On behalf of Ms.

Melendrez, let’s proceed to

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Impaired Physical SHORT TERM: Independent: SHORT TERM:
There is no subjective Mobility related to After 2 days of thorough 1. Assess the 1. This assessment After 2 days of thorough
que. neuromuscular nursing intervention, the strength to provides data on nursing intervention, the
For the impairment as evidenced patient will be able to perform ROM to extent of any patient was be able to
Objective: by uncoordinated demonstrate techniques all joints. physical demonstrate techniques
 Involuntary movements or behavior that enables problems and or behavior that enables
movement resumption of activities. guides therapy. resumption of activities.
bilateral in upper Testing by a
and lower LONG TERM: physical therapist LONG TERM:
extremities, After 3 months of may be needed. After 3 months of
mouth. thorough nursing 2. These measures thorough nursing
 Unable to stand intervention the patient 2. Present a safe promote a safe, intervention the patient
and has difficulty maintain or increase environment: bed secure, was able maintain or
in walking strength and function of rails up, bed in a environment, and increase strength and
affected body part. down position, may reduce risk function of affected
important items for falls. body part.
close by.

3. Execute passive 3. Exercise

or active enhances
assistive ROM increased venous
exercises to all return, prevents
extremities. stiffness, and
maintains muscle
strength and
stamina. It also
avoids
contracture
deformation,
which can build
up quickly and
could hinder
 prosthesis usage.
4. These
movements keep
4. Promote and the patient as
facilitate early functionally
ambulation when working as
possible. Aid possible. Early
with each initial mobility
change: dangling increases self-
legs, sitting in esteem about
chair, reacquiring
ambulation. independence
and reduces the
chance that
debilitation will
transpire.
5. These devices
can compensate
5. Show the use of for impaired
mobility devices, function and
such as the enhance level of
following: canes, activity. The
crutches, or goals of using
walkers. such aids are to
promote safety,
enhance
mobility, avoid
falls, and
conserve energy.

6. Healthcare
providers and
significant others
6. Let the patient are often in a
accomplish tasks hurry and do
at his or her own more for patients
pace. Do not than needed.
hurry the patient. Thereby slowing
Encourage the patient’s
independent recovery and
activity as able reducing his or
and safe. her confidence.

7. Rest periods are

essential to
conserve energy.
7. Provide the The patient must
patient of rest learn and accept
periods in his her
between limitations.
activities.
Consider energy- 8. A safe
saving environment will
techniques. help prevent
injury related to
8. Teach patient or falls. Home
family in modification can
maintaining help the patient
home atmosphere maintain a
hazard-free and desired level of
safe. functional
independence
and reduce
fatigue with
activity.
 Dependent:
1. To treat
movement
Dependent: disorder.
1. Administer
medication as
ordered by
physician
(Olanzapine
2.5mg/day)