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Assessment Diagnosis Planning Planning Interventions With Rationale Rationale Evaluatio N

The patient reported difficulty moving due to neuromuscular involvement causing muscle weakness and numbness. The short-term plan was for the patient to be able to take at least 10 steps within 8 hours with nursing interventions. The long-term plan was for the patient to maintain or increase strength and function of affected areas within 1-2 weeks. Nursing interventions included repositioning, encouraging movement, and continued exercises. The goal of mobility improvement was met as the patient took 10 steps after 8 hours.
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0% found this document useful (0 votes)
142 views

Assessment Diagnosis Planning Planning Interventions With Rationale Rationale Evaluatio N

The patient reported difficulty moving due to neuromuscular involvement causing muscle weakness and numbness. The short-term plan was for the patient to be able to take at least 10 steps within 8 hours with nursing interventions. The long-term plan was for the patient to maintain or increase strength and function of affected areas within 1-2 weeks. Nursing interventions included repositioning, encouraging movement, and continued exercises. The goal of mobility improvement was met as the patient took 10 steps after 8 hours.
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© © All Rights Reserved
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ASSESSMENT DIAGNOSIS PLANNING PLANNING Rationale EVALUATIO

INTERVENTIONS N
with RATIONALE
Subjective: Impaired Short Term: Independent: Goal met.
“Hirap akong physical mobility After 8 hours of 1. Assisted client to -To decrease
reposition self on numbness and pain
dito”, as related to nursing a regular schedule
After 8 hours
verbalized by neuromuscular interventions, in the of nursing
from side to side.
the involvement the patient will affected area. intervention
patient. (muscle be able to have s, the
weakness and at least 10 2. Used side rails of -To prevent the patient was
bed. patient from
numbness) as steps as signs possible
able to take
Objective: manifested by of recovery. fall or accident that 10 steps
Slowed slowed 3. Encouraged might happen. even in a
movement movement, Long Term: patient to move the -To help ease the slowed
difficulty in After 1-2 weeks affected part from pain and numbness manner
Difficulty in time to time.
turning and of nursing of said part.
turning
Facial grimace facial grimace intervention, the 4. Encouraged
when trying to patient will be -This will help the
when trying to patient to take few
patient to mobilize
move from side move on side to able to maintain steps a
day. and recover faster.
to side. or increase
side. strength and 5. Encouraged -To
function of continuation of maintain/enhance
affected and exercises. gains in muscle
compensatory strength
body part.

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