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MAHILOM NCP Impaired Physical Mobility
MAHILOM NCP Impaired Physical Mobility
SUBJECTIVE: Impaired Osteosarcoma can Short Term: Independent: Independent: Short Term:
“Diri ko kaya it physical cause pain for various After 4-6 hours of 1. Assess degree of 1. Patient may be After 4-6 hours of
kasakit basta activity related reasons and can nursing interventions immobility produced by restricted by self- nursing interventions
ko left leg mass cause discomfort the patient will be able injury/treatment and note view/self-perception the patient was able
ginsusurayan probably due which may lead to to: patient’s perception of out of proportion with to:
pag gios hit to patient’s limited range immobility. actual physical
osteosarcoma of motion, slowed Increase strength Increase
akon wala nga and function of limitations, requiring strength and
tiil,” as as evidenced movements, and information/interventi
by limited reluctance to attempt affected body part function of
verbalized by ons to promote affected body
range of movement hence the Improve range of
the client. progress toward part
motion of hips impaired physical motion of the
wellness.
and legs, activity. Common affected body Improve range
slowed causes of pain in parts 2. Encourage participation in of motion of the
2. Provides opportunity
movements, cancer patients by diversional/recreational affected body
OBJECTIVE: for release of energy,
and reluctance tumor are: activities. Maintain parts
Limited hip refocuses attention,
to attempt stimulating environment,
and left leg Release of pain- enhances patient’s
movement. e.g., radio, newspapers,
range of causing substances sense of GOALS WERE MET
personal
motion produced by the self-control/self-
possessions/pictures,
Slowed tumor or by the worth, and aids in
clock, calendar, visits from
immune system in reducing social
movement family/friends.
response to the isolation.
Reluctance to
presence of tumor
attempt
movement Invasion of tumor in 3. Assist with
bones, nerves, activity/progressive
pleura/peritoneum, ambulation 3. Until healing occurs,
viscera, blood activity is limited and
vessels, mucous advanced slowly
membranes and soft according to
4. Encourage and facilitate
tissue. early ambulation and other individual tolerance.
ADLs when possible.
Assist with each initial 4. The longer the patient
Reference: change: dangling, sitting in remains immobile the
Johnson, Gross. chair, ambulation. greater the level of
1998. Handbook of debilitation that will
Oncology. p. 306-307. occur.
5. To promote optimal
Dependent:
level of function.
1. Administer analgesic
medication such as
Celecoxib as prescribed by
Dependent:
the physician.
1. To relieve mild or
moderate pain.