Diagnosis (2) Impaired physical mobility

Diagnosis:
Impaired physical mobility related to impaired balance as
evidenced by inability to move purposefully within the
environment, including bed mobility, transfers, and
ambulation.
Goals:
Client will increase strength and evidence of lower limbs after 1
month.
Expected outcomes:
Clients lower limb power increase from 3 to 4 as 5 the normal
power.
Client demonstrates use ofadaptive devices to increase
mobility.
Nursing interventions:
Assess clients mobility skills, which including bed mobility,
transition movements (such as sit to stand, sitting down, and
transfers), standing and walking activities. (Assess mobility
skill helps provide a baseline of clients performance which
can allow nursing staff to integrate movement and practice
opportunities into daily routines)
Assess pain level before activity. Treat pain if possible. (Pain
limits mobility and is often exacerbated by movement.)
Turning client in proper alignment and position Q2H (Will not
have complications due to immobility)
Teach proper function and using method of the adaptive
equipment (Client can increase mobility by using mobility aids
such as walking belts, walkers, canes, crutches, or
wheelchairs. It can increase clients activities of daily living
(ADLs))
Teach client to use active ROM exercise as ordered by physician
Q1H to leg (Teaching client ROM will increase the circulation to
leg and increase clients mobility)
Teach client to get out of bed slowly when transferring from
the bed to the chair and teach client relaxation techniques to
use during activity. (Increase clients ADLs by increasing
mobility to maintain self care independently.)
Refer to physical therapist for exercise therapy such as
ambulation and joint mobility. (Daily walking exercise can
increase clients strength of muscle. Physical therapist can
provide a comprehensive physical training programme to
client in order to increase clients limb power and mobility.)
Consult with physical therapist for further evaluation, strength
training, gait training, and development of a mobility plan.
(Techniques such as gait training, strength training, and

exercise to improve balance and coordination can be very

helpful for rehabilitating clients)
Do not routinely assist with transfers or bathing activities
unless necessary. (The nursing staff may contribute to
impaired mobility by helping too much. Encourage client
independence.)
Reassess the clients mobility level every week. (Assess the
progress of increasing mobility of clients in order to adjust the
mobility training programme for client.
Teach family members and caregivers to work with clients
during self-care activities such as eating, bathing, grooming,
dressing, and transferring rather than having client be a
passive recipient of care. (Maintaining as much independence
as possible helps maintain mobility skills.)