Nursing Care Plan #3 Impaired physical mobility

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Impaired physical Short term: Independent: Independent: Short term:

“Nahihirapan po ako mobility related to pain After 2 hours of nursing 1. Check for 1. To understand After 2 hours of nursing
kumilos o gumalaw and discomfort as intervention the patient functional level the particular intervention the patient
dahil sumasakit po yung evidenced by slowed, will be able to of mobility. level, guides the was able to performs
sa sinaksak sa dibdib and limited movement. demonstrate techniques 2. Assess client’s design of best physical activity and
ko” as verbalized by that will enable developmental possible techniques
the patient. resumption of activities level, motor management independently that will
with comfort. Patient skills, ease and plan. enable resumption of
performs physical capability of 2. To determined activities with comfort.
Objective: activity independently or movement, the presence of
BP: 140/90 within limits of disease. posture and gait. characteristics of Goal was met.
RR: 26 3. Monitor the client’s unique
PR: 91 b patient's vital impairment and
TR: 37.2 signs and to guide.
Pain scale: 8/10 medical
apparatus output 3. To obtain
monitoring, in baseline data
addition to all and elevated
routinely vital signs may
indicated indicate that the
monitoring care client is
as is appropriate experiencing
for the patient's pain.
given condition. 4. To determine
overall fluid
4. Monitored balance and
intake and serves as a
output. guideline for
fluid
replacement.
5. .To promote
5. Perform passive increased
 or active venous return,
assistive ROM prevent
exercises to all stiffness, and
extremities maintain muscle
6. Turn and strength and
position every 2 endurance
hours, or as 6. .To optimize
needed. circulation to all
tissues and to
Dependent: relieve pressure.
7. Administer
medication prior Dependent:
to activity as 7. to reduce the
needed by pain affect of pain on
relief. patient function
8. Administered and quality of
oxygen therapy life.
as ordered. 8. To provide
adequate oxygen
in the body
which increases
blood flow thus
relieving pain.