Assessment Subjective: “hindi ako maxadong makagalaw nanghihina ako” as verbalized by the patient Objective: >the patient is weak >the patient has limited range of movements >minimized movements >stays in bed most of the time
Diagnosis Impaired physical mobility related to decreased strength and endurance.
Planning
Intervention
Rationale
Short term Goal: >Within the shift the patient will have a much more wider range of motion than before and slight increase in endurance
>Establish rapport
> To gain the patient trust and cooperation during the entire procedure.
>Reviewed functional abilities and reasons for impairment.
>Identifies probable functional impairments and influences choice of intervention.
Long term Goal: >After 4 days of nursing intervention the patient will achieve full restoration of ROM, strength and endurance.
>Provided assistance for range of motion exercise.
>Maintains mobility and functions of joints alignment of extremities and reduces venous stasis.
>Kept necessary utensils within reach of the patient.
>Keeping all in reach, can greatly reduce the risk of accident to the patient.
>Encouraged patient to do self care activities such as oral care, walking exercise.
>This is to enable the patient to regain muscle strength and keeping himself clean, and will gain independence.
Evaluation >goal was met.