Mobility impaired physical nursing diagnosis
Several neurological and musculoskeletal disorders can adversely affect mobility, including osteoarthritis, rheumatoid arthritis, muscular dystrophy, cerebral palsy, multiple sclerosis, and Parkinson’s disease. Immobility can be caused by several physical and psychological factors, including acute and chronic diseases, traumatic injuries, and chronic pain. This includes assistance from another person or an assistive device, such as a cane, walker, or crutches. This includes moving from a bed into a chair or moving from one chair to another. Transferring: The action of a patient moving from one surface to another.Bed Mobility: The ability of a patient to move around in bed, including moving from lying to sitting and sitting to lying.The three main areas of functional mobility are the following:
See Figure 13.1 for an image of a patient with impaired physical mobility requiring assistance with a wheelchair.įunctional mobility is the ability of a person to move around in their environment, including walking, standing up from a chair, sitting down from standing, and moving around in bed. Mobility exists on a continuum ranging from no impairment (i.e., the patient can make major and frequent changes in position without assistance) to being completely immobile (i.e., the patient is unable to make even slight changes in body or extremity position without assistance). Anything that disrupts this integrated process can lead to impaired mobility or immobility. Physical mobility requires sufficient muscle strength and energy, along with adequate skeletal stability, joint function, and neuromuscular synchronization. Mobilityis the ability of a patient to change and control their body position. Read more about these topics in the “ Musculoskeletal Assessment” chapter in Open RN Nursing Skills. 2014 40(2), 279-285.Open Resources for Nursing (Open RN) Musculoskeletal Anatomy, Physiology, and Assessmentīefore discussing the concept of mobility, it is important to understand the anatomy of the musculoskeletal system, common musculoskeletal conditions, and the components of a musculoskeletal system assessment. Observational gait assessment tools in paediatrics-a systematic review. Campbell's physical therapy for children. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. Chicago: Association of Rehabilitation Nurses. The specialty practice of rehabilitation nursing: A core curriculum. Journal of NeuroEngineering and Rehabilitation. The effectiveness of robotic-assisted gait training for paediatric gait disorders: Systematic review. Wong's nursing care of infants and children. A textbook of children’s and young people’s nursing. Glasper, A., Richardson, J., Randall D edt.A systematic review of the effectiveness of treadmill training and body weight support in pediatric rehabilitation. Occupational therapy for children and adolescents. Development and implementation of an early mobility program for mechanically ventilated pediatric patients. (Eds.), Nursing interventions classifications (NIC). Assess fall risk using standardized tool implement appropriate interventions, such as behavioral or environmental modifications.Utilize appropriate modalities, devices or techniques to facilitate mobility (e.g., ankle foot orthosis, electrical stimulation, partial-weight-treadmill training).Encourage self-initiated mobility to facilitate growth and development.
Train in and reinforce use of adaptive equipment and assistive devices, such as a scooter or walker.Design and implement therapeutic interventions to address impairments (e.g., functional mobility training, mat and standing balance activities, strengthening).Individualize instructions and prompts to patient’s cognitive status to promote effective communication simplify verbal directions, give encouragement and provide demonstrated cues as needed.Provide frequent encouragement, along with prompting and assistance as needed.Pace activity allow adequate time and rest periods to conserve energy.