What are three appropriate outcomes for a patient with impaired physical mobility?
What are three appropriate outcomes for a patient with impaired physical mobility?
Goals and Outcomes Patient demonstrates measures to increase mobility. Patient demonstrates the use of adaptive devices to increase mobility. Patient evaluates pain and quality of management. Patient uses safety measures to minimize potential for injury.
What is expected outcome for impaired physical mobility?
Desired Outcome: The patient will be able to perform activities of daily living within the limits of the disease. Nursing Interventions for Impaired Physical Mobility. Rationales. Perform a mobility assessment. Assess the patient’s level of functional mobility and ability to perform ADLs.
What are the nursing interventions for impaired mobility?
Nursing Interventions for Impaired Physical Mobility
- Encourage the patient to do as much as they can.
- Medicate for pain.
- Schedule activities around rest periods.
- Provide adaptive equipment.
- Provide passive ROM.
- Promote proper nutrition and hydration.
- Incorporate family and caregivers.
What nursing interventions should the nurse implement when caring for a client with fluid volume excess?
Nursing Interventions for Fluid Volume Excess
| Interventions | Rationales |
|---|---|
| Place the patient in a semi-Fowler’s or high-Fowler’s position. | Raising the head of bed provides comfort in breathing. |
| Aid with repositioning every 2 hours if the patient is not mobile. | Repositioning prevents fluid accumulation in dependent areas. |
What is the nursing diagnosis for immobility?
Some nursing diagnoses related to immobility can include: At risk for pressure ulcers related to immobility. Muscular weakness and muscular atrophy related to immobility. At risk for venous stasis and emboli related to immobility.
What is the nursing diagnosis for weakness?
An Activity Intolerance nursing diagnosis that can be used when a person has difficulty completing activities due to fatigue, pain, or breathlessness. Activity intolerance may also occur when an individual has difficulty mobilizing due to weakness or stiffness.
What nursing interventions can help prevent immobility?
Evaluating the Client’s Responses to Interventions to Prevent the Complications From Immobility
- Perform active range of motion to all joints two times a day.
- Safely transfer from the bed to the chair with assistance.
- Be free of venous stasis.
- Demonstrate proper deep breathing and coughing.
How can elderly improve mobility?
5 Tips for Promoting Mobility in Older Adults
- Encourage Regular Exercise. Seniors need to perform gentle exercises that work for them.
- Change the Living Space. Make sure your loved one has plenty of clear walking space in the home.
- Choose the Right Walking Aid.
- Enhance Balance.
- Encourage Eating a Healthy Diet.
How do you manage excess fluid volume?
Treatment options may include:
- Diuretics — medicines that help you get rid of extra fluid.
- Dialysis — a treatment that filters your blood through a machine.
- Paracentesis — a procedure that uses a small tube to drain fluid from your abdomen.
- Restricting salt intake.
- Checking your weight daily.
What assessment finding should the nurse identify in a client with fluid volume excess?
Evaluation
| Imbalance | Signs and Symptoms of Improvement |
|---|---|
| Fluid Volume Excess | Decreased crackles, decreased edema, decreased shortness of breath, and/or improved jugular venous distention |
| Fluid Volume Deficit | Increased blood pressure, decreased heart rate, normal skin turgor, and/or moist mucous membranes |
What is impaired physical mobility?
Impaired physical mobility a nursing diagnosis approved by the North American Nursing Diagnosis Association, defined as the state in which an individual has a limitation in independent, purposeful physical movement of the body or of one or more extremities.
How do nurses promote mobility?
Other resources that may be helpful in mobilizing patients are appropriate lift equipment and other devices such as gait belts and walkers, as indicated. Lift equipment assists nurses in mobility options while also decreasing the potential risk of injury to the nurse and other healthcare providers.
