NURSING CARE PLAN

Identified Problem: Impaired bed mobility

Nursing Diagnosis: Impaired bed mobility r/t pain at surgical site and fear of causing hernia to rupture
CUES
Subjective:
dili paku kalakaw kay sa opera
nga samad as verbalized by
the patient.

Objective:
-

Unable to move from

sitting to lying position
Unable to ambulate self
Independent physical
movement of the body.

OBJECTIVES

INTERVENTIONS

RATIONALE

Short term objectives:

Within three days of
providing appropriate
nursing care patient
would able to verbalize
feeling of increased
strength and ability to
move and demonstrate
use of adaptive
equipment.

Long term objectives:

After three days of providing
appropriate nursing care
patient would able mutually
defined goals of increased
ambulation and exercise that
include individual choice,
preference and enjoyment in
th exercise prescription.

1. Assess the client for cause of

impaired mobility. Determine
whether cause is physical,
psychological, or motivational.
2. Monitor and record the clients ability
to tolerate activity.

3. Observe for and if possible, treat

pain with massage, heat pack to
affected area, or medication. Ensure
that the client is not over sedated.
4. Consult with the physical therapist
for further evaluation, strength
training and development of mobility
plan.

5. Obtain assistive devices needed for

activity such as weighted vest,
walker, crane, crutches.
6. Perform passive ROM exercises at
least twice a day unless
contraindicated; repeat each
maneuver three times.
7. Help the client achieve mobility and
start walking as soon as possible if
not contraindicated.
8. Increase independence in ADLs,
encouraging self-efficacy and
discouraging helplessness as the
client gets stronger.

1. Some clients choose not to

move because of psychological
factors such as fear of falling or
pain.
2. Use valid and reliable
screening procedures and tools
to assess the clients
preparation in exercise health
screening and risk stratification
for exercise testing.
3. Pain limits mobility and is often
exacerbated by movement.

4. Prescribing a regimen of
regular physical activity hat
includes both aerobic exercise
and muscle strengthening
activities is beneficial to
minimizing impaired physical
mobility.
5. Assistive devices can help
mobility.
6. Physical rehabilitation
interventions were found to be
safe, reduced disability and
resulted in few adverse events.
7. Early mobilization of clients
generally prevents
complications such as deep
vein thrombosis.
8. Providing unnecessary
assistance with transfers and
bathing activities may promote
dependence and loss mobility.

EVALUATION
Short term:
After providing nursing
intervention for three days patient
was able to have confidence in
moving his self and ambulating.

Long term:
After rendering nursing care
patient is able to patient was able
to ambulate his self from time to
time and independently able to
stand without fear of falling.