$nursing diagnosis hip fracture impaired physical mobility$

$nursing diagnosis hip fracture impaired physical mobility$

#Nursing diagnosis hip fracture impaired physical mobility skin#

In addition to reviewing orders regarding weight-bearing and assistance required, all staff should assess patient mobility before and during interventions, such as transferring from surface to surface or during ambulation. See Figure 13.2 for an image of a patient with impaired mobility who developed a DVT.

#Nursing diagnosis hip fracture impaired physical mobility skin#

,, Decreased mobility is also a major risk factor for skin breakdown, as indicated on the Braden Scale. See Table 13.2a for a summary of the effects of immobility on these body systems. Mobilization also decreased depression, anxiety, and symptom distress, while enhancing comfort, satisfaction, quality of life, and independence. Findings from a literature review demonstrated several benefits of mobilization, including less delirium, pain, urinary discomfort, urinary tract infection, fatigue, deep vein thrombosis (DVT), and pneumonia, as well as an improved ability to void. Promoting mobility can prevent these complications from occurring. Regardless of the cause, immobility can cause degradation of cardiovascular, respiratory, gastrointestinal, and musculoskeletal functioning. We may earn a small commission from your purchase.Patients who spend an extended period of time in bed as they recover from surgery, injury, or illness can develop a variety of complications due to loss of muscle strength (estimated at a rate of 20% per week of immobility). Included below are affiliate links from Amazon at no additional cost from you. is a participant in the Amazon Services LLC Associates Program. These are the nursing books and resources that we recommend.

$nursing diagnosis hip fracture impaired physical mobility$ $nursing diagnosis hip fracture impaired physical mobility$

Saunders comprehensive review for the NCLEX-RN examination. Medical-surgical nursing: Concepts for interprofessional collaborative care. Nursing care plans: Diagnoses, interventions, & outcomes. Nursing diagnoses handbook: An evidence-based guide to planning care. Prioritizing the removal of clutter and maintaining clear pathways helps create a safer environment and reduces the likelihood of falls.Īckley, B. Rationale: Clutter in the patient’s room can increase the risk of falls by creating obstacles or tripping hazards. Question 5: Which of the following factors should the nurse prioritize when conducting an environmental assessment to prevent falls? Reviewing the patient’s medication regimen can help identify medications that may exacerbate this condition and contribute to falls, allowing for adjustments or alternative treatment options to be considered. Rationale: Orthostatic hypotension, a drop in blood pressure upon standing, can contribute to falls. Question 4: Which of the following interventions is most effective in reducing the risk of falls related to orthostatic hypotension?ĭ) Monitoring the patient’s blood pressureĪnswer: A) Implementing a medication review Rationale: The patient’s history of falls is an essential factor to assess as it helps identify their previous fall experiences and provides insights into potential risk factors or causes, helping to determine the likelihood of future falls. Which of the following factors should the nurse prioritize in the assessment?Ĭ) The patient’s blood pressure in different positionsĪnswer: D) The patient’s history of falls Question 3: A nurse is performing a fall risk assessment for an elderly patient.

$nursing diagnosis hip fracture impaired physical mobility$

Rationale: Encouraging the use of assistive devices, such as a cane or walker, can provide stability and support during mobility, reducing the risk of falls in a patient with impaired mobility. Medication review: Assess the patient’s current medications, including prescription drugs, over-the-counter medications, and supplements.ī) Ensuring proper lighting in the patient’s roomĪnswer: A) Encouraging the use of a cane or walker History of falls: Inquire about any previous falls the patient has experienced.

The patient will be able to prevent a fall by means doing activities that can be done within the parameters of visual limitation and by modifying environment to adapt to current vision capacity.

Patient will maintain safety by having no falls and fall-related injuries.

The patient will maintain the ability to perform activities of daily living without having a fall.

The patient will understand the importance of using assistive devices and extra measures for preventing falls.

Unsafe environment Expected Outcomes & Goals for Fall Risk.

Underlying medical conditions affecting physical, neurologic, and cardiac wellbeing.

Socioeconomic factors such as overcrowded housing.

Other known risk factors for patient falls include:.

However, it is noted that men are more likely to die from it than women.

$nursing diagnosis hip fracture impaired physical mobility$