the patients bradykinesia safe environment
family members on with no
•Family will how to ambulate complications or
identify and patient properly Having a strong
injuries obtained.
family support system
eliminate with whom he/she is
hazards in the familiar with will help •Family will be
patient’s patient remember able to identify
instructions nurse has
environment. and eliminated
given them to prevent
falls. hazards in the
patient’s
environment.