Nursing Diagnosis : Impaired Physical Mobility
- Skeletal deformities
- Activity intolerance
- Decreased muscle strength.
- Reluctance to try moving / inability to move in with their own physical environment
- Limit the range of motion, imbalance of coordination, decreased muscle strength / control and mass (advanced stage).
- Maintain the function of the position with the absence / limitation contractures.
- Maintain or improve strength and function of and / or compensation of the body.
- Demonstrate techniques / behaviors that allow the activity.
Nursing Interventions Impaired Physical Mobility related to Rheumatoid Arthritis
1. Evaluation / continue monitoring the level of inflammation / pain in the joints
Rationale: The level of activity / exercise depends on the development / resolution of the inflammatory peoses.
2. Keep the rest - bed rest / sit, if necessary schedule of activities to provide a continuous period of rest and sleep at night undisturbed.
Rational: Rest of systemic, recommended during the acute exacerbation phase of disease and all that is important to retain the power to prevent fatigue.
3. Assist with range of motion active / passive, and resistive exercises as well as isometris if possible.
Rationale: Maintaining / improving joint function, muscle strength and general stamina.
Note: Inadequate training cause joint stiffness, hence the excessive activity can damage the joints.
4. Change positions frequently with sufficient number of personnel. Demonstrate / aids removal techniques and the use of mobility aid, eg, trapeze
Rationale: Eliminates pressure on the tissue and increase circulation. Facilitate patient self-care and independence. Proper removal techniques can prevent skin abrasion tear.
5. Position with pillows, sand bags, rolls trokanter, splint, brace
Rationale: Increasing the stability (reduce the risk of injury) and memerptahankan necessary joint position and body alignment, reduced contractor.
6. Use a small pillow / thin under the neck.
Rationale: Prevent flexion of the neck.
7. Encourage patients to maintain an upright posture and sitting height, standing, and walking
Rational: To maximize joint function and maintain mobility.
8. Provide a safe environment, for example, raise the chair, use the handrails on the toilet, use a wheelchair.
Rational: Avoiding injuries due to accidents / falls.
9. Collaboration: consul with physiotherapy.
Rational: Useful in formulating training programs / activities based on individual needs and in identifying the tool.
10. Collaboration: Provide foam mat / converter pressure.
Rational: Reduce pressure on fragile tissue to reduce the risk of immobility.
11. Collaboration: Giving drugs as indicated.
Rational: It may be necessary to suppress the acute inflammatory system.