Tuesday, April 10, 2012

Impaired Physical Mobility related to Rheumatoid Arthritis

Rheumatoid Arthritis

Nursing Diagnosis : Impaired Physical Mobility

related to:
  • Skeletal deformities
  • Pain
  • Inconvenience
  • Activity intolerance
  • Decreased muscle strength.
Characterized by:
  • 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).
Expected results, patients will:
  • 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 for Impaired Physical Mobility related to Rheumatoid ArthritisNursing 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.

Related Articles



2 comments:

  1. Your information about physical therapy is really interesting. Thanks for sharing this informative article.
    Best Physiotherapist Clinic in Chennai

    ReplyDelete
  2. Interesting blog. This is one of my favorite blog also I want you to update more post like this. Thanks for sharing this article.
    Top Physicians in Chennai

    ReplyDelete