Administering Medications and Pharmacologic Support Discover assessment, planning, and intervention strategies for osteoporosis nursing care plans. Learn about common nursing diagnoses for osteoporosis and how they can be used to improve patient outcomes. Urine output should be monitored and bowel movements should also be monitored.Developing a comprehensive nursing care plan for osteoporosis patients requires a thorough understanding of the nursing diagnosis for this condition.Use water or air mattress which will help in dealing with the pressure on the skin and formation of bed sores.When patients are immobile they should be kept in upright position as many times in a day as possible to avoid cardiovascular problems.For example, canes, crutches, wheelchair or walker. If required, make use of devices to assist movements.Pain should be monitored as it can hinder activity and mobility.Ensure that pulse, blood pressure, breathing and skin color are noted before and after the activity. ![]() ![]() Monitor activity level and engage in using all extremities.It is important to determine the cause of immobility, whether physical or psychological fear.Check mobility on bed, followed by ability to sit with support or unsupported, ability to sit up from sleeping position or stand from sitting position. Other changes: Decrease in reaction time, changes in gait, and tremors due to movement, jerky movements, cognitive impairment, and reduced integrity of bone structure which could lead to osteoporosis, increased BMI and depression. Skin: There will be friction and pressure on the skin surface due to limited mobilization.If the diet is inadequate and the physical activity is reduced, it can lead to constipation. Urinary & excretory system: Urinary tract infection can occur due to stasis of urine and obstruction of urinary flow.There is catabolism of the muscle mass as well. Metabolic system: The nutritional requirements get imbalanced, when the intake is less or not proportional to the energy expenditure.Airway clearance will be ineffective due to pulmonary secretions and body positions. There can also be impaired gas exchange caused due to increase in buildup of lung secretions and declined lung functioning. Respiratory system: Chest muscle atrophy, reduced lung expansion and medications like analgesics and sedatives can cause disturbance in breathing pattern.Edema can also occur which can result in ineffective tissue perfusion. Cardiovascular system: Generalized weakness, imbalance in oxygen supply and demand which causes intolerance to activities. Musculoskeletal system: Decrease in muscle strength, joint pain, and stiff joints, limited motion range, pain, extended bed rest.The symptoms can be classified into different categories as given below: We look in detail at the nursing care plan for impaired physical mobility: Symptoms Special patient care includes changing position, exercises, nutrition and giving a safe environment, etc. Intervention of this condition includes prevention of dependent disabilities, restoring mobility when possible, as well as maintaining or preserving the existing mobility. Nursing Care Plan for Impaired Physical Mobility Extended bed rest, medical restriction, depression, anxiety, pain and discomfort.Impairment of musculoskeletal system, neuromuscular system and cognitive function.Decrease in strength, muscle endurance, body control and mass. ![]() The particular characteristics of this are: There can be complications arising out of immobility in elderly patients. These changes in the body affect daily life activities. It can occurs due to aging, which can cause loss of muscle mass, reduced strength and functioning, reduced movement of muscles etc. Causes and Complications of Impaired Physical Mobility Since we are used to movements, keeping the body or part of the body immobile takes a toll on the anatomic system. ![]() The North American Nursing Diagnosis Association has defined impaired physical immobility as a state where a person has limited level of independence or restricted physical movement of the entire body or part of the body.ĭue to the restricted mobility, other associated factors arise like, anxiety, pain, fear of having discomfort, limitation caused by musculoskeletal impairment. The duration of hospital stay has decreased, where the discharged patients are sent to facilities specializing in rehabilitation or are asked to take up physical therapy at home. As the life expectancy has increased, the number of people experiencing disability, immobility and disease has also increased. For example, trauma, multiple sclerosis, morbid obesity, stroke, fracture etc. Impaired physical mobility can be a result of disease or during rehabilitation process.
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