Nursing Plan
...n exacerbated by movement. (Ackley & Ladwig, 6th edition, 2004, p. 645) Inactivity rapidly contributes to muscle shortening and changes in periarticular and cartilaginous joint structure. These factors contribute to contracture and limitation of movement. (Ackley & Ladwig, 6th edition, 2004, p. 645) . Goal partially met. Physical therapist taught client how to perform ROM in bed. Client responded well to instructions. Due to fatigue, I would have to continue to monitor client’s willingness to perform ROM and effectiveness of ROM taught. Long-term goal: Client will ambulate to the end of the hall with little assistance before discharge. Help the client achieve mobility and start walking as soon as possible if not contraindicated Obtain any assistive devices needed for activity, such as walking belts, walkers, canes, crutches or wheelchairs, before the activity begins. Refer to physical therapy for gait training, strengthening and balance training A study has shown that bed rest for primary treatment of medical conditions or after health care procedures is associated with worse outcomes than early mobilization. (Ackley & Ladwig, 6th edition, p. 645) Assistive devices can increase mobility. (Ackley & Ladwig, 6th edition, p. 645) Physical therapists can provide direct interventions as well as assess need for assistive devices. (Ackley & Ladwig, 6th edition, 2004, p. 645) Goal unmet...