nursing diagnosis impaired physical mobility akley

C (Eds.), Acute care handbook for physical therapists. Quiben, M (Eds.), Umphred's Neurological Rehabilitation.

(Eds.), Nursing interventions classifications (NIC).

Use proper body mechanics and patient alignment during mobility to ensure safety.Assess fall risk using standardized tool implement appropriate interventions, such as behavioral or environmental modifications.Utilize appropriate modalities, devices or techniques to facilitate mobility (e.g., ankle foot orthosis, electrical stimulation, sit-to-stand lift, treadmill-training).Train in and reinforce use of adaptive equipment and assistive devices, such as a walker or transfer board.Design and implement therapeutic interventions to address impairments (e.g., functional mobility training, mat and standing balance activities, strengthening).Individualize instructions and prompts to patient’s cognitive status to promote effective communication simplify verbal directions, give encouragement and provide demonstrated cues as needed.Provide frequent encouragement, along with prompting and assistance as needed.Pace activity allow adequate time and rest periods to conserve energy.Schedule mobility activities when pain and fatigue are at a minimum to encourage optimal performance.Encourage early mobilization and performance of daily activities, if able, while providing level of assistance needed for safety.Consider any contraindications or precautions to individualize treatment plan (e.g., joint or ligament instability, weightbearing restrictions).Instruct in transfer and mobility techniques supporting highest level of independence while ensuring safety.Assess mobility skills (e.g., bed, transfers, ambulation, gait, stair climbing, wheelchair) and factors influencing mobility, such as balance, safety, range of motion, strength, muscle tone, cognition and sensory processing.

Nursing diagnosis impaired physical mobility akley