Assessment Diagnosis Rationale Planning intervention Rationale Evaluation

Subjective: Impaired Short Term Goal: Independent: 1. This allows Short term goal
physical 1. Explain to the patient to have after 6 hours of
mobility related patient the a sense of nursing
After 6 hours of control and intervention the
to effects of need to call for
anesthesia nursing help, such as lowers fear of patient was able
being left alone to demonstrate
Objective: secondary to intervention the call bell and
2. Adds to the use of
Body cesarean patient will be special adaptive devices
gaining
malaise section sensitive call to increase
able to Patient enhanced
Lethargic operation light. mobility
sense of
Pale demonstrate the Dependent:
balance and
Post Op use of adaptive 2. Assist patient
strengthens
Long term goal
patient for muscle after 2 days of
devices to compensatory nursing
Limited exercises as
body parts. interventions
ROM increase mobility able or when
3. These the patient was
Decrease allowed out of
measures able to
capability bed; execute
promote a demonstrate
of abdominal-
safe, secure measures to
moving Long Term Goal: tightening
environment increase
exercises and mobility
and may
After 2 days of knee bends;
reduce risk
hop on foot;
nursing for fall
stand on toes.
intervention the 4. Exercise
3. Present a safe
enhances
patient will be environment :
increased
bed rails up,
able to Patient venous
bed in down
demonstrates return,
position,
prevents
important
stiffness, and
items close by
maintains
measures to 4. Execute passive muscle
or active ROM strength and
increase mobility exercises to all stamina
extremities. 5. Techniques
Collaborative: such as
5. Consult with strength
physical training and
therapist for exercise to
further improve
evaluation balance and
6. Help client coordination
achieve can be very
mobility and helpful for
start walking as rehabilitating
soon as clients
possible if not 6. The longer
contraindicated the client is
immobile, the
longer it takes
to regain
strength,
balance and
coordination