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Care Plan for Impaired Mobility

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by CamCam17 CamCam17 (New) New

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[TD]Nursing Diagnosis[/TD]

[TD]Expected Outcomes[/TD]

[TD]Nursing Orders[/TD]

[TD]Rationale[/TD]

[TD]Evaluation[/TD]

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[TD]Impaired Physical Mobility, R/T musculoskeletal impairment as evidenced by fracture

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[TD]Short term Goal:

Patient evaluates pain and quality of management

Long term goal:

Patient will regain sufficient mobility to completely care for self at home within 3 mo.[/TD]

[TD]1) Patient's pain will be controlled by medication and relaxation or distraction techniques.

2) Assess the emotional response to the disability or limitation.

3) Monitor nutritional status.

4) Encourage passive, or active assistive ROM exercises to all extremities.

5) Evaluate the need for assistive devices.

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[TD]1) Administer analgesia as prescribed and as required (PRN).

Teach relaxation techniques.

Provide distraction activities.

2) Acceptance of temporary or more permanent limitations can vary widely among individuals. Each person has his or her own definition of acceptable quality of life.

3) Proper nutrition provides needed energy for ambulation, transfer techniques, and participating in an exercise or rehabilitative program.

4) ROM helps prevent joint problems in unaffected joints. Exercise promotes increased venous return, prevents stiffness, and maintains muscle strength and endurance.

5) Proper use of wheelchairs, canes, transfer bars, and other assistance can promote activity and proper use of walker will help prevent falls and injury.

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[TD]Patient was ordered to remain on bed rest due to ORIF of hip fracture. Patient states pain has decreased to a 3 out of 10 on a pain scale of 0-10.

After 1st week of hospitalization, patient began participating in ROM exercises and states she feels less fear of falling or injuring her hip again now that she's using a walker.[/TD]

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1) i would change your patient problem to impaired mobility due to pain and muscle loss from bed rest as a result of a hip fracture/ ORIF. I feel phrasing such as this encorporates your interventions such as pain control and proper nutrition better.

2) I would include a physio assessment and daily mobilization goals as interventions. You kind of have it covered, but you could be more specific... We have ortho pathways that state day 1 pt will walk x meters, day 2 will walk so much further. Our physio also provides hip surgery patients with a list of exercises and daily workout recommendations, hence why I would add physio. I recognize all hospitals are different though

3) with the question reworded, you could include assessment for ortho static hypotension fir the first time or two the patient gets up, especially if they are receiving narcotics

4) will you also do a problem of increased risk of falling?

It's a good start. Hopefully my two cents help a bit

traumaRUs, MSN, APRN, CNS

Specializes in Nephrology, Cardiology, ER, ICU. Has 27 years experience.

Moved to nursing student assistance