NCP

ASSESSMENT DIAGNOSIS INTERVENTION & EVALUATION

RATIONALE
SUBJECTIVE DATA: Impaired Physical Mobility Assess the patient’s Demonstrate techniques
-Bone pain related to pain and functional ability for or behaviors that enable
-Bone stiffness musculoskeletal mobility and note resumption of activities.
impairment as evidenced changes.
by imposed restrictions or -Identifies problems and
OBJECTIVE DATA: limitations. helps to establish a plan
-Pathologic fractures of care.
-Bone fractures
- Abnormal spinal Provide range of motion Maintain or increase
curvature exercises every shift. strength and function of
Encourage active range of affected and
motion exercises. compensatory body part.
-Helps to prevent joint
contractures and muscle
atrophy.
ASSESSMENT DIAGNOSIS INTERVENTION & EVALUATION
RATIONALE
Avoid restraints as
possible.
-Inactivity created by the
use of restraints may
increase muscle weakness
and poor balance.

Assess the degree of

immobility produced by
injury or treatment and
note patient’s perception
of immobility.
-Patient may be restricted
by self-view or self-
perception out of
proportion with actual
physical limitations,
requiring information or
interventions to promote
progress toward wellness.
ASSESSMENT DIAGNOSIS INTERVENTION & EVALUATION
RATIONALE
Encourage participation in
diversional or recreational
activities. Maintain a
stimulating environment
(radio, TV, newspapers,
personal possessions,
pictures, clock, calendar,
visits from family and
friends).
-Provides an opportunity
for release of energy,
refocuses attention,
enhances patient’s sense
of self-control and self-
worth, and aids in
reducing social isolation.
 ASSESSMENT DIAGNOSIS INTERVENTION & EVALUATION
RATIONALE
SUBJECTIVE DATA: Risk for physical trauma Assess and manage pain. Identify and correct
-Discomfort as evidenced by risk -Increase comfort and potential risk factors in
factors os loss of bone allow patient to the environment.
OBJECTIVE DATA: density and integrity participate in rehab.
-Postural instability increasing risk of fracture.
-Decrease in range of Initiates fall precautions. Demonstrate appropriate
motion -To prevent injury. lifestyle changes to
reduce risk of injury.
Administer medications
appropriately.
-To help slow the bone
loss, promote bone
growth.

Monitor respiratory
status.
-Fat embolism is a
complication of fractures
that can lead to
respiratory insufficiency.
ASSESSMENT DIAGNOSIS INTERVENTION & EVALUATION
RATIONALE
Assist with repositioning.
-Pain and injury makes
positioning difficult.

Consult physical therapy

and assist with ROM
activities.
-Prevent injury, maintain
functionality and mobility.

Educate patient on
lifestyle and nutrition.
-Better choices to
improve quality of life
(calcium and vitamin D).