1) The patient, Cristina Garcia, was involved in a motor vehicle accident and sustained injuries to her face and extremities including slowed movement, difficulty turning, and limited range of motion.
2) The nursing diagnosis was impaired physical mobility due to musculosketal impairment from injuries. Short term goals were for the patient to maintain or increase strength and function with nursing interventions.
3) Long term goals within 2-3 weeks were for the patient to improve physical mobility including performing range of motion exercises, participating in activities of daily living, and maintaining function and skin integrity.
1) The patient, Cristina Garcia, was involved in a motor vehicle accident and sustained injuries to her face and extremities including slowed movement, difficulty turning, and limited range of motion.
2) The nursing diagnosis was impaired physical mobility due to musculosketal impairment from injuries. Short term goals were for the patient to maintain or increase strength and function with nursing interventions.
3) Long term goals within 2-3 weeks were for the patient to improve physical mobility including performing range of motion exercises, participating in activities of daily living, and maintaining function and skin integrity.
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1) The patient, Cristina Garcia, was involved in a motor vehicle accident and sustained injuries to her face and extremities including slowed movement, difficulty turning, and limited range of motion.
2) The nursing diagnosis was impaired physical mobility due to musculosketal impairment from injuries. Short term goals were for the patient to maintain or increase strength and function with nursing interventions.
3) Long term goals within 2-3 weeks were for the patient to improve physical mobility including performing range of motion exercises, participating in activities of daily living, and maintaining function and skin integrity.
Direitos autorais:
Attribution Non-Commercial (BY-NC)
Formatos disponíveis
Baixe no formato DOCX, PDF, TXT ou leia online no Scribd
Diagnosis Knowledge Subjective data: Dependent: After 2-3 hours of “Nahihirpan Impaired Vehicular Short term goal: Instruct the For position nursing akong physical accident In 2-3 hours of nursing patient to use changes or interventiongoals kumilos.” As mobility r/t interventions the client assistive transfer. to maintainor verbalized by musculoskelet Injuries of will be able to maintain device like increase strength the patient. al impairment face and or increase strength siderails or and function of as evidenced extremities and function of affected wheelchair. affected body Objective data: by decrease body parts as evidenced Support To maintain parts were met as Slowed muscle Inflammatio by: affected body position function evidenced by: movement of strength. n 1. Verbalize parts or joint and reduced risk 1. Ability to both upper understanding using pillow, of pressure ulcer. move the and lower Impaired of situation and rolls, t affected extremities. physical individualtreat support. body parts Difficulty movement. ment regimen Provide for To prevent the without turning and safety safety patient from discomfort Limited range measures. measure as injury. 2. Verbalized of motion of 2. Ability to move indicated by understan both upper the affected individual ding the and lower body parts situation situation extremities. without including and discomfort. environmenta individual 3. Demonstrate l management treatment technique or and full regimen behaviors that prevention. and safety enable Provide To maintain the measure resumption of regular skin patient integrity. Demonstrate activities. care to technique or Long term goal: include behaviors that After 2-3 weeks of pressure area enable nursing intervention the management. resumption of patient will be able to Encouraged To promote well activities. improve physical the patient being and 3. Ability to mobility as evidenced adequate maximized energy performed by: intake of production. ROM Ability to fluids and exercise. performed nutritious ROM exercise. food. Participate Encouraged To promote ADLs and the patient to proper circulation desired have regular of blood in the activity. exercise. body. Maintain Ssscheduled To reduce fatiue. position of activities with function and adequate rest skin integrity period during as evidenced the day. by absence of Independent: contracture, Assist To promote the footdrop, or patient progress. decubitus. have Ability to walk the the patient patien without t assistive reposi device. tion self on a regula r sched uled as dictat ed by individ ual. Perfor To promote med patient muscle ROM strength exerci se as doctor ’s ordere d. Perfor To promote med healing process. warm compr ess as doctor ’s odere d.