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Immobilization
Activity intolerance related to bed rest, immobility, sedentary lifestyle (strenuous activity rarely),
general body weakness, imbalance between the supply of oxygen to the use,
characterized by the expression of fatigue and weakness, abnormal response to activities such as
discomfort and dyspnea.
Goals:
o
Clients can maintain the normal function of the musculoskeletal, shown by the
distance of motion in all joints of the body within the limits of normal, muscle mass and
strength can be maintained.
Minimize cardiovascular events shown by vital signs are still within normal limits and
signs of venous blood flow adequate (absence of edema, inflammation, venous
distention, skin changes).
Maintaining the granting of proper nutrition and fluids, which can be shown by weight,
adequate tissue turgor, balance fluid inputs and outputs, and the value of serum
proteins in normal limits.
Maintaining normal elimination patterns, which can be seen clearly through the urine
output of at least 1500 ml per day, the absence of signs of urinary retention, urinary
tract infection.
Maintaining the integrity of the skin that can be seen through the skin clean, intact,
good skin hydration, lack of emphasis marks on the skin.
Maintaining the stability of the emotional, social and intellectual, which can be seen
from the active participation of the client, consulted in determining the action, able to
maintain good relationships with others.
Interventions
1. Do proper exercise program (isotonic, exercise active or passive) for at least 4 hours at a time, on
hands, feet, and neck as indicated.
Rationale: isotonic exercises to prevent contractures and muscle atrophy, isometric maintain muscle
strength, passive exercises maintain joint movement.