- #Impaired physical mobility nursing diagnosis skin
- #Impaired physical mobility nursing diagnosis full
#Impaired physical mobility nursing diagnosis skin
Educate patients and families or caregivers in skincare to reduce the risk of skin breakdown. Monitor the ability of the patient to do ADL independently or without any help.Ħ. Teach family members or other caregivers to assist with ADLs if necessary. Assist patient with performing activities of daily living including feeding, grooming, toileting, hygiene, etc. See also: Can Nurses Treat Family Members?ĥ.
Teach family members or other caregivers to assist and supervise patients in performing a range of motion exercises. Assist the patient with a range of motion exercises as often as possible. Assess the current level of nutritional intake and plan for an increased nutritional intake in order to maintain optimum weight and constitution while preventing malnutritionĤ. Assess patient’s ability to get up from sitting position and get into wheelchair or bed unassistedģ. Assess whether the patient is able to do so without any help or if additional physical aid is required.Ģ.
Provide physical support to sit up in bed, stand and walk with assistance as much as possible. Implementing the nursing care plan for CVAġ. This could lead to further decline in functional status and possible immobility as a result. The rationale for the care plan: The patient is at risk of further decline in physical health because of limited mobility caused by reduced strength in the lower extremities. Physical assessment: Change in the walking pattern when walking with assistance, inability to climb steps or negotiate curbs without help, etc. This care plan is applicable for individuals with CVA who are no longer able to walk due to muscle weakness caused by stroke-related brain damage. The nursing care plan for CVA impaired physical mobility is aimed at preventing further impairment or disability resulting from reduced mobility. Nursing care plan for CVA impaired physical mobility is all about identifying the problem, identifying the cause of the problem, and providing support to the patient. Nursing care plan for CVA impaired physical mobility Implementing the nursing care plan for CVA.Nursing care plan for CVA impaired physical mobility.rational/rationale for the nursing care plan.expected patient response to the treatment outlined in the plan.This is a brief assessment with four main sections dedicated to the following areas: The CVA nursing care plan discusses the assessment, planning, and interventions for non-traumatic, sudden onset of a loss of function due to a cerebral vascular accident. Risk for electrolyte imbalance related to diuretics, nausea/vomiting, diarrhea, etc.Risk for deficient fluid volume related to diuretics, high output congestive heart failure, vomiting, diarrhea, etc.Impaired urinary elimination related to immobility and urinary retention.Risk for self-directed violence related to lack of impulse control due to brain damage.Risk for other-directed violence related to loss of control over own body parts, emotions, behaviors, etc.Impaired verbal communication related to dysphasia (language disturbance) and dysarthria (speech impairment).Anxiety/Fear related to the effects of a stroke on the individual.Disturbed thought processes related to brain injury.Chronic confusion related to increased ICP and CVA damage.Impaired skin integrity related to immobility, sensory deficits, and pressure ulcer.Risk for aspiration related to changes in swallowing or loss of protective airway reflexes.Impaired physical mobility related to muscle weakness.Nursing diagnoses for CVA are as follows: It is an emergency condition requiring immediate treatment.
#Impaired physical mobility nursing diagnosis full
In this article, we’re going to give you the full explanation of the nursing care plan for CVA.Ī Cerebral Vascular Accident (CVA) is also known as a ‘brain attack’ which disrupts the supply of blood to the brain, resulting in damage or death to brain cells. The cells in the brain begin to die and brain damage begins immediately which causes impairment/disability. A stroke occurs when the blood supply to part of the brain is interrupted, either because of a clot or internal bleeding.
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