Nursing Care for Impaired Physical Mobility Singapore
According to NANDA, impaired physical mobility is a limitation in physical movement of the body. So basically, the patient has several defining problems such as difficulty to perform activities of daily living, problems involving the use of major and minor motor skills, motion or turning problems and so on and so forth.
Causes and Related FactorsThe root cause of impaired physical mobility can be related to multi-factorial agents. The first one is use of drugs which can cause several side-effects such as major impairment if with adverse reactions or side-effects. Another is muscle, bone or joint problems which may cause decreased or limited activities due to strength and function issues. Another is discomfort or pain which makes immobility worse. It also makes the activity of patients limited or lesser due to pain. They prefer bed rest at home rather than moving. Other conditions related are diseases or disease that affects the brain such as stroke which may affect or prevent the ability of the patient to move due to damaged parts of the brain responsible for movement. Moreover, developmental delays may also decrease or makes it less for people to move such as those with cerebral palsy.
Nursing Care Plan for Impaired Physical MobilityVarious nursing care and intervention can be provided to patients with inability to move or have intolerance to such activities due to their diagnosis. The first thing the nurse should do is to check for range of movement skills or mobility skill among the patient. This includes movement in bed, supported and unsupported sitting, transition movements and lastly standing and walking activities. Another intervention is to record the progress or change in the level of activities the client can tolerate. Next is to administer pain medicines to encourage the patient to move and come out of his comfort zone or desirable position. If the client cannot move completely, the nurse may perform passive ROM (range of motion) mass exercises 2 to 3x a day. Turning the patient will also helps to prevent bed sores and to maintain skin integrity. Lastly, the patient can also be referred to rehabilitation medicine for physical therapy sessions to improve the physical mobility of the patient.
ConclusionCaring for a patient with impaired physical mobility requires a lot of effort. The health care nurse must know how to use system of body mechanics in order to prevent injury. The nurse should also help and encourage the patient to do his or her best effort to move. Patient can also research online via blog post, scribd reports and ads.
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