Impaired physical mobility is defined as “restricted movement of a physical body part or more severe issues regarding physical motion.”
Impaired physical mobility care plan helps you to understand the impaired physical mobility and its related treatments. Such physical mobility problems can be recurring, temporary, or permanent. This can leads to more severe dilemmas and appears in various conditions like bone fracture, sclerosis, obesity, stroke, trauma, etc. There is the proper treatment for most of the cases, but mostly, the doctor suggests physical therapies to patients even after discharge.
The human body is structured for movement, and if any limitation regarding motion occurs, it can result in impaired physical mobility. Aging is also a significant factor related to physical problems. The mobility is affected in aged patients because of weak muscle strength, restricted joint motions, etc. Hence movement is critical and essential for any healthy lifestyle.
Causes related to Impaired Physical Mobility:
There are abundant factors that can lead an individual to physical problems. The impaired physical mobility care plan can help you to diagnose impaired physical mobility.
Disease or Injury Causes:
- Forced limitation of body mobility
- Weak muscles
- The decrease in muscles mass or control
- Complications related to cardiac
- Discomfort behavior
- Severe pain or cognitive impairment
- Deficiency in the sensory system
- Tumor or extended bed rest
- Impaired skeleton or neuromuscular
- Sclerosis or myasthenia gravis type disease
- Injuries related to the spinal cord
- Walker or inflammatory joint problems
- Spinal or joint surgeries
- Ventilators or dialysis type equipment
- Joint replacement issues
- Severe pain
- Cognitive impairment
- Weak movement’s agility
Symptoms related to Impaired Physical Mobility:
Following signs and symptoms help in the nursing diagnosis of impaired physical mobility. Also, they can help to devise an impaired mobility care plan.
- Lack of ability to perform a specific action
- The problem in ambulation, walk, and transfers
- Limitation in the physical movement of the body
- Muscles stretch or pain
- Difficulty in position changing
- Uncontrollable jerks while moving
- The decrease in response time and performance
- Decreased speed of walking and small stepping
- Controlled behavior and lack of attention
- Joint pain in physical motion
- Impaired coordination during a workout
- Instability and irregularity during a daily workout.
Goals and Outcomes of Impaired Physical Mobility Care Plan:
The objectives of an impaired mobility care plan and interventions are to prevent physical disease, issues, and disabilities. The following outcomes are expected in the result of an impaired physical mobility care plan.
- The patient should perform the physical task independently without any impaired mobility.
- The patient must be aware of all measurements to avoid impaired movement.
- The patient should be familiar with adaptive equipment to increase the physical motion.
- The patient should be able to manage the pain.
- The patient needs to be an expert in safety measurement in case of any impairment.
- To avoid any injury, the patient should be guided about precautions.
- The patient will be free from impaired physical mobility.
- The patient should demonstrate all procedures related to environmental situation handling. All complications should be solved.
Nursing Care Plan & Assessment for Impaired Physical Mobility:
Impaired mobility care plan helps the nurses and individual to assess the behavior and conditions of one’s impaired physical mobility. By assessment of patient’s reactions and responses towards specific terms helps to schedule related interventions and treatments. If you are the one suffering from impaired mobility, process the following steps to understand the deployment methods.
- Monitor the functional level of the patient’s motion first. To assess this, walk with average speed, climb at limited height, and check about fatigue and dyspnea. This assessment will help the nurses to design a valid and working management plan.
- Assess the patient during daily living actions (DLAs). In this evaluation, check that either the task can be performed independently or any equipment or device is required to complete the job. Monitor the dependency level on other persons or devices, so the proper solution is suggested to the patient by a nurse or physician.
- Determine the weakness and strength of patients so different methods can predict while the patient has paralysis and flaccid etc.
- Keenly observe the obstacles that occur during mobility. This assessment will help devise the optimal impaired mobility care plan.
- Assess the ROM (Range of motion) and the working condition of all joints. This will help the nurses to suggest any related physical therapy.
- Monitor the requirement of any devices e.g., wheelchair, transfer bar, etc. The presence of such equipment will help to reduce the risk of a patient’s fall.
- Observe the nutrition and diet of patients. Sometimes such impairments are caused by weakness or decrease in the body’s energy.
- Assess the patient’s behavior in response to restriction or disability. This will assist the physician in judging that either the patient is in denial or accepted the present limitation.
- Evaluate the requirement of home aid e.g., assistance related to physical therapy or nurse diagnosis, etc. By attaining the required help, the patient will feel motivated and show positive results of the activity.
- Note any physical or skin integrity signs because routine checkup will avoid severe causes or problems.
Nursing Interventions for Impaired Physical Mobility:
Impaired physical mobility interventions assist the patient in eliminating their disabilities and improving the existing impairment. The care plan for such limitations consists of the proper walk, diet plan, nutrition, and positioning. Nursing interventions for impaired physical mobility are discussed below:
- Perform specific exercises to tighten the abdominals, stretching of foot and toes. Activities are the best source to strengthen the body parts, so make a habit for regular exercise suggested by the physician.
- Extended immobility can also lead to skin integrity, so clean your skin daily. Also, use devices to relieve tension and pressure.
- Use medical or air mattress or moving the bed for therapy, if suggested by the doctor. It will help to eliminate the damage of ischemia related to tissues.
- Use the transfer device or follow precise transferring method while changing position or moving to bed or stretcher etc. Learn the transfer method properly because it is necessary for the patient’s safety.
- Allow the patient to perform its task independently and motivate him to complete the task on his own. It will encourage the patient and boost recovery progress.
- Arrange different activities for body exercises. Assign some rest period in between these activities.
- If a patient’s physician suggested some medicines, then make sure to use them on time.
- Use diet consist of fibres and increase the water intake per day because of liquid increases the hydration rate of your body.
- Learn to develop a safe and secure environment in your surroundings. A healthy environment reduces the risk of the patient’s fall. Arranged bedrooms and lounge can also help the patient to complete its DLA efficiently and independently.
- Note daily routine and visit your doctor weekly for proper checkup. Follow all precautions given by the doctor and make a habit of exercise and walk, if possible.