Nursing Care Plan for Impaired Physical Mobility- Nursing diagnosis: impaired physical Mobility related to neuromuscular impairment; pain, discomfort; decreased strength and endurance, restrictive therapies, limb immobilization; contractures
Possibly evidenced by
Reluctance to move, inability to purposefully move
Limited ROM, decreased muscle strength control and/or mass
Nursing Care Plan for Impaired Physical Mobility
Desired Outcomes/Evaluation Criteria—Client Will
Maintain position of function as evidenced by absence of contractures.
Maintain or increase strength and function of affected and/or compensatory body part.
Self-Care: Activities of Daily Living (ADLs)
Verbalize and demonstrate willingness to participate in activities.
Demonstrate techniques and behaviors that enable resumption of activities.
Nursing intervention with rationale
Nursing Care Plan for Impaired Physical Mobility:
1. Maintain proper body alignment with supports or splints, especially for burns over joints.
Rationale: Promotes functional positioning of extremities and prevents contractures, which are more likely over joints.
2. Note circulation, motion, and sensation of digits frequently.
Rationale: Edema may compromise circulation to extremities, potentiating tissue necrosis and development of contractures.
3. Initiate the rehabilitative phase on admission.
Rationale: It is easier to enlist participation when client is aware of the possibilities that exist for recovery.
4. Perform ROM exercises consistently, initially passive, then active.
Rationale: Prevents progressively tightening scar tissue and contractures, enhances maintenance of muscle and joint functioning, and reduces loss of calcium from the bone.
5. Medicate for pain before activity or exercises.
Rationale: Reduces muscle and tissue stiffness and tension, enabling client to be more active and facilitating participation.
6. Schedule treatments and care activities to provide periods of uninterrupted rest.
Rationale: Increases client’s strength and tolerance for activity.
7. Encourage family/SO support and assistance with ROM exercises.
Rationale: Enables family/SO to be active in client care and provides more constant and consistent therapy.
8. Incorporate ADLs with physical therapy, hydrotherapy, and nursing care.
Rationale: Combining activities produces improved results by enhancing effects of each.
9. Encourage client participation in all activities as individually able.
Rationale: Promotes independence, enhances self-esteem, and facilitates recovery process.
10. Instruct and assist with mobility aids, such as a cane, walker, or crutches, as appropriate.
Rationale: Promotes safe ambulation.