Care plan goals for diagnosis:

[Roy Fokker, BSN, RN]

Uhhh, I got the diagnosis and I have an idea as to the goals -- but I'm hoping to get some more ideas here.

The diagnosis is : Actual impaired physical mobility as related to musculoskeletal impairment as manifested by limited ability to perform gross motor skill, limited ROM and difficulty turning.

I figure that the interventions are kinda ok to figure out to but for some inane reason - I can't come up with good ones for both the goals or the interventions

My 'client' has HTN, MS and severe lymphedema of the right leg. Practically wheelchair bound and needs assist with most ADLs (bathing, toileting, getting in and out of bed etc). She's otherwise fine and in good decent health and cognition. very positive outlook on health and life. Has decent support system.

Me stumped.

Me need help. Please!

[madwife2002, BSN, RN]

Can I ask are these goals patient orientated or are they nurse led goals.

Sorry if i am asking silly question but on my ward they are supposed to be goals from the patients.

[unknown99, BSN, RN]

I attend online classes for my BSN. We use a book that shows a student how to use NANDA, NIC, & NOC. It is SOOOOO easy with this book. The book is called

Nursing Diagnoses, Outcomes, & Interventions: NANDA, NOC, & Nic Linkages It is written byJohnson, Bulechek, Dochterman, Maas, & Moorehead; published by Mosby. The ISBN number is 0-323-01212-4. I wish I had this book when I went through the ADN program. It is awesome!! I fully recommed it!

Anyway, here is a few answers to your question:

Nursing Diagnosis: Physical Mobility, Impaired

Defining Characteristics: limited ability to perform gross motor skill, limited ROM and difficulty turning.

Nursing Outcome: 1. Ambulation: Walking (then list the indicators-- what you and your client wish to have happen). 2. Ambulation: wheelchair (same idea with indicators). 3. Joint movement: Active (same with indicators), 4. Mobility Level (indicators), OR 5. Transfer performance (indicators)

Nursing Intervention: 1. Exercise therapy: Ambulation; Body mechanics promotion; Exercise promotion: Strength training; Exercise therapy: joint mobility or muscle control; Environmental Management: Safety; Fall Prevention.

2. Same interventions as #1.

3. Exercise Therapy: Joint mobility; Energy Management; Strength training; Body Mechanics promotion; Pain management.

4. Same as #1-3

5. Same

I hope this helps!! I do recommend the book! It will help alot!

[purplemania, BSN, RN]

Remember Maslow's? Your first job is to keep the patient safe. Impaired mobility means the patient could fall. Add a psychosocial intervention too (instructors like that). Good luck.

[Gerbil]

I would go with...

Patient will remain free from harm.

Patient will have self-care needs met while hospitalized.

Patient will take an active role in health care decisions.

Maybe something about maintaining skin integrity as well.. :)