Perform passive or active assistive ROM exercises to all extremities Support feet in dorsiflexed position (Use bed cradle) To prevent footdrop and/or excessive plantar flexion or tightness. Maintain limbs in functional alignment (e.g., with pillows, sandbags, wedges, or prefabricated splints). To optimize circulation to all tissues and to relieve pressure. Turn and position every 2 hours, or as needed. Keep side rails up and bed in low position. Hospital workers and family caregivers are often in a hurry and do more for patients than needed, thereby slowing patient's recovery and reducing his or her self-esteem. Encourage independent activity as able and safe. Patients may be reluctant to move or initiate new activity from a fear of falling.Īllow patient to perform tasks at his or her own rate. Provide positive reinforcement during activity. Mobility aids can increase level of mobility. The longer the patient remains immobile the greater the level of debilitation that will occur.Įncourage appropriate use of assistive devices in the home setting. Obstacles such as throw rugs, children's toys, pets, and others can further impede one's ability to ambulate safely.Įncourage and facilitate early ambulation and other ADLs when possible. Proper use of wheelchairs, canes, transfer bars, and other assistance can promote activity and reduce danger of falls.Įvaluate the safety of the immediate environment. Safety with ambulation is an important concern.Īssess patient or caregivers knowledge of immobility and its implications.Įven patients who are temporarily immobile are at risk for some of the effects of immobility, such as skin breakdown, muscle weakness, thrombophlebitis, constipation, pneumonia, and depression).Īssess for developing thrombophlebitis (calf pain, Homans' sign, redness, localized swelling, and rise in temperature).īed rest or immobility promotes clot formation. Restricted movement affects the ability to perform most ADLs. Identifying the specific cause guides design of optimal treatment plan.Īssess patient's ability to perform ADLs effectively and safely on a daily basis. Note: you need to indicate time frame/target as objective must be measurable. be free of complications of immobility, as evidenced by: intact skin, absence of thrombophlebitis, and normal bowel pattern.performs physical activity independently or with assistive devices as needed. Inability to perform action as instructedĬLICK HERE for Free NCLEX –RN & CGFNS Practice Questions Objective/Expected Outcome The patient will:.
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