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Identifying the specific cause e. Suggested Code for Functional Level Classification 0 Completely independent 1 Requires use of equipment or device 2 Requires help from another person for assistance, supervision, or teaching 3 Requires help from another person and equipment or device 4 Is dependent, does not participate in activity Restricted movement affects the ability to perform most ADLs.
Safety with ambulation is an important concern. Even patients who are temporarily immobile are at risk for effects of immobility such as skin breakdown, muscle weakness, thrombophlebitis, constipation, pneumonia, and depression.
Bed rest or immobility promote clot formation. Check for signs of redness, tissue ischemia especially over ears, shoulders, elbows, sacrum, hips, heels, ankles, and toes. Assess nutritional needs as they relate to immobility e.
Pressure sores develop more quickly in patients with a nutritional deficit. Proper nutrition also provides needed energy for participating in an exercise or rehabilitative program. Proper use of wheelchairs, canes, transfer bars, and other assistance can promote activity and reduce danger of falls.
Assist with each initial change: The longer the patient remains immobile the greater the level of debilitation that will occur. Mobility aids can increase level of mobility.
Patients may be reluctant to move or initiate new activity due to a fear of falling. Do not rush patient. Encourage independent activity as able and safe.
This promotes a safe environment. This optimizes circulation to all tissues and relieves pressure. Support feet in dorsiflexed position. This keeps heavy bed linens off feet.
Exercise promotes increased venous return, prevents stiffness, and maintains muscle strength and endurance. Research supports that strength training and other forms of exercise in older adults can preserve the ability to maintain independent living status and reduce risk of falling.
This drains bronchial tree. This prevents tissue breakdown.
These prevent buildup of secretions. Use suction as needed.Read this essay on Nursing Diagnosis Impaired Physical Mobility.
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including bed mobility, transfers, and ambulation. Minor: (May be present) (_) Range of motion limitations. (_) Limited muscle strength or control. (_) Impaired coordination.
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Feb 20, · Mobility is paramount if elderly patients are to maintain any independent living. Restricted movement affects the performance of most activities of daily living (ADLs). Elderly patients are also at increased risk for the complications of immobility.
Early mobility can be performed by any part of the interdisciplinary team including nurses, physical therapists, occupational therapists, or physicians. It consists of . Nursing Care Plan - Impaired Physical Mobility - Download as Word Doc .doc), PDF File .pdf), Text File .txt) or read online.
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