Impaired Physical Mobility - NCP for Cellulitis

Nursing Care Plan for Cellulitis

Cellulitis is an infection streptococcal, staphylococcal acute, of the skin and subcutaneous tissue is usually caused by bacterial invasion through a tear in the skin area, however this can occur without evidence of side entry and this usually occurs in the lower extremities. (Tucker, 1998: 633).

The aetiology is derived from the bacterium Streptococcus sp. Other negative anaerobic microorganisms such as Prevotella, Porphyromona, and Fusobacterium (Berini, et al, 1999). Odontogenic infections are generally a mixed infection of a variety of bacteria, both aerobic and anaerobic bacteria has a synergistic function. (Peterson, 2003).

According Mansjoer (2000: 82) the clinical manifestations of chronic cellulitis is damage to the skin venous and lymphatic systems at both extremities, skin disorders such as diffuse infiltrates subcutaneous, local erythema, pain quickly spread and infitratif to the underlying tissue, swelling, red and warm tenderness , suppuration and leukocytosis.


Nursing Diagnosis : Impaired Physical Mobility related to neuromuscular disorders, pain / discomfort, decreased strength and resistance.

Goal: The client is able to move to the purpose of free range of motion, increase control and / or muscle mass.

Expected outcomes:

• The client expressed and demonstrated a desire to participate in the activity.
• The client can maintain the position of the function, evidenced by the absence of contractures.
• The client can maintain or improve the strength function ill and / or compensation of the body.
• The client shows the techniques / behaviors enabling activity.

Intervention:

1. Maintain proper body position.
Rational: improving the functional position of the limb and prevent contractures.

2. Note the circulation, movement and sensation in the fingers often.
Rational: edema can affect circulation in the extremities, which is the potential for tissue necrosis.

3. Perform rehabilitation at the reception.
Rational: it will be easier to make participation if the patient is aware of healing.

4. Perform range of motion exercises consistently, starting with passive then active.
Rational: prevent progressively tighten the abdominal tissue and contraction, increasing the maintenance function of muscle / joints and decrease the loss of calcium from bone.

5. Give the medicine before the activity / exercise.
Rational: reducing muscle stiffness and tension enables the patient to be more active and help participation.

6. Schedule of treatment and care activities to provide uninterrupted rest period.
Rational: improving strength and tolerance of the patient to the activity.

7. Instruct and assist in mobility, for example sticks, walkers, as appropriate.
Rational: improve security ambulation.

8. Encourage the patient's participation in all activities corresponding individual abilities.
Rational: enabling families / people closest to active in patient care and provide more therapeutic constant / consistent

9. Clean and close the wound quickly.
Rational: early excision is known to lower the risk of scarring and infection, so it helps healing.

Nursing Interventions : Impaired Physical Mobility - Rheumatoid Arthritis

Nursing Diagnosis for Rheumatoid Arthritis: Impaired Physical Mobility

related to:

• skeletal deformity
• painful
• discomfort
• activity intolerance
• decreased muscle strength.

Can be evidenced by:

• Reluctance to try moving / inability to move in with their own physical environment.
• Limiting the range of motion, coordination imbalances, decreased muscle strength / control and mass (advanced stage).

The expected outcomes / evaluation criteria, patients will:

• Maintaining a function of position in the absence / restrictions contractures.
• Maintain or improve strength and function of and / or compensation of the body.
• Demonstrate techniques / behaviors enabling activities.

Nursing Interventions : Impaired Physical Mobility - Rheumatoid Arthritis

1. Keep the rest bed rest / activity schedule to sit if necessary to provide a continuous period and nighttime sleep uninterrupted.
Rationale: Systemic Rest is recommended during acute exacerbations, and all phases of the disease is important to prevent exhaustion maintain strength

2. Evaluation / continue monitoring the level of inflammation / pain in the joints.
Rationale: The level of activity / exercise depends on the development / resolution of inflammation peoses

3. Change positions frequently with sufficient amount of personnel. Demonstrate / aids removal techniques and the use of mobility assistance.
Rationale: Eliminates stress on the network and improves circulation. Memepermudah patient self-care and independence. Proper removal techniques to prevent tearing skin abrasion.

4. Assist with range of motion active / passive, and resistive exercise also demikiqan isometris if possible.
Rationale: Maintain / improve joint function, muscle strength and general stamina.

5. Position with pillows, sand bags.
Rationale: Increase stability (reducing the risk of injury) and required memerptahankan joint position and body alignment, reducing contractor

6. Encourage the patient to maintain an upright posture and sitting height, standing, and walking.
Rationale: To maximize joint function and maintain mobility.

7. Provide a safe environment, such as raising the chair, using the toilet railings, wheelchair use.
Rationale: Avoiding injury due to accidents / falls

8. Use a small pillow / thin below the neck.
Rationale: Preventing neck flexion.

9. Collaboration: consul with physiotherapy.
Rationale: Useful in formulating training programs / activities based on individual needs and identifying tools.

10. Collaboration: Provide foam mat / converter pressure.
Rationale: Reducing pressure on fragile networks to reduce the risk of immobility.

11. Collaboration: give medications as indicated (steroids).
System may be needed to suppress acute inflammation.

Source : http://nanda-nurse-diary.blogspot.com/2012/11/nursing-diagnosis-impaired-physical.html

Impaired Physical Mobility of Parkinson's Disease

Parkinson's disease (also known as Parkinson disease, Parkinson's, idiopathic parkinsonism, primary parkinsonism, PD, or paralysis agitans) is a degenerative disorder of the central nervous system. The motor symptoms of Parkinson's disease result from the death of dopamine-generating cells in the substantia nigra, a region of the midbrain; the cause of this cell death is unknown. Early in the course of the disease, the most obvious symptoms are movement-related; these include shaking, rigidity, slowness of movement and difficulty with walking and gait. Later, cognitive and behavioural problems may arise, with dementia commonly occurring in the advanced stages of the disease. Other symptoms include sensory, sleep and emotional problems. PD is more common in the elderly, with most cases occurring after the age of 50.


Nursing Diagnosis for Parkinson's Disease : Impaired physical mobility related to bradykinesia, muscle rigidity and tremors

characterized by:
Subjective data: the client said it was difficult to do activities
Objective data: tremors while on the move

Outcome: improve the mobility

Nursing Interventions for Parkinson's Disease :

• Help clients make daily exercise such as walking, cycling, swimming, or gardening.
• Encourage clients to stretch and exercise as directed postural therapist.
• Bathe with warm water and the clients do sorting to help muscle relaxation.
• Instruct the client to rest on a regular basis in order to avoid weakness and frustration.
• Teach for postural exercise and walking techniques to reduce the stiffness when walking and the possibility of learning continues.
• Instruct the client to walk with your legs open.
• Create a client's hand with awareness raising, lifting the feet when walking, use the shoes for walking, and walking with step length.
• Tell the client to walk to the rhythm of music to help improve the sensory.

Evaluation: client sessions of physical therapy, facial exercise 10 minutes 2 times a day.

Source : http://nanda-list.blogspot.com/2011/12/3-nursing-diagnosis-for-parkinsons.html