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    Impaired Physical Mobility

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    Vianah Eve Escobido
    1) The 62-year-old female patient underwent a mastectomy and was experiencing difficulty moving independently due to impaired mobility from the surgery. 2) After 2 hours of nursing interventions including exercises and range of motion, the patient was able to move her fingers and slightly raise her arm without grimacing. 3) The nursing diagnosis was impaired physical mobility related to the mastectomy surgery, and the plan was for continued exercises, ambulation, and self-care activities to regain strength.

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    Impaired Physical Mobility

    Uploaded by

    Vianah Eve Escobido
    752 views7 pages
    1) The 62-year-old female patient underwent a mastectomy and was experiencing difficulty moving independently due to impaired mobility from the surgery. 2) After 2 hours of nursing interventions including exercises and range of motion, the patient was able to move her fingers and slightly raise her arm without grimacing. 3) The nursing diagnosis was impaired physical mobility related to the mastectomy surgery, and the plan was for continued exercises, ambulation, and self-care activities to regain strength.

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    1) The 62-year-old female patient underwent a mastectomy and was experiencing difficulty moving independently due to impaired mobility from the surgery. 2) After 2 hours of nursing interventions including exercises and range of motion, the patient was able to move her fingers and slightly raise her arm without grimacing. 3) The nursing diagnosis was impaired physical mobility related to the mastectomy surgery, and the plan was for continued exercises, ambulation, and self-care activities to regain strength.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    752 views7 pages

    Impaired Physical Mobility

    Uploaded by

    Vianah Eve Escobido
    1) The 62-year-old female patient underwent a mastectomy and was experiencing difficulty moving independently due to impaired mobility from the surgery. 2) After 2 hours of nursing interventions including exercises and range of motion, the patient was able to move her fingers and slightly raise her arm without grimacing. 3) The nursing diagnosis was impaired physical mobility related to the mastectomy surgery, and the plan was for continued exercises, ambulation, and self-care activities to regain strength.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 7

    Name of Patient: J.L.

    Age/Sex: 62, Female Room/Bed #: 309-3

    Chief Complaint: Breast Mass Physician: Dr. Alexander Uy Lim

    Diagnosis:

    Date/ Cues Need Nursing Patient Outcome Planning of Imple Evaluation


    Time Diagnosis Interventions ment
    ation

    F Subjective: A Impaired Physical After 2 hours of Have patient move 7 Goal Partially Met
    E C Mobility related to nursing intervention fingers and notes color @3:00 pm
    B “mag lisod kog lihok T surgery the patient would of hand on affected side. After 2 hours of
    R maam kay gikan (mastectomy) as be able to perform: nursing
    I
    U kog opera” As evidenced by R: Lack of interventions the
    A verbalized by the V difficulty in a) Little finger movement may patient was:
    R patient I performing movements reflect problems
    Y T independent and slight with the a) Able to
    Objective: Y activities raising of the intercostal move little
    1, arms brachial nerve, by little her
    VS & Rationale: and fingers. Also
    2 Temp - 35.7 Mastectomy is a b) Patient discoloration she was
    0 RR – 17 cpm surgical operation should show can indicate able to
    2 CR - 67 bpm E which is the understandin impaired slightly raise
    0 PR - 67 bpm X removal of g to the circulation. her right
    BP - 140/70 E breasts. Moving health hand for
    @ mmHg R after the surgery teachings approximate
    C would cause the rendered. Help with self-care 5 ly 3 secs
    1:00 Grimaced Face I opening of activities as necessary.
    PM when attempting to incision because c) Grimaced b) “akong
    S
    move the sutures are face when R: Conserves buhaton
    E not yet fixed moving patient’s energy maam pag
    Limited Range of enough on the should be prevents undue maka lihok
    Motion because skin to hold them absent. fatigue. nako kay
    patient was only together when the mag hinay2
    able to move lower patient moves. namu
    extremities lingkod
    Reference: unya I
    Decreased muscle CLINIC, M. (2018, Assist with ambulation 6 exercise
    strength as July). Mastectomy. and encourage correct nako akong
    evidenced by not Retrieved from posture. kamot, I
    being able to MAYO CLINIC: lihok lihok
    mayoclinic.org/tests
    perceive pinch of R: Proper pirmi kay
    -
    the student on the procedures/mastect
    positioning of dugay ni
    right arm omy/about/pac- the patient siya wala na
    20394670 relieves pain, lihok tungod
    Patient is assisted promotes sa pag
    by her watcher comfort, and opera”
    when performing prevents bed as
    activities ulcers from verbalized
    occurring. by the
    patient

    Teach patient proper c) No grimace


    breathing technique of 2 face was
    slow deep breaths observed
    during exercise. when trying
    to move
    R: Contraction fingers and
    of abdominal slightly
    muscles helps raising her
    push fluid out. arm.
    Deep breathing
    exercises also
    helps in
    increasing pain
    threshold.

    Evaluate the presence


    and degree of exercise- 1
    related pain and
    changes in joint mobility.
    Measure upper arm and
    forearm if edema
    develops.
    R: To give the
    proper and
    appropriate
    exercise routine
    that the patient
    needs to have a
    fast recovery

    Discuss types of
    exercises to be done at
    home to regain strength 9
    and enhance circulation
    in the affected arm.

    R: Exercise
    program needs
    to be continued
    to regain optimal
    function of the
    affected side.

    Coordinate exercise
    program into self-care
    and homemaker 10
    activities (dressing self,
    washing, dusting,
    mopping)

    R:Patient is
    usually more
    willing to
    participate or
    finds it easier to
    maintain an
    exercise
    program that fits
    into the lifestyle
    and
    accomplishes
    tasks as well.

    Encourage early
    ambulation or 4
    mobilization

    R: To promote
    circulation and
    reduces risks
    associated with
    immobility

    Establish rapport with


    the client 3
    R: Enhances
    comfort and
    trust,
    encouraging
    cooperation.

    Avoid putting pressure


    on the surgery site
    8
    R: putting
    pressure on the
    surgery site may
    reopen the
    incision and
    cause bleeding.
    Reference:
    Vera, M. (2019, June 2).
    Mastectomy. Retrieved
    from Nurseslabs:
    https://nurseslabs.com/mas
    Richelle Anne T.
    tectomy-nursing-care-
    plans/5/
    Blanco, St.N.

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