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    NCP 2

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    Aneeza Musa Indanan
    The patient experienced impaired physical mobility related to paresthesia. The nurse assessed decreased muscle strength and numbness. The objective of care was to maintain optimal position and function through frequent position changes, skin inspection, and exercise. Interventions included massaging, padding pressure points, encouraging ROM exercises, and educating family. Evaluation found the patient able to maintain position and function with aids after 16 hours of nursing intervention.

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    NCP 2

    Uploaded by

    Aneeza Musa Indanan
    34 views2 pages
    The patient experienced impaired physical mobility related to paresthesia. The nurse assessed decreased muscle strength and numbness. The objective of care was to maintain optimal position and function through frequent position changes, skin inspection, and exercise. Interventions included massaging, padding pressure points, encouraging ROM exercises, and educating family. Evaluation found the patient able to maintain position and function with aids after 16 hours of nursing intervention.

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    ncp2

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    The patient experienced impaired physical mobility related to paresthesia. The nurse assessed decreased muscle strength and numbness. The objective of care was to maintain optimal position and function through frequent position changes, skin inspection, and exercise. Interventions included massaging, padding pressure points, encouraging ROM exercises, and educating family. Evaluation found the patient able to maintain position and function with aids after 16 hours of nursing intervention.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    34 views2 pages

    NCP 2

    Uploaded by

    Aneeza Musa Indanan
    The patient experienced impaired physical mobility related to paresthesia. The nurse assessed decreased muscle strength and numbness. The objective of care was to maintain optimal position and function through frequent position changes, skin inspection, and exercise. Interventions included massaging, padding pressure points, encouraging ROM exercises, and educating family. Evaluation found the patient able to maintain position and function with aids after 16 hours of nursing intervention.

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    PLANNING

    NURSING
    ASSESSMENT OBJECTIVE OF IMPLEMENTATION EVALUATION
    DIAGNOSIS INTERVENTION RATIONALE
    CARE
    Impaired Physical After 16 hours of  Inspect skin  Pressure points  Gently massaged the After 16 hours of
    SUBJECTIVE Mobility related to nursing intervention, regularly, over bony reddened areas and nursing intervention,
    DATA: paresthesia as the patient is expected particularly over prominences are provided aids such as the patient was able
    “…Nasabi din po niya evidenced by to: to:
    bony most at risk for sheepskin pads.
    na nakakaramdam decreased muscle maintain optimal prominences. decreased  Placed a pillow Maintain optimal
    daw po siya ng strength position of function perfusion between the legs of position of function as
    pamamanhid sa braso
    the patient and evidenced by the
    at mukha" as
     Change position placing them in a absence of
    verbalized by the  Frequently
    frequently side-lying position contractures
    patient’s significant changing the
    afterwards.
    other position of the
     Turned patient from
    patient can
    side to side as
    OBJECTIVE DATA: reduce the risk
    tolerated during the
     Right Side of tissue injury.
     Evaluate the day. Hip and knee in
    Weakness
    need for  To help aid and an extended position.
     Numbness of
    positional aids provide extra  Assisted patient in an
    the Face and
    and splints support to upright position and
    Arm
    ADLs utilized an arm sling
     Unsteady Gait  Encourage
     Taught the patient to
    active or ROM
    use his unaffected
    exercises
    side to exercise his

     To improve affected side.


     Assisted the patient
    muscle strength perform ROM
    and exercises.
    maintenance of  Advised the patient’s
     Set goals with the patient’s significant other to
    patient and range of motion maintain leg in
    significant other and flexibility neutral position with
    (SO) for a trochanter roll and
    participation in to place a pillow
     Promotes a
    activities and under the under the
    sense of
    position shoulder to abduct
    expectation of
    changes. the arm, keeping the
    improvement
    arm and hand
    and provides
    elevated.
    some sense of
    control and
    independence.

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