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ASSESSMENT
SUBJECTIVE OBJECTIVE
“Nanghina ko palagi tulog asawa ko kasi
nanghihina ako gusto ko lang matulog po Anxious
muna” c body weakness
uneasy
uncomfortable
NURSING DIAGNOSIS
Impaired physical mobility related to physical conditioning
SCIENTIFIC EXPLANATION
Limitation in independent purposeful physical movement of the body or of one or more extremities.
OBJECTIVES
LONG-TERM SHORT-TERM
Client will mutually defined goals of ambulation at the Client will increase physical activity by and of 8 hour
time of discharge shift
NURSING ACTIONS
INTERVENTIONS RATIONALE
Instruct use of siderails, overhead trapeze, For positional changes
roller pads, walkers or canes
Identify energy conserving techniques for Which limit fatigue and maximizing
ADLS(Activities of daily living) participation
Provide safety measures as indicated by individul situations, including environment management and fall
prevention
Evaluation:
Verbalized understanding of situation and individual treatment regiment and safety measures>
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Student Nurse’s Signature over Printed Name Clinical Instructor’s Signature over Printed Name
TOTAL: ________