Nursing Care Plan For Impaired Physical Mobility Related To Fracture

Radiates to back, shoulder, abdomen, flank, or groin. Uploaded by. Physical examination or clinical examination is a process of a medical expert examine the patient's body to find clinical signs of disease. The aim of this assignment was to analyse a case study and create a care plan. Thus, the aim of this study was to evaluate the clinical applicability of outcomes, according to the NOC, in the progression of orthopedic patients with impaired physical mobility. Chapter 40, Caring for Clients With Neurologic Deficits 1. A total 121 patients were evaluated. Encourage continuation of daily routines and activities. If not properly treated, hypertension can lead to serious issues, including heart attack or stroke. Nursing Care Plan for Impaired Physical Mobility Intervention of this condition includes prevention of dependent disabilities, restoring mobility when possible, as well as maintaining or preserving the existing mobility. All right, guys, I hope that was helpful to help you see how to create a quick nursing care plan for a patient with GERD. Patients may be reluctant to move or initiate new activity from a fear of falling. 1) i would change your patient problem to impaired mobility due to pain and muscle loss from bed rest as a result of a hip fracture/ ORIF. Results of Impaired Mobility. Risk for Impaired Tissue Integrity: peristomal are related to sensitivity to the materials used. Ineffective peripheral tissue perfusion related to impaired arterial circulation. Constipation increases the risk of urinary tract infection and urge incontinence (Nazarko, 1997). IMPAIRED PHYSICAL MOBILITY Nursing Care Plan Impaired physical mobility is a condition when your ability to move independently was compromised and purposeful physical movement of the any part of the body was restricted. Know the assessment, goals, related factors, and nursing interventions with rationale for fracture in this guide. RELATED FACTORS: Activity Intolerance; Decreased endurance. If you want to search for other health articles, please search on this blog. Related factors : Trauma Treatment regimen: …. com is one of the health articles Nanda Nursing Diagnosisfrequently sought. Nursing Care Plan for Impaired Physical Mobility Definition. Osteoarthritis (OA) is the most common form of arthritis and affects more than 20 million Americans. Chronic Pain, Impaired Physical Mobility and Disturbed Body Image r/tScoliosis Nursing Diagnosis and Interventions for Scoliosis Scoliosis is a medical condition in which a person's spinal axis has a three-dimensional deviation. Otherwise, scroll down to view this completed care plan. which of the following assessment data support a possible pulmonary problem related to impaired mobility? select all that apply?. Medicare replacement (PDF download) Fractures leading to impaired mobility. orthostatic hypotension. Fracture Nursing Care Plans - Free download as Word Doc (. RELATED FACTORS: Activity Intolerance; Decreased endurance. Scientific Basis: Alteration in mobility may be a temporary or more permanent problem. pdf), Text File (. Acute pain related to: inflammation and infection of the urethra, bladder and other urinary tract structures. Instruct client and family or caregivers in correcting identified hazards. Teach client to get out of bed slowly when transferring from the bed to the chair. 11, 14 A study by Bellelli and colleagues 15 showed that among. TKR (Total Knee Replacment) is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. Consider nonpharmacological interventions. Nursing Diagnosis. Physical treatment according to the nursing care plan for immobility related to the fracture may also help you improve your own operational mobility. In this nursing care plan guide are 11 nursing diagnoses for fracture. 55 OBJ: Theory #3 TOP: Assessment Data KEY. This disorder is characterized by fatigue and generalized weakness of any of the muscles that are under voluntary control. Impaired gas exchange. Nursing Diagnosis for of Osteomalacia 1. Write one short term and one long term goal for the following nursing diagnosis. Nursing Care Plan : Identified Nursing Problem: Impaired Physical Mobility related to activity intolerance, musculoskeletal impairment, limited strength, and pain/discomfort. This results in severe pain, stiffness and redness at the joint. After the first test, your therapist may work together to devise a nursing care plan for immobility related to fracture that will assist you to recuperate. If transferred to another unit, inform new staff on assessments and actions taken. Provide support to client and family/caregivers during long-term impaired mobility. Altered nutrition: eating less than the body needs. Assess for impediments to mobility (see Related Factors in this care plan). The nurse needs to revise which part of the diagnostic statement? a. Epilepsy - 3 Nursing Diagnosis and Interventions is one of the nic health articles nursing frequently sought. Nursing Diagnosis and Nursing Interventions for Mesothelioma - These days we want to discuss the article with the title health Nursing Diagnosis and Nursing Interventions for Mesothelioma we hope you get what you're looking for. impaired physical mobility a nursing diagnosis approved by the North American Nursing Diagnosis Association, defined as the state in which an individual has a limitation in independent, purposeful physical movement of the body or of one or more extremities. paired mobility. Nanda Nursing Diagnosis For Small Bowel Obstruction | MedicineBTG. Impaired Physical Mobility related to Stroke Nursing Diagnosis for Stroke: Impaired Physical Mobility related to the involvement of neuromuscular weakness. com makes it easy to get the grade you want!. NANDA Nursing Diagnosis Domain 4. Nursing Care Plan for Impaired Respiratory Function - These days we want to discuss the article with the title health Nursing Care Plan for Impaired Respiratory Function we hope you get what you're looking for. txt) or read online for free. Because impaired mobility increases the risk of falls, use a valid fall assessment tool to determine the patient's fall risk. Fracture Nursing Care Plans - Free download as Word Doc (. subjective d. Impaired Comfort r/t TKR, AEB grimacing. Adequate energy reserves are required for activity. Evidence for Falls Risk Prevention/intervention Benefit - AOTA Evidence for Falls Risk Prevention/Intervention Bundled individuals over the age of 65 will fall this year, many of these resulting in life-changing or life-ending injuries (Tinetti, Speechly, & Ginter, 1988; Hausdorff, Rios absence of a specific "medically necessary" diagnosis. Several assessment tools are available; for some common examples, see Tools for assessing impaired mobility. To clarify the use of two nursing diagnoses, activity intolerance and impaired physical mobility, with elderly patients. walking with minimum support-22/4/08. Maintain neutral positioning of hip. Nursing Diagnosis and Nursing Intervention for Parkinson's Disease Impaired physical mobility related to muscle stiffness and tremors are marked with : Subjective data: client said it was difficult to do activities. Assess general condition of skin so as to know the extent of required care and create a baseline data for evaluation. The Impaired Physical Mobility - Nursing Care Plan is a kind of Information Nursing Care Plan Examples are much sought after on the internet and has linkages with various information Nursing Care Plan other Examples. txt) or view presentation slides online. Nursing Care Plan for Heart Failure Nursing Diagnosis : 1. Nursing Diagnosis and Interventions of Activity Intolerance in Elderly Nursing Diagnosis : Impaired Physical Mobility related to depression Goal : Depression can be resolved and activities to do. Give pain medications prior to physical activity as pain impairs mobility and the patient is more likely to succeed in reaching her physical activity goals if her pain is under good control. We are here trying to make the best possible to provide information on this blog. Nursing diagnoses provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable. Evidence for Falls Risk Prevention/intervention Benefit - AOTA Evidence for Falls Risk Prevention/Intervention Bundled individuals over the age of 65 will fall this year, many of these resulting in life-changing or life-ending injuries (Tinetti, Speechly, & Ginter, 1988; Hausdorff, Rios absence of a specific "medically necessary" diagnosis. In the theory of self care, she explains self care as the activities carried out by the individual to maintain their own health. com is one of the health articles Nanda Nursing Diagnosisfrequently sought. Over time families must adjust to. Association (Odds Ratio) between risk factors and the Risk for aspiration nursing diagnosis was stronger for the following clinical features: Impaired or absent gag reflex (OR 19. -judgment or conclusion about the risk for-or actual-need/problem of the pt. Intervention :. If you want to search for other health articles, please search on this blog. Impaired skin integrity often results from pressure in combination with shear and/or friction. Silahkan kunjungi Nursing Care Plan Untuk membaca postingan-postingan menarik. R /: Provide an opportunity to expend energy. Thus, the aim of this study was to evaluate the clinical applicability of outcomes, according to the NOC, in the progression of orthopedic patients with impaired physical mobility. And don't forget to share the articles Nursing Diagnosis : Impaired Physical Mobility, Anxiety and Knowledge Deficit this to others. A lot of people looking for Impaired Physical Mobility - Nursing Care Plan on the internet and they found the results very much. Impaired gas exchange. Because impaired mobility increases the risk of falls, use a valid fall assessment tool to determine the patient's fall risk. Special patient care includes changing position, exercises, nutrition and giving a safe environment, etc. Nursing Diagnosis : Imbalanced Nutrition Less Than Body Requirements. Nurses often, and incorrectly, move directly from nursing diagnosis to nursing inter- vention without consideration of desired outcomes. Related factors arising from within the person include pain or fear of discomfort, anxiety or depression, and physical limitations due to. Intervention :. NURS6521 QUESTIONS BANK / NURS 6521 TEST BANK (LATEST-2020): WALDEN UNIVERSITY (ANSWERS VERIFIED 100% CORRECT)1. A nursing diagnosis (or nursing problem) is a human response to a disease, injury, or other stressor that nurses can identify, prevent, or treat independently. Mobilization is an individual's ability to move freely, easily and regularly with the aim to meet the needs of the activity in order to maintain health. A client with a neurologic deficit has been admitted to your unit. inclusion in this review of interventions related to falls, wandering, and physical restraints. 5 g/100 ml is a grave sign, indicating severe protein depletion. pdf), Text File (. This position promotes venous drainage from the brain and decreases ICP. on StudyBlue. Most disease and rehabilitative state involve some degree of immobility (e. Nursing Diagnosis #1 - Impaired gas exchange related to decreased oxygen supply secondary to bronchiectasis and Nursing process -. 2°C P : 75 bpm R : 20 cpm Impaired physical mobility, inability to stand alone related to skeletal impairment to facture of the left femoral neck Fractures occur when the bone is subjected to stress. Nursing Care Plan for: Impaired Physical Activity, Alteration in Activity Intolerance, Inability to Ambulate, and Limited Range of Motion (ROM) If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Nursing Diagnosis for Rheumatoid Arthritis. They occur when the physical force exerted on the bone is stronger than the bone itself. In this nursing care plan guide are 11 nursing diagnoses for fracture. Hip fractures, Dementia And Palliative Care - GM Hours of hip fracture diagnosis and to ensure the provision of consultant orthogeriatrician led multidisciplinary care. A lot of people looking for Hypospadias Nursing Diagnosis and Interventions on the internet and they found the results very much. These are the important elements needed to make a nursing care plan for impaired skin integrity. Over time families must adjust to. Your familiarity with the CM1 diagnosis, symptoms,. Learn to think like a nurse with the bestselling nursing care planning book on the market!Covering the most common medical-surgical nursing diagnoses and clinical problems seen in adults, Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 9th Edition contains 217 care plans, each reflecting the latest best practice guidelines. Risk for disuse syndrome Impaired bed mobility Impaired physical mobility Impaired wheelchair mobility Impaired sitting Impaired standing. Short-term goals The pain gradually diminished Outcomes: Clients reported no pain, or pain can be controlled. NURSING CARE PLAN GUIDE - Bergen Community College NURSING CARE PLAN GUIDE. Its nanda nursing diagnosis code is 00206. To clarify the use of two nursing diagnoses, activity intolerance and impaired physical mobility, with elderly patients. It is used to define the way of living of several people who are very busy in their jobs or who do not have time for such physical activities. Insomnia Sleep deprivation Readiness for enhanced sleep Disturbed sleep pattern. Impaired physical mobility related to: neuromuscular damage. There is alteration in the normal respiratory process of an individual. Nanda Nursing Interventions: Typhoid Fever 5 Nursing Diagnosis and is one of the health articles nursing care plan. Gordon’s Functional Health Patterns is a method develops By Marjorie Gordon in 1987 proposed functional health patterns as a guide for establishing a comprehensive nursing data base. "When you visit the nursing home, ask what programs are in place to maintain and improve the physical function of the residents. NURS6521 QUESTIONS BANK / NURS 6521 TEST BANK (LATEST-2020): WALDEN UNIVERSITY (ANSWERS VERIFIED 100% CORRECT)1. Provide support to client and family/caregivers during long-term impaired mobility. Lumbar or sacral spinal nerve roots. Nursing Diagnosis: Impaired physical mobility related to fractured hip Goal: Achieves pain-free, functional, stable hip Nursing Interventions Rationale Expected Outcomes 1. Pain related to decreased oxygen supply to tissues. Nursing Care Plan A Client with a SCI (continued) DIAGNOSES • Impaired physical mobility,related to paralysis of lower and upper extremities secondary to C7 injury • Bowel incontinence,related to lack of voluntary sphincter con-trol secondary to C7 injury • Grieving, related to loss of the use of his arms and legs and the. In this nursing care plan guide are 11 nursing diagnoses for fracture. Validating impaired physical mobility. Know the assessment, goals, related factors, and nursing interventions with rationale for fracture in this guide. A care plan for impaired physical mobility involves: Implementing measures for maintenance of optimal mobility of joints and muscles during immobility through various actions. CM1, although their safety and success. This isn't related to bone fracture either, but had to share that I had to describe on a care plan what it meant to 'encourage fluids'. After the first test, your therapist may work together to devise a nursing care plan for immobility related to fracture that will assist you to recuperate. Total Joint Replacement. Hoffman traction provides stabilization and rigid support for fractured bone without use of ropes, pulleys, or weights, thus allowing for greater patient mobility/comfort and facilitating wound care. Related to infection c. NursingCrib Com Nursing Care Plan Fracture is one of the health articles nursing care plan. Nursing Management Provide proper positioning. The NANDA nursing diagnosis list is an essential and useful tool that promotes patient safety by standardizing evidence-based nursing diagnoses. com Nursing Care Plan for: Impaired Physical Activity, Alteration in Activity Intolerance, Inability to Ambulate, and Limited Range of Motion (ROM) If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. 285) related to pain, fatigue, obesity and sleep disturbances as evidenced by patient fatigue upon walking a short distance, patient report of limited mobility, patient dozing during interview, patient pain reports of "4" and "6" on scale of from "0. doc), PDF File (. This results in severe pain, stiffness and redness at the joint. Instructing and assisting clients to exercise the parts of the body they can move at least thrice a day unless there are other institutions by a physician. Bone demineralization results in the loss of bone mass, leading to fragile and porous bones and subsequent fractures. Related to fat emboli b. Special patient care includes changing position, exercises, nutrition and giving a safe environment, etc. This nursing care plan contains the basic elements that defines this Nanda nursing diagnosis and the nursing interventions that could be taken as a nurse to make a nursing care plan for a patient with this nursing diagnosis. * Monitor international normalized ratio (INR) and prothrombin time/partial thromboplastin time (PT/PTT) if anticoagulants are used for treatment. Impaired physical mobility related to neuromuscular impairment; 3 Spinal Cord Injury Nursing Care Plan. It causes deterioration of the joint cartilage and formation of reactive new bone at the margins and subchondral areas of the joints. Impaired Tissue (Skin) Integrity care plan is an essential document to the nursing and health care team to enable monitoring of the patient condition. Lumbar or sacral spinal nerve roots. By admin in November 27th 2009 Comments Off on Impaired Physical Mobility Care Plan Filed Under Nursing Care Plans Tags: Impaired Physical Mobility, Impaired Physical Mobility Care Plan, Nursing Care Plans, nursing station, nursingstation. Impaired mobility is associated with increased risk of bowel dysfunction, including constipation. Instead, outcomes need to be identified before interventions are determined. Nursing Care Plan for Impaired Physical Mobility Definition. Nursing Focus: Fever related to infection. Nursing Care Plan (Impaired Skin Integrity) - Free download as Word Doc (. Activity/exercise. Osteoporosis is an age-related metabolic disease that is defined as low bone mass with a normal ratio of mineral to osteoid, the organic matrix of bone. Donating Umbilical Cord Blood: With a little bit of planning, you could change someone's life, you could donate your baby's umbilical cord blood to a public bank at no cost to you. Results of Impaired Mobility. docx), PDF File (. Ineffective airway clearance related to anesthesia-rationale: ineffective airway clearance related to anesthesia takes priority for this client because general anesthesia may impair a clients ability to clear secretions from his airway. A nurse is caring for a postsurgical patient who has small tortuous veins and had a difficult IV insertion. Expected Outcomes: Pain relieved or controlled, progressive return of mobility evidenced by verbalizations that pain decreased or absent, and ambulation and self-care activities resumed. Nursing Diagnosis : Imbalanced Nutrition Less Than Body Requirements. Acute Pain / Chronic related to tissue distension by fluid accumulation / inflammation, joint destruction. ACTIVITY/REST May report: Weakness, fatigue Gait and/or mobility problems May exhibit: Restricted/loss of function of affected part (may be immediate, because of the fracture, or develop secondarily from tissue swelling, pain). Nanda Nursing Diagnosis For Small Bowel Obstruction | MedicineBTG. If you want to search for other health articles, please search on this blog. All right, we love you guys. In this nursing care plan guide are 11 nursing diagnosis for fracture. Anxiety related to: situational crisis. We are here trying to make the best possible to provide information on this blog. All right, guys, I hope that was helpful to help you see how to create a quick nursing care plan for a patient with GERD. If not properly treated, hypertension can lead to serious issues, including heart attack or stroke. com is one of the health articles Nanda Nursing Diagnosisfrequently sought. Cerebrovascular Accident. Long-term impaired mobility may necessitate role changes within the family and precipitate caregiver stress (see care plan for Caregiver role strain). In this nursing care plan guide are 11 nursing diagnoses for fracture. • Limited range of motion. Nursing Diagnosis Frail Elderly Syndrome Definition. If you want to search for other health articles, please search on this blog. The self care agency is the acquired ability. Ineffective infant feeding pattern. 7 Nursing Diagnosis for UTI 1. By admin in November 27th 2009 Comments Off on Impaired Physical Mobility Care Plan Filed Under Nursing Care Plans Tags: Impaired Physical Mobility, Impaired Physical Mobility Care Plan, Nursing Care Plans, nursing station, nursingstation. Teach client to get out of bed slowly when transferring from the bed to the chair. An inguinal hernia occurs when the omentum, the large or small intestine, or the bladder protrudes into the inguinal canal. We want to manage the patient’s blood pressure to prevent worsening or rupture of the aneurysm. (indicate time frame/throughout the period of hospitalization. Impaired tissue integrity related to the presence of gangrene in the extremities. Nursing Diagnoses · Pain · Sleep pattern disturbance · Impaired physical mobility · Self-care deficit · Self-esteem disturbance · Altered nutrition: more than body requirements. Uploaded by. Impaired Physical Mobility related to neuromuscular impairment and limited of ROM. A bone fracture is a break or crack in a bone. Nursing Diagnosis for Ischemic Stroke: Impaired physical mobility related to hemiparesis, loss of balance and coordination, spasticity, and brain injury Acute knowledge of the pathophysiology, medical-surgical intervention, nursing. Nursing Diagnosis and Nursing Intervention for Parkinson's Disease Impaired physical mobility related to muscle stiffness and tremors are marked with : Subjective data: client said it was difficult to do activities. Myasthenia Gravis Nursing Care Plan. You can share Nursing Care Plan Impaired Skin Integrity it via social media or the share button can use that already provided under the. Nursing Care Plan for Parkinson's Disease - These days we want to discuss the article with the title health Impaired physical mobility related to muscle stiffness and tremors are marked with : nanda nursing diagnosis hypothyroidism, nanda nursing diagnosis hyponatremia, nanda nursing diagnosis hip fracture, nanda nursing diagnosis in. Pain related to decreased oxygen supply to tissues. Skin stretched tautly over edematous tissue is at risk for impairment. 5 g/100 ml is a grave sign, indicating severe protein depletion. Nursing assessments related to mobility. Make sure you check out the rest of the examples in this course as well as our nursing care plan library. Fryam Bells. Hip fractures, Dementia And Palliative Care - GM Hours of hip fracture diagnosis and to ensure the provision of consultant orthogeriatrician led multidisciplinary care. Nursing Diagnosis. Assess for impediments to mobility (see Related Factors in this care plan). Know the assessment, goals, related factors, and nursing interventions with rationale for fracture in this guide. Impaired verbal communication – State in which an individual experiences a decrease or absence of the ability to use or understand language. It is often referred to as Lou Gehrig’s disease. If you want to search for other health articles, please search on this blog. Nursing Interventions [Check those that apply] Date Achieved: The patient will: (_) Maintain or increase strength and endurance of upper/lower limbs A. Patient is a 49 years old AAF unrestrained driver who was T-boned on the driver side while crossing intersection on 11/12/06. We are here trying to make the best possible to provide information on this blog. Nursing care plan for Impaired skin integrity. Each year, somewhere between 700,000 and 1,000,000 people in the United States fall in the hospital. Scientific Basis: Alteration in mobility may be a temporary or more permanent problem. impaired physical mobility a nursing diagnosis approved by the North American Nursing Diagnosis Association, defined as the state in which an individual has a limitation in independent, purposeful physical movement of the body or of one or more extremities. Pain Acute / Chronic related to: neuromuscular damage (paresthesias, disestesia) 8. Related to fat emboli b. Altered nutrition: eating less than the body needs. NANDA Nursing Diagnosis Domain 4. Intervention Assess the following predisposing factors: General condition …. As much as possible, use tranquilizers, narcotics, and analgesics sparingly. in bioethics, a virtue consisting of soundness of and adherence to moral principles and character and standing up in their defense when they are threatened or under attack. Hospital workers and family caregivers are often in a hurry and do more for patients than needed,. Bone demineralization results in the loss of bone mass, leading to fragile and porous bones and subsequent fractures. Risk for Infection and Risk for Trauma - NCP for Encephalitis Nursing Care Plan for Encephalitis Encephalitis is an infection of the CNS caused by viruses or other micro-organisms are non-purulent. ) or pathologic. A total 121 patients were evaluated. Skin stretched tautly over edematous tissue is at risk for impairment. Hip fractures, Dementia And Palliative Care - GM Hours of hip fracture diagnosis and to ensure the provision of consultant orthogeriatrician led multidisciplinary care. 2%) , which confirms the presence of motor sequelae generated by this condition. Sedentary lifestyle is a term used by most medical practitioners in describing a person who does not engage in different physical activities or exercises. soundness; freedom from serious flaws or impediments. The Nursing Outcome Classification (NOC) is a system that can be used to select outcome measures related to nursing diagnosis. You can share Nursing Diagnosis : Impaired Physical Mobility, Anxiety and Knowledge Deficit it via social media or the share button can use that already provided under the. "Nursing homes should always strive, with every resident, to try to improve functional ability as much as possible…," it advises. Energy balance. Assess potential for physical injury with activity. Insomnia Sleep deprivation Readiness for enhanced sleep Disturbed sleep pattern. Nursing Care Plan A Client with a SCI (continued) DIAGNOSES • Impaired physical mobility,related to paralysis of lower and upper extremities secondary to C7 injury • Bowel incontinence,related to lack of voluntary sphincter con-trol secondary to C7 injury • Grieving, related to loss of the use of his arms and legs and the. impaired physical mobility Related to: Pain and discomfort; neuro or musculoskeletal impairment (specify). The Nursing diagnose for fever are: 1. Use this guide for your impaired physical mobility care plan. Injury, risk for. Patient is free of complications of immobility, as evidenced by intact skin, absence of thrombophlebitis, and normal bowel pattern. Therefore, preventing complications is the top priority. Ineffective breastfeeding. Impaired physical mobility care plan helps you to understand the impaired physical mobility and its related treatments. Impaired physical mobility related to: neuromuscular damage. Impaired Physical Mobility NCLEX - Nursing Pnn 168 with Pulliam at Iowa Western Community College - StudyBlue Flashcards. Fatigue; Wandering; Class 4. The Impaired Physical Mobility - Nursing Care Plan is a kind of Information Nursing Care Plan Examples are much sought after on the internet and has linkages with various information Nursing Care Plan other Examples. Validating impaired physical mobility. Because mobility issues are directly related to musculoskeletal. docx) or read online for free. inclusion in this review of interventions related to falls, wandering, and physical restraints. • V/S taken as follows: T:36. CM1, although their safety and success. Shows posture relaxed and able to sleep / rest appropriately. Pain related to fracture, soft tissue damage, muscle spasm, and surgery; Impaired physical mobility related to fractured hip; Impaired skin integrity related to surgical incision; Risk for impaired urinary elimination related to immobility. Total Joint Replacement. Impaired Comfort r/t TKR, AEB grimacing. The North American Nursing Diagnosis Association (NANDA) brings as one of its nursing diagnoses Impaired Physical Mobility, ND of mobility impaired physical is not necessarily related to the disability, but with aspects of the physiology of aging, Fetch Full Source. Inform resident and family about the risk for falls care plan and prevention measures. Many patient who have hip fractures report feeling the bone "give away" and then they fall. Anxiety related to: situational crisis. The nurse should give particular attention to the patient’s use of -blockers, calcium channel blockers, tranquilizers, alcohol, muscle relaxants, and sedatives. As motor neuron cells die, the muscle fibers that they supply. Impaired Skin Integrity related to the effects of surgery; immobilization. Assess nutritional status. Nursing Skills Exam 3. Social isolation. Osteoporosis is an age-related metabolic disease that is defined as low bone mass with a normal ratio of mineral to osteoid, the organic matrix of bone. Swallowing disorder. a nursing care plan i developed for a patient with pediculosis. -judgment or conclusion about the risk for-or actual-need/problem of the pt. MULTIPLE CHOICE. impaired physical mobility Related to: Pain and discomfort; neuro or musculoskeletal impairment (specify). Ineffective breastfeeding. Mobility: bed, impaired • GastroMobility: physical, impaired • Mobility: wheelchair, impaired • Sedentary lifestyle • Sleep deprivation • *Sleep pattern disturbed • Sleep, readiness for enhanced • Transfer ability, impaired • Walking, impaired. A client with a neurologic deficit has been admitted to your unit. The number one cause of hip fractures is related to osteoporosis which causes weak bones. Multiple Sclerosis – A long term debilitating type of disease that affects that nervous system. NCP Nursing Diagnosis: Impaired Physical Mobility Immobility. Pain related to fracture, soft tissue damage, muscle spasm, and surgery; Impaired physical mobility related to fractured tibia; Impaired skin integrity related to surgical incision (if there is one) Risk for impaired urinary elimination related to immobility. The demyelination process on the myelin sheath disables the capability of the axons to receive electrical impulses thus the body could not perform or move the way it should be. Alteration in comfort. The self care agency is the acquired ability. Impaired Physical Mobility related to pain; Acute Pain related to inflammation and swelling. Impaired physical mobility- Limitation in independent, purposeful physical movement of the body or of one or more extremities related to pain as evidenced by alteration in gait, decrease in gross motor skills, decrease in reaction time, discomfort, and slowed movement. Henceforth we will also update several other health articles. Frail Elderly Syndrome is defined as a dynamic state of unstable equilibrium that affects the older individual experiencing deterioration in one or more domain of health (physical, functional, psychological, or social) and leads to increased susceptibility to adverse health effects, in particular disability. Post-operative care for individuals might be easy and may be short term or long term or may entail procedure for a few. The damage may also occur to corneal, subcutaneous or integumentary tissue. 11, 14 A study by Bellelli and colleagues 15 showed that among. Results: Participation of 78 elderly people, of which 93. The aim of this assignment was to analyse a case study and create a care plan. People must be able to move to protect themselves from trauma and to meet their basic needs. Defining Characteristics: Constant dribbling of soft stool, fecal odor; inability to delay defecation; rectal urgency;. Impaired Gas Exchange – Nursing Diagnosis amp; Care Plan Nurseslabs - These days we want to discuss the article with the title health Impaired Gas Exchange – Nursing Diagnosis amp; Care Plan Nurseslabs we hope you get what you're looking for. Otherwise, scroll down to view this completed care plan. NURSING CARE PLAN GUIDE - Bergen Community College NURSING CARE PLAN GUIDE. Risk for Fluid Volume Deficit related to: excessive evaporation and vomiting 5. Patient was found to have Extrication = 10 min. Nursing Care Plan for Impaired Physical Mobility Definition. The Nursing Diagnosis : Impaired Physical Mobility, Anxiety and Knowledge Deficit is a kind of Information Nursing Care Plan Examples are much sought after on the internet and has linkages with various information Nursing Care Plan other Examples. com - id: 6706c7-MTZhZ. objective b. a decrease in muscle strength. Nursing Diagnosis for of Osteomalacia 1. Which part of the diagnostic statement does the nurse need to revise?. Impaired tissue integrity related to the presence of gangrene in the extremities. txt) or view presentation slides online. Special patient care includes changing position, exercises, nutrition and giving a safe environment, etc. The average of nursing diagnosis was of 7. Test results will be noted in the medical record. only being able to ambulate 40 ft with walker & assist x 1. pdf), Text File (. Nursing care plan assessment and physical examination Establish a history of the weapon, including the type, caliber, and range at which it was fired. Nursing Diagnosis: Impaired physical mobility related to ventilation-perfusion mismatch as evidenced by shortness of breath on ambulation and inability to ambulate more than 10 feet independently. Knowledge Deficit :about the disease process and treatment procedures. impaired bed mobility: [ mo-bil´i-te ] the ability to move in one's environment with ease and without restriction. 285) related to pain, fatigue, obesity and sleep disturbances as evidenced by patient fatigue upon walking a short distance, patient report of limited mobility, patient dozing during interview, patient pain reports of "4" and "6" on scale of from "0. Fractures need to be treated until self care can be. Prediction and prevention of pressure ulcers. Acute pain related to: inflammation and infection of the urethra, bladder and other urinary tract structures. Acute Pain / Chronic related to tissue distension by fluid accumulation / inflammation, joint destruction. Impaired Gas Exchange related to changes in the alveolar capillary membrane. 1% had Fatigue, 76. Impaired Physical Mobility - Nursing Care Plan Nursing Diagnosis for Impaired Physical Mobility Musculoskeletal System: 1. doc), PDF File (. The purpose of a nursing care plan is to identify problems of a client and find solutions to the problems. Nursing Care Plan for Gout : Nursing Diagnosis. impaired bed mobility: [ mo-bil´i-te ] the ability to move in one's environment with ease and without restriction. Nursing Interventions [Check those that apply] Date Achieved: The patient will: (_) Maintain or increase strength and endurance of upper/lower limbs A. this is a sample and effective nursing care plan for patients with fracture, hope this will help nursing students in their case study. Nursing Diagnosis #1 - Impaired gas exchange related to decreased oxygen supply secondary to bronchiectasis and Nursing process -. Long-term goal Pain is gone. The Complete list of NANDA Nursing Diagnosis for 2012-2014, with 16 new diagnoses. Thus, the muscle loses neuronal activity in the peripheral nervous system, decreasing fine or gross motor skills, resulting in engine damage and intolerance to any physical activity (12). Client/Family Teaching 1. a nursing care plan i developed for a patient with pediculosis. Altered family processes occur as a result of the inability of one or more members of the family to adjust or perform, resulting in family dysfunction and interruption or prevention of development of the family. Assess patient's nutritional status, including weight, weight loss, and serum albumin levels. Impaired physical mobility related to neuromuscular impairment; 3 Spinal Cord Injury Nursing Care Plan. : Impaired physical mobility related to neurons damage, sensory and motor function. The person with dementia experiences loss of memory, disorientation, impaired language skills, decreased concentration, and impaired judgment. Assess for impediments to mobility (see Related Factors in this care plan). 214), and Impaired physical mobility (OR 2. Mobility is defined as the "ability to move freely, easily, rhythmically, and purposefully in the environment. This aids in defining what patient is capable of, which is necessary before setting realistic goals. People must be able to move to protect themselves from trauma and to meet their basic needs. txt) or read online for free. Encourage client independence (Mobily, Kelley, 1991). Adequate energy reserves are required for activity. the client will achieve maximum physical mobility within limitations imposed by the injuries and treatment plan. pdf), Text File (. This involves consistent, habitual honesty and a coherent integration. Cerebral Palsy. Nursing Care Plan for Fracture PN303. adjunct ANS: C Subjective data are symptoms that only the patient can identify. orthostatic hypotension. Narrative Nursing Care Plan. Nursing Diagnosis- Fractures Actual Diagnosis: Impaired physical mobility related to pain as evidence by limping, facial expression, groaning, obvious deformity and weakness of the body part. ) or pathologic. The Nursing diagnose for fever are: 1. Impaired physical mobility related to prescribed bed rest and restricted movement of involved extremity High risk for ineffective management of therapeutic regimen related to insufficient knowledge of care of insertion site, discharge activities, diet, medications, signs and symptoms of complications, exercise, and follow-up care. NCP Nursing care plans for Breast Cancer. Goal: Maintain the integrity of the peristomal tissue. Impaired swallowing Nursing Diagnosis & Nursing Care Plan IMPAIRED SWALLOWING. doc), PDF File (. You can share Nursing Diagnosis : Impaired Physical Mobility, Anxiety and Knowledge Deficit it via social media or the share button can use that already provided under the. If transferred to another unit, inform new staff on assessments and actions taken. Mobility, impaired bed Mobility, impaired wheelchair Sleep, readiness for enhanced Sleep Deprivation +Sleep Pattern, disturbed Transfer Ability, impaired Walking, impaired CIRCULATION—Ability to transport oxygen and nutrients necessary to meet cellular needs Autonomic Dysreflexia Autonomic Dysreflexia, risk for *Bleeding, risk for Cardiac. Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's physical. Device: (_) Other: (_) Assess symmetry, strength, and degree of mobility. NursingCrib Com Nursing Care Plan Fracture is one of the health articles nursing care plan. Strict skin care is needed to prevent traumatizing the fragile skin of the patient. step in a nursig care planThe first step in a nursing care plan is the assessment , is the assessment , jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjThe first step in a nursing care plan isThe first step in a nursing care plan is the assessment , the assessment ,. Otherwise, scroll down to view this completed care plan. nursing diagnosis. Nursing diagnoses provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable. Intervention :. Activity intolerance. Impaired Physical Mobility - Free download as Word Doc (. We are here trying to make the best possible to provide information on this blog. Cholecystectomy. pdf), Text File (. • Acute pain, related to fractured left femoral neck and muscle spasms • Impaired physical mobility, related to bed rest and fractured left femoral neck • Risk for ineffective tissue perfusion,related to unstable bones and swelling • Risk for disturbed sensory perception:Tactile, related to the risk of nerve impairment EXPECTED OUTCOMES. com Nursing Care Plan for: Impaired Physical Activity, Alteration in Activity Intolerance, Inability to Ambulate, and Limited Range of Motion (ROM) If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. nursing kalahating involvement the patient will ® To decrease interventions,. Several assessment tools are available; for some common examples, see Tools for assessing impaired mobility. Each year, somewhere between 700,000 and 1,000,000 people in the United States fall in the hospital. Deficient knowledge (diagnosis and treatment) Disturbed sleep pattern. Lumbar or sacral spinal nerve roots. The demyelination process on the myelin sheath disables the capability of the axons to receive electrical impulses thus the body could not perform or move the way it should be. Therefore, preventing complications is the top priority. a decrease in muscle strength. Impaired physical mobility Deficient knowledge (learning need) regarding condition, prognosis, treatment, self-care, and discharge needs. Determine her motivation to begin/continue an exercise program. Formulating a nursing diagnosis can be quite challenging for beginners. Study 54 Impaired Physical Mobility NCLEX flashcards from Crystal M. Altered oral mucosa. A phenomenological study conducted to describe the nursing students' experiences caring for cognitively impaired with thirty-seven undergraduate nursing students using Colaizzi's phenomenological method of analysis has shown emotions such as frustration, sadness, fear and empathy among nurses (Brereton, 1995). Ineffective infant feeding pattern. Nursing Diagnosis : Imbalanced Nutrition Less Than Body Requirements. com - id: 6706c7-MTZhZ. Nursing Care Plan for Myasthenia Gravis - These days we want to discuss the article with the title health Nursing Care Plan for Myasthenia Gravis we hope you get what you're looking for. Impaired physical mobility related to muscle stiffness and tremors are marked with : article Nursing Care Plan for Parkinson's Disease this hip fracture. Multiple Sclerosis – A long term debilitating type of disease that affects that nervous system. Congenital Hip Dysplasia. The nurse should give particular attention to the patient’s use of -blockers, calcium channel blockers, tranquilizers, alcohol, muscle relaxants, and sedatives. Assess for impediments to mobility (see Related Factors in this care plan). Fractures need to be treated until self care can be established. Chapter 05: Assessment, Nursing Diagnosis, and Planning Test Bank MULTIPLE CHOICE 1. References. com Nursing diagnosis Nursing Care Plan For Gout Gouty Arthritis. Definition Of Nanda Nursing Diagnosis MedicineBTG. Nursing Care Plan (Impaired Skin Integrity) - Free download as Word Doc (. : Impaired physical mobility related to neurons damage, sensory and motor function. Nursing Care Plan for patients with fracture - Free download as Word Doc (. Symptoms of fracture depend on the site, severity, type, and amount of damage to other structures. impaired physical mobility related to activity limitations associated with fractures. Pt complains of his knee feeling heavy and weak. Knowledge deficit (learning need) regarding cast care, crutch walking, traction. Altered oral mucosa. Symptoms of fracture depend on the site, severity, type, and amount of damage to other structures. Assist with ROM activities. If you want to search for other health articles, please search on this blog. • Limited range of motion. Nursing Care Plan A Client with a SCI (continued) DIAGNOSES • Impaired physical mobility,related to paralysis of lower and upper extremities secondary to C7 injury • Bowel incontinence,related to lack of voluntary sphincter con-trol secondary to C7 injury • Grieving, related to loss of the use of his arms and legs and the. Nursing Diagnosis. Correct use of crutches with in 22/4/08 ii. • Cerebral palsy refers to a group of incurable non-progressive disorders resulting from central nervous system (CNS) damage that. impaired physical mobility related to activity limitations associated with fractures. Nursing Care Plan for: Impaired Physical Activity, Alteration in Activity Intolerance, Inability to Ambulate, and Limited Range of Motion (ROM) If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Risk for disuse syndrome Impaired bed mobility Impaired physical mobility Impaired wheelchair mobility Impaired sitting Impaired standing. The average of nursing diagnosis was of 7. Long-term impaired mobility may necessitate role changes within the family and precipitate caregiver stress (see care plan for Caregiver role strain). 2001: 2230). Possible nursing diagnosis with pt's with casts: • Pain • Impaired physical mobility. Impaired mobility is associated with increased risk of bowel dysfunction, including constipation. The nurse is reviewing a patient's plan of care, which includes the nursing diagnostic statement, Impaired physical mobility related to tibial fracture as evidenced by patient's inability to ambulate. Risk for Injury (fall when ambulation) related to: limited endurance. As these statistics reveal, residents in nursing homes face many serious challenges with mobility that affect their autonomy, control, and well-being. Nursing Care Plan - Impaired Physical Mobility. "When you visit the nursing home, ask what programs are in place to maintain and improve the physical function of the residents. Nursing Care Plan is a process comprises of 5 major elements that initially start with ASSESSMENT (data collected from a nursing framework), nursing DIAGNOSIS (clinical judgment to responses in actual or potential health problems of an individual, family or community), realistic PLANNING (intermediate stage), nursing INTERVENTION (focused on the etiologic or risk factors of the identified. thank you've read the article Nursing Care Plan Impaired Skin Integrity. This chronic degeneration results from a breakdown of chondrocytes, most often in the hips and knees. Hypertension, or high blood pressure, is an issue that affects millions of people around the world. Assess patient's nutritional status, including weight, weight loss, and serum albumin levels. Impaired physical mobility R/T recent surgery 2° right intertrochanteric hip fracture AEB pt. infusing well @ right arm. soundness; freedom from serious flaws or impediments. Swallowing disorder. Nursing Plan:. If you want to search for other health articles, please search on this blog. As motor neuron cells die, the muscle fibers that they supply. >Kept the patient’s (Nursing Care Plan, 6th head and neck in edition, Gulanick/Myers neutral position pg. In this nursing care plan guide are 11 nursing diagnoses for fracture. docx), PDF File (. Management; Promotion of activity and exercise. pdf), Text File (. Maintain neutral positioning of hip. - Listen to their verbal cues about pain. The pain from the vaso-occlusion makes it difficult for the client to become comfortable enough to rest in addition to other factors that. The risk factors for the nursing diagnosis Risk for Aspiration presented by patients who have experienced a CVA are: dysphagia, impaired or absent cough reflex, neurological disorders, gastrointestinal tubes, impaired physical mobility, impaired or absent gag reflex, and low headboard. Device: (_) Other: (_) Assess symmetry, strength, and degree of mobility. It can have too much oxygen or carbon dioxide in the body which is not very beneficial to the organs or systems. Nursing Diagnosis:Risk for Impaired Skin/Tissue Integrity. Ongoing Assessment. Mobility: bed, impaired • GastroMobility: physical, impaired • Mobility: wheelchair, impaired • Sedentary lifestyle • Sleep deprivation • *Sleep pattern disturbed • Sleep, readiness for enhanced • Transfer ability, impaired • Walking, impaired. Impaired mobility is associated with increased risk of bowel dysfunction, including constipation. Sleep/rest. Chapter 40, Caring for Clients With Neurologic Deficits 1. impaired physical mobility a nursing diagnosis approved by the North American Nursing Diagnosis Association, defined as the state in which an individual has a limitation in independent, purposeful physical movement of the body or of one or more extremities. * Expected Outcomes Patient performs physical activity independently or with assistive devices as needed. com Nursing Care Plan Impaire Physical Mobility - Free download as PDF File (. The nurse is reviewing a patient's plan of care, which includes the nursing diagnostic statement, impaired physical mobility related to tibial fracture as evidenced by patient inability to ambulate. Below is the list of the 16 new NANDA Nursing Diagnoses 1. Refer to occupational therapy services for assistance if needed. Nursing Diagnosis #1 - Impaired gas exchange related to decreased oxygen supply secondary to bronchiectasis and Nursing process -. Patient does not recall any events of accident. paired mobility. Pain and injury make positioning difficult for some patients. Posted on July 13, 2018 by admin. Post-operative care for individuals might be easy and may be short term or long term or may entail procedure for a few. A lot of people looking for Hypospadias Nursing Diagnosis and Interventions on the internet and they found the results very much. In this nursing care plan guide are 11 nursing diagnoses for fracture. Fractures need to be treated until self care can be. Several assessment tools are available; for some common examples, see Tools for assessing impaired mobility. Hip fractures, Dementia And Palliative Care - GM Hours of hip fracture diagnosis and to ensure the provision of consultant orthogeriatrician led multidisciplinary care. A care plan for impaired physical mobility involves: Implementing measures for maintenance of optimal mobility of joints and muscles during immobility through various actions. Nursing Care Plan for Tuberculous Meningitis Nursing Diagnosis I : Acute pain related to the process of infection in the central nervous system Goal: 1. Activity/rest. Nursing Care Plan for Heart Failure Nursing Diagnosis : 1. Impaired Skin Integrity related to the effects of surgery; immobilization. impaired physical mobility a nursing. Risk for injury. It guides in the ongoing provision of nursing care and assists in the evaluation of that care. The demyelination process on the myelin sheath disables the capability of the axons to receive electrical impulses thus the body could not perform or move the way it should be. Nursing Care Plan for: Impaired Physical Activity, Alteration in Activity Intolerance, Inability to Ambulate, and Limited Range of Motion (ROM) If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Research shows that close to one-third of falls can be prevented. * Assess for possible causative factors related to temporarily impaired arterial blood flow. Which outcome is most appropriate for the nurse to include in the plan of care? A nurse is planning care for a patient with a nursing. The charge nurse is reviewing a patient's plan of care, which includes the nursing diagnostic statement, Impaired physical mobility related to tibial fracture as evidenced by patient's inability to ambulate to bathroom. Nursing Skills Exam 3. has little to no range of motion in his left knee. a nursing care plan i developed for a patient with pediculosis. Adequate energy reserves are required for activity. A lot of people looking for Impaired Physical Mobility - Nursing Care Plan on the internet and they found the results very much. which of the following assessment data support a possible pulmonary problem related to impaired mobility? select all that apply?. Impaired bed mobility; Impaired physical mobility; Impaired wheelchair mobility; Impaired sitting; Impaired standing; Impaired transfer ability; Impaired walking; Class 3. -IVF of 1 L # 21 PLR with remaining 270 mL @ 30 gtts/min. Patient is free of complications of immobility, as evidenced by intact skin, absence of thrombophlebitis, and normal bowel pattern. Ladwig , Mary Beth Flynn Makic Ackley's Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 11th Edition helps practicing nurses and nursing students select appropriate nursing diagnoses and write care plans with ease and confidence. Impaired Gas Exchange related to changes in the alveolar capillary membrane. But these cells may be needed by someone else — someone with a life-threatening disease like. – Pattern Perception and Control of Health: – Pattern Nutrition and Metabolic: High risk for altered nutrition: intake exceeds the body’s needs. Teach client to get out of bed slowly when transferring from the bed to the chair. Etiology: factors "related to" or "associated with" the patient's problem. Nursing diagnoses were made using NANDA Taxonomy II. The pain from the vaso-occlusion makes it difficult for the client to become comfortable enough to rest in addition to other factors that. This disorder is characterized by fatigue and generalized weakness of any of the muscles that are under voluntary control. txt) or view presentation slides online. The Impaired Physical Mobility - Nursing Care Plan is a kind of Information Nursing Care Plan Examples are much sought after on the internet and has linkages with various information Nursing Care Plan other Examples. This aids in defining what patient is capable of, which is necessary before setting realistic goals. The Hypospadias Nursing Diagnosis and Interventions is a kind of Information Nursing Care Plan Examples are much sought after on the internet and has linkages with various information Nursing Care Plan other Examples. Participate inEncourage patient to avoid vigorous rubbing and scratching and to pat skin dry instead of rubbing. This nursing care plan contains the basic elements that defines this Nanda nursing diagnosis and the nursing interventions that could be taken as a nurse to make a nursing care plan for a patient with this nursing diagnosis. nursing care plan with priority nursing dx I need a priority nursing diagnosis from the nanda list for this patient. Assess for edema. Because impaired mobility increases the risk of falls, use a valid fall assessment tool to determine the patient's fall risk. docx), PDF File (. Instead, outcomes need to be identified before interventions are determined. ) or pathologic. Many patient who have hip fractures report feeling the bone "give away" and then they fall. Otherwise, scroll down to view this completed care plan. Always maintain the skin warm and dry from moist Using adhesive tape is avoided since it can irritate the skin and tear the fragile tissue when the tape is removed. Nursing Care Plan for Impaired Physical Mobility Definition. Because mobility issues are directly related to musculoskeletal. To complete the nursing diagnosis statement, the nurse should add which “related-to” phrase? a. Study 198 Mobility, Documentation, Nursing Process, Hypertension, CVA flashcards from Staci K. Maybe caused by devices such as oxygen equipment, orthopedic devices, straps or tubing, as well as pressure from. >Kept the patient’s (Nursing Care Plan, 6th head and neck in edition, Gulanick/Myers neutral position pg. CUES NURSING DIAGNOSIS SCIENTIFIC BASIS GOAL & OUTCOME CRITERIA Subjective cues: - sakit akong. Use gestures and nonverbal cues when helping clients move if they are anxious or have difficulty understanding and following verbal instructions. Activity intolerance; Risk for activity intolerance; Ineffective breathing pattern; Decreased. - grimace face noted - limited ROM-v/s BP: 130/80 mmHg T : 38. This nursing care plan contains the basic elements that defines this Nanda nursing diagnosis and the nursing interventions that could be taken as a nurse to make a nursing care plan for a patient with this nursing diagnosis. Impaired Physical Mobility Nursing Care Plan Scoli Nursing Diagnosis Risk for Infection - Tuberculosi Knowledge Deficit related to Tuberculosis; Ineffective Airway Clearance related to Tuberculos Prevention of Vaginal Discharge in Women; Common Causes of Vaginal Discharge; Nursing Care Plan for Acute Otitis Media. Risk for injury related to complications of fractures. Your familiarity with the CM1 diagnosis, symptoms,. pdf), Text File (. Nursing Diagnosis for Diabetic Foot Ulcer Impaired tissue perfusion related to the weakening / decrease in blood flow to the area of gangrene due to obstruction of blood vessels. The nursing diagnosis Impaired physical mobility suggests changes in gait running, which causes the increased risk for falls and dependence related to everyday activities. Related to femoral artery occlusion d. Nursing Diagnosis and Nursing Intervention for Parkinson's Disease Impaired physical mobility related to muscle stiffness and tremors are marked with : Subjective data: client said it was difficult to do activities. You can share Nursing Care Plan Impaired Skin Integrity it via social media or the share button can use that already provided under the. Which part of the diagnostic statement does the nurse need to revise?. Therefore, preventing complications is the top priority. Nursing assessments related to mobility. Pt complains of his knee feeling heavy and weak. Nursing Care Plan for: Impaired Physical Activity, Alteration in Activity Intolerance, Inability to Ambulate, and Limited Range of Motion (ROM) If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below.