CHAPTER VIII

Name of Patient: D.M.P NURSING CARE PLAN

Problem: Impaired Mobility

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE:  Impaired physical At the end of 8hrs of
“Haan ko unay mobility related to nurse-patient interaction
maigaraw atoy loss of integrity of and intervention, the
kannigid nga sakak bone structures patient will:
ma’am.” as verbalized (fracture).  Verbalize
by the patient. understanding of the
situation and individual
OBJECTIVE: treatment regimen and
safety measures.
 Limited range of
 Maintain position of
motion function and skin
 With skeletal
integrity as evidenced
traction on left leg by absemce of
decubitus ulcers.
 Maintain and increase
strength and function
of affected part.
 Determine diagnosis  To identify After 8hrs of nurse-patient
that contributes to contributing factors interaction and
immobility. intervention, the patient
 Note situations such  Because it may has:
as fractures restrict movement
 Verbalized
 Determine the understanding of
 To assess functional the situation and
degree of immobility
mobility individual treatment
in relation to
suggested scale regimen and safety
measures.
 Determine presence
of complications  To assess presence  Maintained postion
of function and skin
related to of complications
immobility(pneumoni integrity as
a, elimination evidenced by
problems, absence of
decubitus) decubitus ulcers.
 To promote optimum  Maintained and
 Assist client level of functionand
reposition self on a increased strength
prevent complications and function of
regular schedule  To maintain position
 Support affected affected part.
function and reduces
part using pillows risk of pressure ulcers
 Encourage  It promote well-being
adequate intake of and maximizes
fluids/nutritious energy production
foods