Nursing Care Plans
NURSING CARE PLANS
Impaired Physical Mobility
Assessment | Nursing Diagnosis | Scientific explanation | Objectives | Nursing Interventions | Rationale | Expected Outcome | S > θO > Patient manifest:- weak and pale appearance - difficulty in standing and sitting - slowed movement - limited range of motion | Impaired Physical Mobilityr/t neuromuscular impairment aeb slowed movement | Limitation in independent, purposeful physical movement of the body or of one more extremities.Due to the patient’s general status because of his brain damage secondary to CVA, patient develops weakness due to affectation in his cerebral artery. This can result in decrease perfusion and the development of infarct. The reflex or muscular strength of a particular limb affected becomes weak, because of its altered control and function. Due to the brain affectation, with this prolonged status on the muscle limb it further weakens the body that may result to activity intolerance and there insufficient physiological or psychological energy to endure or complete required or desired daily activities. | After 2 hours of Nursing Intervention, the patient will demonstrate technique or behaviors that enable resumption of activities. | Instruct to change positions at least every 2 hours and placed on affected side.Position in prone position once or twice a day if patient can tolerate.monitor affected side for color edema, or other signs of compromised circulation.Support affected body parts using pillowsSchedule activities with adequate rest periods during the dayEncourage participation in self-care, occupational activitiesIdentify energy-conserving techniques for ADLs. | Reduces risk of tissue ischemia/injury.Helps maintain functional hip extension but may cause increase anxiety, especially about ability to breath.Edematous tissue is more easily traumatized and heals more slowly.To maintain position of function and reduce risk of pressure ulcers To reduce fatigue.Enhances
Impaired Physical Mobility
Assessment | Nursing Diagnosis | Scientific explanation | Objectives | Nursing Interventions | Rationale | Expected Outcome | S > θO > Patient manifest:- weak and pale appearance - difficulty in standing and sitting - slowed movement - limited range of motion | Impaired Physical Mobilityr/t neuromuscular impairment aeb slowed movement | Limitation in independent, purposeful physical movement of the body or of one more extremities.Due to the patient’s general status because of his brain damage secondary to CVA, patient develops weakness due to affectation in his cerebral artery. This can result in decrease perfusion and the development of infarct. The reflex or muscular strength of a particular limb affected becomes weak, because of its altered control and function. Due to the brain affectation, with this prolonged status on the muscle limb it further weakens the body that may result to activity intolerance and there insufficient physiological or psychological energy to endure or complete required or desired daily activities. | After 2 hours of Nursing Intervention, the patient will demonstrate technique or behaviors that enable resumption of activities. | Instruct to change positions at least every 2 hours and placed on affected side.Position in prone position once or twice a day if patient can tolerate.monitor affected side for color edema, or other signs of compromised circulation.Support affected body parts using pillowsSchedule activities with adequate rest periods during the dayEncourage participation in self-care, occupational activitiesIdentify energy-conserving techniques for ADLs. | Reduces risk of tissue ischemia/injury.Helps maintain functional hip extension but may cause increase anxiety, especially about ability to breath.Edematous tissue is more easily traumatized and heals more slowly.To maintain position of function and reduce risk of pressure ulcers To reduce fatigue.Enhances