30 minutes is the usual peak time for most pain relievers. To provide pain relief and comfort so the patient will be able to move without fear of experiencing more pain. Administer pain medications as prescribed, at least 30 minutes before exercise or physical activity. To support the significant others on how they can assist the patient achieve optimal physical mobility. To identify patient’s support in terms of his/her physical, social, mental, and emotional health. Educate the significant others on how to assist the patient in performing ADLs and improving physical mobility through exercise. Identify the patient’s need for assistance from significant others. To identify patient’s current strengths and problems related to performing ADLs while living with Paget’s disease of the bone. Assess the patient’s function ability to perform activities of daily living (ADLs) such as eating, bathing, oral and perineal care. Nursing Interventions for Impaired Physical Mobility Rationales Perform a mobility assessment. Nursing Diagnosis: Impaired Physical Mobility related to Paget’s disease of the bone as evidenced by presence of stiffness, weakness and gradual loss of movement in the right leg, moderate bilateral leg pain rated 6/10, failure to perform ADLsĭesired Outcome: Patient will maintain functional mobility despite progressive Paget’s disease of the bone. Impaired Physical Mobility Nursing Care Plan 3 Home modifications according to the patient’s functional mobility will ensure patient’s safety and encourage him/her to move around the house as much as he/ she is able. Prior to discharge, ensure that the patient’s home is modified according to his/her functional mobility, as recommended by the physiotherapist. To provide a specialized care for the patient to gain physical and mental support in performing ADLs and mobilizing. ![]() Assist the patient in following the customized exercise and physical activity plan as recommended by the physiotherapist. Refer to the physiotherapy and occupational therapy team. To improve venous return, muscle strength, and stamina while preventing stiffness and contracture deformation. Encourage the patient to perform range of motion (ROM) exercises in all extremities. To maintain patient safety and reduce the risk of falls. Check that the call bell is within reach, the bed rails are up when the patient is on the bed, the bed is in the lowest level, the room is well-lit, the floor is not slippery, and that important things like phone and eyeglasses are easy to reach. To encourage the patient to perform muscle-strengthening exercises and promote dignity by allowing the patient to perform their ADLs while maintaining safety. ![]() Assist the patient during exercises and when performing activities of daily living. To assist in creating an accurate diagnosis and monitor effectiveness of treatment and therapy. Assess the patient’s level of functional mobility and ability to perform ADLs. Impaired Physical Mobility Nursing Care Plan 2 Hip replacement can also be done if the hip joint is severely damaged. Decompressive surgery may include lumbar laminectomy or discectomy. Severe joint damage or pain due to cauda equina syndrome can make a patient eligible for surgery. Consider joint decompressive surgery for severely damaged hip joint. To provide specialized care and individualized exercise program. Refer the patient to the physiotherapist. To prevent muscle atrophy and joint contractures. Use the recommended equipment for mobility as per physiotherapist’s advice. Encourage physical mobility and demonstrate range of motion exercises. ![]() Check the patient’s need for assistance from significant others. To identify patient’s current strengths and problems related to performing ADLs while dealing with CES. Desired Outcome: Patient will maintain or regain functional mobility.
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