Impaired Physical Mobility related to Injury

Assessment Nursing Scientific Objectives Interventions Rationale Evaluation

Diagnosis Explanation
Subjective: Impaired Risk for injury can After 6 hours of 1. Establish -Failure to accurately GOAL MET!
N/A Physical result from nursing rapport assess, intervene or
Mobility r/t environmental interventions, the 2. Assess general refer these issues canClient verbalizes
Objective: Injury conditions client will be able to: condition place the client at risk
understanding
>Left Leg Cast interacting with the 3. and create of factors that
individual's adaptive  verbalize 4. Perform negligence. can contribute
> Metal plating and defensive understandin thorough further injury
on left femur resources. Any g of assessment -To minimize the risk and
pathophysiological individual regarding and degree of injury demonstrate
> Loss of condition such as factors that patient's safety to the client. ways to reduce
skeletal altered level of contribute to risk or prevent
integrity consciousness, possibility of further injury
(fracture) impaired sensory injury; 5. Maintain bed in
perception, tissue  demonstrate lowest position - To identify any
hypoxia, and pain or behaviors with the wheels unsafe conditions to
fatigue can and lifestyle locked and side reduce the risk of
contribute to or be changes to rails up. injury occurrence to
the cause of reduce risk the client
personal injury. factors and 6. Monitor
Age-related factors protect self environment for
include infancy, from injury; potentially
early childhood and  modify unsafe - To minimize the
advanced age environment conditions and effort and energy of
to enhance modify as the client when
safety; needed. leaving the bed side
 And be free and for ambulation.
of further 7. Assist client in - The risk of injury is
injury. using crutches greatly increased
or wheelchairs. when client is left
unattended.

8. Assist the client

when he needs
to use the toilet
facility.
 Impaired Physical Mobility r/t complete fracture of the left middle third femur
Assessment Nursing Scientific Objectives Interventions Rationale Evaluation
Diagnosis Explanation
Subjective: Impaired Impaired physical After 6 hours of nursing 1. Determine the - To assess GOAL MET!
N/A physical mobility is the state interventions, the client degree of functional Client
mobility in which an will be able to: immobility in mobility. verbalizes
Objective: related to individual has a relation to
understanding
> Limited the limitation in  verbalize suggested scale. of condition,
range of complete independent, understanding of treatment
motion of fracture of purposeful physical condition, 2. Note - Feelings of regimen and
the LEFT the left movement of the treatment emotional/behavio frustration/ safety
femur middle third body or of one or regimen and ral responses to powerlessness measures,
femur more extremities. safety measures; problems of may impede participate in
> Cast on Related factors  participate in ADLs immobility. attainment of ADLS and
LEFT leg arising from within and activities; goals. desired
the person include  maintain position activities,
pain or discomfort, and function of 3. Assist client to - To promote maintain
and physical skin integrity as reposition self on a optimum level absence of
limitations due to evidenced by regular schedule. of function and pressure ulcers
neuromuscular or absence of prevent and increase
musculoskeletal Pressure Ulcers, complications. strength and
impairment.  And promote and function of the
External factors increase strength 4. Administer pain - To reduce the left leg.
include enforced and function of medication amount of pain
rest for therapeutic the left leg. prescribed by the the client
purposes, as in the physician. experiences.
case of
immobilization of a 5. Support affected - To maintain
fractured limb. body part with the position and
use of pillows. function and
 reduce risk of
pressure ulcers.

6. Encourage - Promotes well-

adequate intake of being and
fluids and maximizes
nutritious foods. energy
production.
 Altered Blood Glucose r/t Lack of Diabetes Management or adherence to Diabetes Management
Assessment Nursing Scientific Objectives Interventions Rationale Evaluation
Diagnosis Explanation
Subjective: Altered Risk for unstable After 6 hours of nursing 1. Educate the - It will have a GOAL MET!
N/A Blood blood glucose level interventions, the client patient about better Client
Glucose r/t is the presence of will be able to: the importance understanding on verbalizes
Objective: Lack of possible variation  verbalize of following the the importance of understanding
>altered Diabetes of blood understanding of prescribed such treatment and of condition,
blood Management glucose/sugar the condition and treatment to comply with it treatment
glucose level or adherence levels from the treatment regimen regimen,
to Diabetes normal range. regimen; - To produce a acknowledged
>RBS of: Management Glucose is one kind  Acknowledge slower rise in blood factors that
331, 433, of sugar which the factors that may glucose. may lead to
348, 255, body utilizes most lead to unstable 2. Instructed to unstable
206, 257, and used it a glucose; eat low fat, high glucose,
259, 268, source of energy.  verbalize plan for fiber, low - It will give the
minimized the
255, 275, Serum glucose is modifying factors correct and proper shifts in
diabetic diet
148, 154, transported from to prevent/ management of glucose level.
238, 189, the intestines or minimize shifts in imbalanced glucose Maintained
330, 140, liver to body cells glucose level; 3. Administer level
insulin as glucose in
119, 274, via the  Maintain glucose
needed and satisfactory
216, 221, bloodstream and is in satisfactory - Client’s support
prescribed range.
232, 216, made available for range. persons like
314, 293, cell absorption via parents, spouse
26, 255, the hormone and caregivers also
221, 269, insulin which is a need to be
205, 324, hormone produced provided with right
266, 200 by the body found 4. ascertain information as they
mg/dl in the pancreas. client’s also take part in
Sometimes due to significant the client’s
treatment.
different causative others
factors, glucose knowledge/und - Unstable blood
levels is beyond erstanding of glucose levels
normal ranges. In contribute to delay
condition and
the occurrence of wound healing.
increase blood treatment
glucose level at a needs
constant basis, it
detects the
presence of
Diabetes Mellitus
which is a disorder
that causes
5. Determine
inability to
blood glucose
normalize the
stability.
blood glucose
levels of the body.