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    NCP Immobilty

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    Alizza Therese Severo Anzano
    The patient has impaired mobility due to a neuromuscular or skeletal impairment, as evidenced by reluctance to move and limited range of motion. During her hospital stay, nursing interventions will include regaining mobility, maintaining proper positioning, increasing strength, and demonstrating techniques to resume activities. Interventions will also assess immobility, provide range of motion exercises, encourage self-care, change positioning, and note emotional responses to immobility. The objective is to regain maximum possible mobility, maintain proper positioning, and increase strength and ability to resume activities.

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    NCP Immobilty

    Uploaded by

    Alizza Therese Severo Anzano
    711 views4 pages
    The patient has impaired mobility due to a neuromuscular or skeletal impairment, as evidenced by reluctance to move and limited range of motion. During her hospital stay, nursing interventions will include regaining mobility, maintaining proper positioning, increasing strength, and demonstrating techniques to resume activities. Interventions will also assess immobility, provide range of motion exercises, encourage self-care, change positioning, and note emotional responses to immobility. The objective is to regain maximum possible mobility, maintain proper positioning, and increase strength and ability to resume activities.

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    NCP

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    The patient has impaired mobility due to a neuromuscular or skeletal impairment, as evidenced by reluctance to move and limited range of motion. During her hospital stay, nursing interventions will include regaining mobility, maintaining proper positioning, increasing strength, and demonstrating techniques to resume activities. Interventions will also assess immobility, provide range of motion exercises, encourage self-care, change positioning, and note emotional responses to immobility. The objective is to regain maximum possible mobility, maintain proper positioning, and increase strength and ability to resume activities.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    711 views4 pages

    NCP Immobilty

    Uploaded by

    Alizza Therese Severo Anzano
    The patient has impaired mobility due to a neuromuscular or skeletal impairment, as evidenced by reluctance to move and limited range of motion. During her hospital stay, nursing interventions will include regaining mobility, maintaining proper positioning, increasing strength, and demonstrating techniques to resume activities. Interventions will also assess immobility, provide range of motion exercises, encourage self-care, change positioning, and note emotional responses to immobility. The objective is to regain maximum possible mobility, maintain proper positioning, and increase strength and ability to resume activities.

    Copyright:

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    Assessment

    SUBJECTIVE:

    Diagnosis
    Impaired physical mobility related to Neuromuscular Skeletal Impairment evidenced by reluctance to attempt movement; limited ROM and decrease muscle strength

    Analysis
    Alteration in mobility may be a temporary or more permanent problem. Most disease and rehabilitative states involve some degree of immobility (e.g., as seen in strokes, leg fracture, trauma, morbid obesity, and multiple sclerosis).The incidence of disease and disability continues to grow. And with shorter hospital stays, patients are being transferred to rehabilitation facilities or sent home for physical therapy in the

    Planning
    During the patients stay at the hospital she will be able to: > Regain/maintain mobility at the highest possible level. > Maintain position of function. > Increase strength/function of affected and compensatory body parts > Demonstrate techniques that enable resumption of activities.

    Intervention
    >Assess degree of immobility produced by injury/treatment and note patients perception of immobility. > Instruct patient in/assist with active/passive ROM exercises of affected and unaffected extremities. > Assist with/encourage self-care activities (e.g., bathing, shaving). > Reposition periodically and encourage coughing/deepbreathing exercises. > Increase the amount of roughage/fiber in the diet. Limit gas-forming foods. > Note emotional/behavioral responses to problems of immobility. > Encourage

    Rationale
    > requiring information/interventions to promote progress toward wellness.

    Evaluation
    After Nursing intervention: > Regain/maintain mobility at the highest possible level. > Maintain position of function. > Increase strength/function of affected and compensatory body parts > Demonstrate techniques that enable resumption of activities. Nursing objective was met

    Nasasakitan akong maghiro as verbalized by the patient OBJECTIVE: >confined to bed rest >limited range of motion >difficulty turning side >slowed movement >paresthesia noted at the lower extremities >functional level scale: 2 (requires help from another person for assistance, supervision or teaching

    > Increases blood flow to muscles and bone to improve muscle tone, maintain joint mobility; > Improves muscle strength and circulation, > Prevents/reduces incidence of skin and respiratory complications (e.g., decubitus, atelectasis, pneumonia). > Adding bulk to stool helps prevent constipation. > Feelings of frustration or powerlessness may impede attainment of goals. > Enhances self-concept and sense of

    home environment.

    participation in selfcare; occupational, diversional, or recreational activities. > Consult with physical or occupational therapist, as indicated

    independence.

    > Refer to psychiatric clinical nurse specialist/therapist as indicated.

    > to develop individual exercise and mobility program, and identify appropriate mobility devices. > Patient/SO may require more intensive treatment to deal with reality of current condition/prognosis, prolonged immobility, perceived loss of control.

    PATIENT DATA:
    Name: Ms. X Age: 27 Address: Bagacay, Labo, Camarines Sur Religion: Roman Catholic Nationality: Filipino DOA: February 1, 2013 Diagnosis: To consider Demyelinating Disease VS Potts Disease

    History of Present Illness


    Ms. X condition started 2 months prior to admission and patient had onset of Body Malaise, Immobility of lower extremities with Paresthesia , was admitted at Camarines Norte Provincial Hospital, Xray, ECG, CBC test done, was given meds and efforted temporarily few hour after the admission, patient have body malaise prompted consult hence admitted.

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