RLE – DISASTER EMERGENCY NURSING

NCP

SUBMITTED BY: Padilla, Renee Rose T. SUBMITTED TO: Prof. Marcos Ochoa
 Diagnosis: Impaired Physical Mobility related to left hip and back pain, as evidence by can ambulate short distance and
needs assistance with dressing, bathing and toileting.

Cues Nursing Objectives Nursing Rationale Evaluation

Diagnosis Intervention
SUBJECTIV OBJECTIVE
E Short Term
 can  Impaired Goal:
 In ambulate Physical After 2
pain – short Mobility After 2 hours of hours of
stated distance related to nursing nursing
by the  needs pain, intervention, intervention
patien assistanc secondar the patient
t e with y to left  The verbalized
dressing, hip and patient will pain
bathing back verbalize controlled
and pain, as that pain during
toileting. evidence is in mobilizatio
 agitated by can controlled n.
ambulate during
short mobilizatio  Provide pain  To relief pain
distance n medication and it will Goal met
and before help
needs mobilizing increase
assistanc patient
e with ability to
dressing,  Monitor vital move.
bathing sign of the Goal met
and patient  To establish
toileting. baseline
data
 Use
assistive Goal met
devices
such as  Assistive
walker, devices
cane, or gait increase
belt. mobility and
promote
safety.
Goal met
 Assess
emotional or  Stress may
psychologic increase the
al factors pain.
Goal met
 Encourage
early  Early
mobilization progressive
ambulation
can help
decrease the
risk of
complication
s. Goal met
 Perform
active and
passive  It helps
range of increase
motion circulation
exercise as and muscle
tolerated by strength.
the patient Goal met
  Allow for
rest periods  To allow
between time to
exercise. recover and
conserve Goal met
 Encourage energy
to use
relaxation  Breathing
techniques exercises
during rest and
period stretching
Long Term helps to
Goal: recharge the After 2
patient. days of
After 2 days of nursing
Nursing intervention
Intervention, the patient
can
 The perform
patient will activities
perform with least
activities amount of
with least assistance.
amount of
assistance
.
 Promote Goal met
independenc
e during  To further
exercises independenc
and e during
activities exercises
and
 maximize
the patient’s Goal met
 Include capabilities.
patient’s
family into  Clear
the teaching instructions
plan keep the
caregivers
safe as well
as the
patient by
teaching
proper
usage of Goal met
equipment at
 Educate the home.
family about
implementin
g safety  A safe
measure in environment
the home reduces the
care. risk of falls
and injury.
 Arrange for
continued
physical
therapy  It will benefit
the patient
for full
recovery.
LABORATORY:
INR 5.6 (Normal values 2.0-3.0)

 Labs (INR, Creatinine, Urinalysis)

 Urinalysis
 CT Scan of head
 Pelvis and Hip X-ray
 EKG