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WEB OF CAUTIONS
BASIC PROFESSION NEED
IMMOBILIZATION

CREATED BY :
SHINTA SALSABILA
P1337420922070

NERS PROFESSION
NURSING DEPARTMENT
HEALTH POLYTECHNIC MINISTRY OF HEALTH SEMARANG
2022
Machine Translated by Google

IMmobilization

Unable to work

Long bed rest

Loss of Lung Stressed skin The Kidney Gastro

endurance function tissue heart intestine
muscle disorders undergoes vasoconstriction

Decrease Accumulation of Change Blockage no Disturbance

muscle (atrophy) secretions system ability catabolism
skin bladed
intragument Flow supply

gg. Physical Difficult to cough disturbed Anorexia

Mobility Retention

Constriction

blood vessel
Breathing
No
disorders
nitrogen
balanced
Skin cells become
dead
Weakness

muscle Infectious decline

Gg Skin Integrity
defecation

Stress happens
GG Fecal Elimination

Increased stomach acid

Decreased appetite

Nutritional Deficit
Machine Translated by Google

WOC PHYSICAL MOBILITY DISORDERS

Etiology Pathophysiology Inspection Management Nursing Care Concept

Definition of Chronic Pain
Physique Medical
Mobilizationÿno
Limitations in the physical 1. Damage to the integrity of
able to
bone structure Head to toe Range of Motion
movement of one or more move, prolonged bed
2. Metabolic
extremities independently rest, loss of muscle power, (ROM)
changes
muscle loss, changes in the Main
3. Physical fitness musculoskeletal system, examinationÿextremity
4. Decrease control hamb
muscle strength
muscle

5. Decreased muscle mass physical mobility

6. Decrease in strength
muscle

7. Delay
development
8. Joint strength
Nursing Planning Result Criteria Evaluation Focus
9. Contracture
Diagnosis
10. Malnutrition I.05042 Physical Mobility
Nursing I.05173 Mobilization Support Extremity muscle
11. Musculoskeletal
disorders Strength
Observation 1. Movement of the extremities
D.0054 Impaired
12. Neuromuscular
physical mobility
disorders 1. Identify any pain or other physical increase
related to muscle
decreased Reference
13. Body mass index above the complaints 2. Muscle strength
75th percentile for age
strength 2. Identify tolerance for movement physique

increase
1. PPNI.2018. Intervention Standard
14. 3. Monitor heart rate and
agent Indonesian Nursing. Edition 1: printing II.
blood pressure before starting mobilization 3. Range of motion (ROM)
Pharmacological effects South Jakarta : DPP
15. Motion restriction ptogram increase
PPNI
Therapeutic 4. Pain decreases
16. Pain
17. Anxiety 5. Decreased joint stiffness 2. PPNI.2019. Output Standard
1. Facilitate mobilization activities with
18. Cognitive impairment assistive devices 6. Limited movement Indonesian Nursing. Edition 1: printing II.
2. Facilitate movement South Jakarta : DPP
3. Involve the family to assist the patient in decrease
improving movement PPNI
Focus Assessment 7. Physical weakness

1. Head to toe decrease 3. PPNI.2018. Indonesian Nursing

2. Extremity muscle strength Education
Diagnosis Standards. Edition 1: printing
1. Explain the purpose and procedure of III (revised). South Jakarta : PPNI DPP
mobilization
2. Recommend early mobilization

3. Teach simple mobilizations to do