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    Assessment Diagnosis Planning Intervention Rationale Evaluation

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    Ellee Hades
    The patient has left hemiparesis related to a musculoskeletal impairment. After 8 hours of nursing intervention, the patient was able to verbalize understanding of their situation and treatment plan. The nursing interventions included assisting with exercises, using anti-embolism stockings, pressure-relieving devices, and passive range of motion exercises to prevent skin breakdown and maintain mobility.

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    Assessment Diagnosis Planning Intervention Rationale Evaluation

    Uploaded by

    Ellee Hades
    29 views3 pages
    The patient has left hemiparesis related to a musculoskeletal impairment. After 8 hours of nursing intervention, the patient was able to verbalize understanding of their situation and treatment plan. The nursing interventions included assisting with exercises, using anti-embolism stockings, pressure-relieving devices, and passive range of motion exercises to prevent skin breakdown and maintain mobility.

    Original Title

    MUSCOLOSKELETAL

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    The patient has left hemiparesis related to a musculoskeletal impairment. After 8 hours of nursing intervention, the patient was able to verbalize understanding of their situation and treatment plan. The nursing interventions included assisting with exercises, using anti-embolism stockings, pressure-relieving devices, and passive range of motion exercises to prevent skin breakdown and maintain mobility.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    29 views3 pages

    Assessment Diagnosis Planning Intervention Rationale Evaluation

    Uploaded by

    Ellee Hades
    The patient has left hemiparesis related to a musculoskeletal impairment. After 8 hours of nursing intervention, the patient was able to verbalize understanding of their situation and treatment plan. The nursing interventions included assisting with exercises, using anti-embolism stockings, pressure-relieving devices, and passive range of motion exercises to prevent skin breakdown and maintain mobility.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Assessment Diagnosis Planning Intervention Rationale Evaluation

    Subjective: Impaired physical After 8 hours of  Assist patient  Adds to gaining After 8 hours of
    mobility related to nursing for muscle enhanced sense nursing
    “Hindi ko maigalaw ang
    kaliwa kong kamay at
    Musculoskeletal
    intervention the exercises as of balance and intervention the
    paa” as verbalized by the
    impairment able or when strengthens
    patient verbalizes patient was able
    patient. allowed out of compensatory
    understanding bed; execute body parts. to verbalize
    Objective: situation or risk abdominal- understanding
    factors and tightening situation or risk
     Limited range of exercises and
    motion individual factors and
    knee bends;
     Left hemi treatment regimen hop on foot; individual
    paralysis and safety stand on toes. treatment regim
    measures and safety
    Establish measures to  This is to
    prevent skin measures
    prevent skin
    breakdown and breakdown, and
    thrombophlebitis the
    from prolonged compression
    immobility: devices
    promote
     Clean, dry,
    increased
    and
    venous return
    moisturize
    to prevent
    venous stasis
    skin as and possible
    necessary. thrombophlebit
     Use anti is in the legs.
    embolic
    stockings or
    sequential
    compressio
    n devices if
    appropriate.
     Use
    pressure-
    relieving
    devices as
    indicated
    (gel
    mattress).

     Exercise enhances
     Execute passive increased venous
    or active assistive return, prevents
    ROM exercises to stiffness, and
    all extremities. maintains muscle
    strength and
    stamina. It also
    avoids contracture
    deformation,
    which can build up
    quickly and could
    hinder prosthesis
    usage.

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