Assessment
Subjective:
“Nahihirapan akong igalaw ang
kaliwang binti ko” as verbalized by
the client
Objective:
• Limited range of motion
• Decreased muscle strength
• Inability to move purposely
• Slow or having a small
movement.
Diagnosis Planning Intervention Rationale Evaluation
Impaired physical Short term goal: Independent: • To determine client’s expectations/beliefs Short term goal:
mobility related to At the end of 2 to 3 hours of • Assess degree of mobility produced by related to activity and potential long-term After 2 to 4 hours of nursing
neuromuscular skeletal nursing interventions, the client injury or treatment and note client’s effect of current immobility. Also interventions, the client was able to:
impairment as will be able to: perception of immobility. identifies barriers that may be addressed  verbalize understanding of
evidenced by limited  verbalize understanding of • To promote venous return, to minimize situation and individual treatment
range of motion, situation and individual • Elevate and support the injured extremity edema, and may reduce pain. regimen and safety measures
decreased muscle treatment regimen and safety using pillows or rolls. • Refocuses attention, enhances client’s self- independently.
strength, and inability to measures independently. • Encourage participation on diversional or control and aids in reducing social Goal partially met
move purposely recreational activities like socialization isolation.
with others, listening to music/radio • To increases blood flow to muscle and
Long term goals: • Discuss and perform active or passive bone; to improve muscle tone, maintain Long term goals:
At the end of 2 days of nursing range of motion exercises of affected and joint mobility; prevent contractures or After 2 days of nursing
interventions, the client will be unaffected extremities. atrophy and calcium resorption from interventions, the client was able to:
able to: disease.  increase strength and function of
 increase strength and • It will put too much strain in joints affected joint
function of affected joint • Advice the client to avoid heavy activity • To prevent fall and injury  perform ADLs and desired
 perform ADLs and desired • Keep siderails up • To increase mobility and assist in activity
activity. • Encourage the use of assistive device such ambulation Goal partially met
as crutches or walker.
• Advice client to eat foods rich in protein • To facilitate faster wound healing and
(fish, eggs), and food rich in Vitamin C bone healing