ASSESSMENT Subjective: Nadulas ako sa hagdan, hindi ako makalakad, as verbalize by the patient.

Objective: Limited range of motion; Decreased muscle strength; Inability to move purposefully

DIAGNOSIS Impaired physical mobility related to neuromuscular skeletal impairment.

INFERENCE A fracture is a break in the continuity of bone. A fracture occurs when the stress placed on a bone is greater than the bone can absorb. The stress may be mechanical (trauma) or related to a disease process (pathologic). Muscles, blood vessels, nerves, tendons, joints, and body organs may be injured when fracture occurs. Complications of fractures include problems associated with immobility (muscle atrophy, joint contracture, pressure sores), growth problems (in children), infection, shock, venous stasis and thromboembolism , pulmonary emboli and fat emboli, and bone union problems

PLANNING After 8 hours of nursing intervention the patient will regain or maintain mobility at the highest possible level.

INTERVENTION Independent: Assess degree of mobility produced by injury or treatment and note patients perception of immobility; Encourage participation on diversional or recreational activities; Instruct patient in assisting in active or passive range of motion exercises of affected and unaffected extremeties; Provide footboard; Assist with or encourage selfcare activities; Reposition periodically and encourage coughing or deep breathing exercises; Encourage increased fluid intake to 20003000 mL/day (within cardiac tolerance), including acid/ash juices. Collaborative: Refer to a therapist as indicated.

RATIONALE

EVALUATION After 8 hours of nursing intervention the patient was able to regain or maintain mobility at the highest possible level.

Patient may be restricted by selfview or selfperception out of proportion with actual physical limitations requiring interventions to promote progress toward wellness. Provides opportunity for release of energy, refocuses attention, enhances patients self control or self worth and aids in reducing social isolation. Increases blood flow to muscle and bone to improve muscle tone, maintain joint mobility; prevent contractures or atrophy and calcium resorption from disease. Useful in maintaining functional position of extremeties, preventing complication. Improve muscle strength and circulation, enhances patient

control in situation, and promotes selfdirected wellness. Prevents or reduces incidences of skin and respiratory complication. Keeps the body well hydrated, decreasing the risk of urinary infection, stone formation, and constipation. Done to promote bowel evacuation.