Cues Nursing Rationale Objectives Nursing Rationale Evaluation

diagnosis Intervention
Subjective: Impaird Short term: Independent Short term:
The client physical After 1 hour of After 1 hour of
verbalized, mobility related nursing Report/ Changes may nursing
“nahihirapan ako to pain or intervention the document any indicate intervention the
kumilos kapag discomfort client will be changes using progressve client was able
sumasakit yung able to: functional decline or to:
likod ko” immobility tests improvement in
K: know the underlying K: know the
Objective: different ROM disorder different ROM
exercises exercises
Functional Implement ROM Prevents muscle
mobility scale of S: Patient will exercises atrophy S: Patient
2 demonstrate demonstrated
mobility regimen mobility regimen
Difficulty Promote Prevents
turning A: patient will progressive complications of A: patient
express mobilization to immobility expressed
Slowed willingness to maximum within willingness to
movement participate in the limits of px’s participate in the
care tolerance care
Limited ROM
Long term: Dependent: Long term:
Decreased ADL after 3 days of after 3 days of
nursing Administer Pain reliever nursing
interventionn the medicines like alleviates the interventionn the
client will be analgesics to pain which is the client was able
able to: reduce pain source of to:
which is the impaired
state relief of cause of physical state relief of
pain impaired mobility pain
mobility
increase mobility increase mobility

improve ADL improve ADL

achieve achieve
functional functional
mobility scale of mobility scale of
0 0