Nurseslabs For All Your Nursing Needs
Nursing Diagnosis: Impaired Physical Mobility
May be related to
- Neuromuscular impairment, pain/discomfort, decreased strength and endurance
- Restrictive therapies, limb immobilization; contractures
Possibly evidenced by
- Reluctance to move/inability to purposefully move
- Limited ROM, decreased muscle strength control and/or mass
Desired Outcomes
- Maintain position of function as evidenced by absence of contractures.
- Maintain or increase strength and function of affected and/or compensatory body part.
- Verbalize and demonstrate willingness to participate in activities.
- Demonstrate techniques/behaviors that enable resumption of activities.
Impaired Physical Mobility — Burn Injury Nursing Care Plan (NCP)
| Nursing Interventions | Rationale |
| Maintain proper body alignment with supports or splints, especially for burns over joints. | Promotes functional positioning of extremities and prevents contractures, which are more likely over joints. |
| Note circulation, motion, and sensation of digits frequently. | Edema may compromise circulation to extremities, potentiating tissue necrosis/development of contractures. |
| Initiate the rehabilitative phase on admission. | It is easier to enlist participation when patient is aware of the possibilities that exist for recovery. |
| Perform ROM exercises consistently, initially passive, then active. | Prevents progressively tightening scar tissue and contractures; enhances maintenance of muscle/joint functioning and reduces loss of calcium from the bone. |
| Medicate for pain before activity/exercises. | Reduces muscle/tissue stiffness and tension, enabling patient to be more active and facilitating participation. |
| Schedule treatments and care activities to provide periods of uninterrupted rest. | Increases patient’s strength and tolerance for activity. |
| Encourage family/SO support and assistance with ROM exercises. | Enables family/SO to be active in patient care and provides more constant/consistent therapy. |
| Incorporate ADLs with physical therapy, hydrotherapy, and nursing care. | Combining activities produces improved results by enhancing effects of each. |
| Encourage patient participation in all activities as individually able. | Promotes independence, enhances self-esteem, and facilitates recovery process. |
| Incorporate ADLs with physical therapy, hydrotherapy, and nursing care. | Combining activities produces improved results by enhancing effects of each. |
| Encourage patient participation in all activities as individually able. | Promotes independence, enhances self-esteem, and facilitates recovery process. |
