impaired physical mobility nursing diagnosis client outcome

#IMPAIRED PHYSICAL MOBILITY NURSING DIAGNOSIS CLIENT OUTCOME SKIN#
#IMPAIRED PHYSICAL MOBILITY NURSING DIAGNOSIS CLIENT OUTCOME FREE#

The Morse Fall Scale is a fall risk assessment used to identify risk factors for falls in hospitalized patients (5). If the patient is hallucinating or confused, they are at an increased risk of overestimating their abilities and may be more impulsive in their actions. There is a potential for loss of muscle strength and an impaired gait making it difficult for the patient to be independent in their activities of daily living. How the patient moves to the bed, in the bed, and what kind of assistance the patient will need is important to be mindful of.

#IMPAIRED PHYSICAL MOBILITY NURSING DIAGNOSIS CLIENT OUTCOME SKIN#

Other evaluations to consider during the medical history review are the patient's use of recreational drugs and alcohol.Įnsure that the patient's skin is intact and that there are no wounds on the ankles, feet, or heels that could impact the patient's ability to ambulate. Note the chronic conditions that the patient may have that impact their ability to walk, see, or hear. Caregivers can provide information on the patient's baseline status at home to compare.Įvaluation and Assessment of Primary Medical History: Example: A hypotensive patient is at an increased risk for a fall. Medical conditions and vitals can indicate that the patient is not at baseline. An important note is that the care setting (progressive, acute care, etc.) can affect how much you can assess. It is important that a thorough assessment is completed upon admission and anytime there is a patient condition change (post fall, each shift, environmental changes, etc.). What Is the Nursing Assessment for Risk for Falls?īefore providing a nursing diagnosis, a nursing assessment for risk for falls must be completed.

The patient will verbalize understanding of the risk for falls. The patient will demonstrate a clutter-free environment. The patient will demonstrate the use of call light.

#IMPAIRED PHYSICAL MOBILITY NURSING DIAGNOSIS CLIENT OUTCOME FREE#

The patient will remain free from falls during their hospital stay. Lack of fall prevention equipment: safety harness, etc History of falls (both at home and inpatient)Ĭords: IV pumps, sequential compression device Neurological deficit: stroke (current or previous), dementia, brain tumors, delirium, confusion, etc. Use of assistive devices: cane, walker, wheelchairs, etc. Impaired gait and mobility: paralysis, weakness, etc. Many fall risk factors place a patient at a higher risk for falls. Preventing falls is fundamental in reducing incidence of falls with injury.

Impaired physical mobility nursing diagnosis client outcome