![]() Impaired physical mobility is a condition that affects individuals of all ages. ![]() Monitoring of vital sign and reports of pain, fatigue, dizziness, lightheadedness and/or numbness.Instructional demonstration of activities such as transfers, gait, balance and strengthening exercises.Development of patient teaching materials for activities of daily living.Developing a plan of care for treatment.Assessment of patient’s level of mobility every shift.These activities can include, but are not limited to: Nurses will need to undertake several activities to effectively manage and treat this nursing diagnosis. Use of Assistive Devices – Recommendation and use of appropriate assistive devices to improve safety of ambulation.Joint Mobility Training – Training in stretches and exercises to help improve range of motion, flexibility, and joint mobility.Positioning – Positioning and support if needed for ambulation.Balance Training – Training of balance and coordination to help improve functional mobility.Ambulation Assistance – Assisting the patient with walking, maneuvering, and ambulation from one location to another.The following is a list of interventions associated with impaired physical mobility (NIC): Vital signs to detect blood pressure changes.Observation of performance of ADLs (Activities of Daily Living).Ability to ambulate with or without assistive device.Nurses should assess the patient’s mobility using objectives and criteria such as: Performance Mobility – The patient’s ability to perform self-care activities both independently and safely.Mobility – The patient’s ability to efficiently move the body in a smooth and coordinated manner.Locomotion – The patient’s ability to maneuver within the environment and maintain appropriate balance and posture.Ambulation – The patient’s ability to walk and/or maneuver their body while standing up or transferring between various locations.Activity Tolerance – The patient’s ability to endure exertional activity over a period of time, usually increasing in intensity.The following is a NOC Outcomes (National Outcome Measures) associated with impaired physical mobility: When considering a diagnosis of impaired physical mobility, it is essential to assess the patient’s current level of mobility and recommend treatments and activities for improving the patient’s condition. It is important for medical practitioners to be aware of possible nursing diagnoses that can provide an indication of a patient’s overall health and wellbeing. The following is a list of alternate NANDA nursing diagnoses that may be considered if the nurse suspects the patient is struggling with impaired physical mobility: Suggested Alternative NANDA Nursing Diagnosis Taking part in activities that encourage physical activity, such as swimming, tai chi, and water aerobics, are also highly recommended. Physical therapy is a valuable asset for improving strength, balance, and coordination, as well as developing helpful strategies such as learning how to use assistive devices. Medication side effect, including nerve pain medications and anti-inflammatory drugsĪn individual diagnosed with impaired physical mobility should start by consulting with a medical professional to determine the best course of action for managing their condition.Musculoskeletal conditions, such as rheumatoid arthritis, osteoporosis, and fibromyalgia.Neurological conditions, such as stroke, spinal cord injuries, multiple sclerosis, and Parkinson’s Disease.Respiratory conditions, such as bronchopneumonia and emphysema.Cardiovascular conditions, such as coronary artery disease. ![]()
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