Nursing Interventions | Nursing Diagnosis for Impaired Physical Mobility
Nursing Diagnosis for Impaired Physical Mobility | Nursing Interventions of Impaired Physical Mobility; Suggested NIC Interventions
Nursing Interventions of Impaired Physical Mobility and Rationales
Identify level of functioning using a functional mobility scale. Communicate patient’s skill level to all staff members to provide continuity and preserve identified level of independence.
Monitor and record daily any evidence of immobility complications as they may be more prone to develop complications.
Perform ROM exercises to joints, unless contraindicated, at least once every shift to prevent joint contractures and muscular atrophy. Turn and reposition patient every 2 hr. Establish a turning schedule and post at bedside. Monitor frequency of turning to prevent skin breakdown by relieving pressure. Place joints in functional position. Use trochanter roll along the thigh, abduct thighs, use high-top sneakers, and pull a small pillow under patient’s head to maintain joints in a functional position and prevent musculoskeletal deformities.
Place items within reach of the unaffected arm if patient has one sided weakness or paralysis to promote patient’s independence.
Carry out medical regimen to manage or prevent complications (e.g., administer prophylactic heparin for venous thrombosis). This promotes patient’s health and well-being.
Provide progressive mobilization to the limits of patient’s condition (bed mobility to chair mobility to ambulation) to maintain muscle tone and prevent complications of immobility.
Instruct patient and family members in ROM exercises, transfers, skin inspection, and mobility regimen to help prepare for discharge and promote continuity of care. Request return demonstration to ensure use of proper technique.
Help patient use a trapeze and side rails to encourage independence in mobility. Instruct him to perform self-care activities to increase muscle tone.
Encourage physical therapy sessions and support activities on the unit by using the same equipment and technique. Request written mobility plans for reference. Ensure all members of the healthcare team are reinforcing learned skills in the same manner.
Refer patient to a physical therapist for development of mobility regimen to help rehabilitate musculoskeletal deficits.
Assist patient in identifying resources such as American Heart Association to provide a comprehensive approach to rehabilitation.
Suggested NIC Interventions | Nursing Diagnosis for Impaired Physical Mobility