ASSESSMENT DIAGNOSIS OUTCOMES INTERVENTION RATIONALE EVALUATION

Subjective Data: Impaired Standing After 5 days of Independent: Independent: After 5 days of
related to injury and nursing interventions, nursing interventions,
“Even if I wanted to pain to lower the patient will be 1. Encourage 1. Having to the patient is able to
exercise, I couldn’t - extremity and able to demonstrate the patient to improve demonstrate optimal
my legs hurt so badly circulatory perfusion optimal independence stand at balance will independence and
when I walk almost disorder as evidenced and safety when intervals help in safety when standing.
any distance at all” as by inability to standing. throughout prevention of
stated by the patient. maintain the body in the day. further
an upright position 2. Provide injuries and
Patient described her from feet to head. passive range decrease the
life as extremely of motion risks for falls.
sedentary. exercises. 2. Assisting the
patient in
Objective Data: Dependent: range of
motion
3+ Edema in lower 1. Administer exercise will
extremities that does appropriate prevent
not show any signs of analgesic as contractures
healing prescribed. and muscle
Diminished bilateral weakness.
peripheral pulses
Dependent:
Lower extremity
capillary refill time - 1. Providing
5 seconds analgesics
will help in
Diabetes Mellitus
relieving
Overweight muscle and
joint pain for
Moderate smoker increase in
movement.