Ncp On Mobility

NURSING CARE PLAN Name of Patient: ___________________________ Age: _______ Sex: _________ Occupation: __________________________ Date of Admission: ____________________ Status: ____________ Religion: _____________

Needs/Nsg Dx Cues

Inspired Physical Mobility related to discomforts felt upon movement and feeling of nauseated when moving

Scientific Analysis

A barrier to adequate pain management has been the belief that pain, while uncomfortable, has few physiologic effects. Unrelieved pain can SUBJECTIVE: affect the major organ “Dili man ko makalihok systems- pulmonary, ug tarung kay sakit akong cardiovascular, tahi ug malipong ko.” As gastrointestinal, verbalized by the patient. endocrine, and immune. Pain may also prevent OBJECTIVE: ambulation, contributing - Received patient to the development of on bed, awake, deep vein thrombosis and conscious, potential life-threatening coherent pulmonary emboli. - With IVF no. 2, PNSS, infusing

Patient’s Health History: _______________________________ _______________________________ _______________________________ _______________________________ Initial Complaint: _______________________________ _______________________________ Diagnosis / Impression: _______________________________ _______________________________ Objectives

Nursing Interventions

Rationale

SHORT TERM GOAL: After 8 hours of nursing interventions the patient will be able to demonstrate behaviours that enable resumption of activities in accordance with physical limitations.

a. Determine diagnosis that contributes to immobility.

a. to identify contributing factors.

b. Assess degree of pain listening to client’s description.

b. To identify possible contributing factors.

LONG TERM GOAL: After 2 days of nursing interventions the patient will be able to increase strength and function when performing ADLs (activities of daily living)

c. Observe movement when client is unaware of observation.

c. To note any congruencies with report of abilities. d. To reduce fatigue.

d. Schedule activities with adequate rest periods during the

Evaluation

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well at left arm, at 30 gtts/min with remaining level of 520 cc. With FBC attached to urobag draining freely with 50cc of dark yellow colored urine With surgical dressing on the perineal area Limited range of motion noted Inability to stand and walk without assistance Postured instability during performance of routine ADLs (activities of daily living) Felt nauseated when trying to stand up.

day. e. Encourage participation on self-care, occupational/ diversional/ recreational activities.

e. Enhances self concept and sense of independence

f. Identify energy conserving techniques for ADLs.

f. .Limits fatigue.

g. Encourage adequate intake of fluids and nutritious foods.

g. Promotes well being and maximizes energy production.

h. Encourage client or SO’s involvement in decision making as much as possible.

h. Enhances commitment to plan, optimizing outcomes.

i. Assist client in performing ADLs

i. To promote omptimal level of function. j. To permit maximal effort involvement in

j. Administer medications prior to activity as

needed for pain relief.

activity.