This free nursing care plan is for the following conditions: Impaired Physical Activity, Alteration in Activity Intolerance, Inability to Ambulate, and Limited Range of Motion (ROM)
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Impaired Physical Activity, Alteration in Activity Intolerance, Inability to Ambulate, and Limited Range of Motion (ROM)
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
|
As the nurse on day shift, you receive a patient who is 65 years old and is post-opt day 3 from a right femur repair. The patient has not be out of bed since the day before surgery. The patient’s right leg is in a cast from thigh to ankle. The patient’s range of motion in all other extremities is rated about 3-4 and 2 in right lower extremity. The patient complains of being “so tired” and during upper body strengthening exercises the patient complains of be being “so short of breath” and states “I haven’t felt this weak since I gave birth to my first child 40 years ago”. Pt vitals signs are: HR 89, BP 120/80, O2 Saturation 97% on RA, Temp. 98.8, and Pain 8 on 1-10 scale stating pain in right leg.
|
Nursing Diagnosis: |
| Impaired physical activity related to limited range of motion as evidence by patient reporting activity intolerance, limited strength, and pain rating of 8 on 1-10 scale. |
Subjective Data: |
|
The patient complains of being “so tired” and during upper body strengthening exercises the patient complains of be being “so short of breath” and states “I haven’t felt this weak since I gave birth to my first child 40 years ago”. |
Objective Data: |
|
As the nurse on day shift, you receive a patient who is 65 years old and is post-opt day 3 from a right femur repair. The patient has not be out of bed since the day before surgery. The patient’s right leg is in a cast from thigh to ankle. The patient’s range of motion in all other extremities is rated about 3-4 and 2 in right lower extremity. Pt vitals signs are: HR 89, BP 120/80, O2 Saturation 97% on RA, Temp. 98.8, and Pain 8 on 1-10 scale stating pain in right leg.
|
Nursing Outcomes: |
| -The patient will be able to ambulate with assistance to bedside chair within 24 hours.-The patient will report an increase level of energy within 24 hours to the nurse.
-The patient’s range of motion (ROM) will increase to 5 in right and left upper extremities along with left lower extremities and increase to a 4 in right lower extremity. -Patient’s pain rating will be less than 3 on 1-10 scale within 8 hours. |
Nursing Interventions: |
| -The nurse will have the patient perform every 2 hours upper and lower body strengthening exercises.-The nurse will consult physical therapy per md order to assist patient with activity intolerance.
-The nurse will within 24 hours assist the patient to the bedside chair. -The nurse will assess the patient’s energy level every shift and range of motion in upper and lower extremities. -The nurse will administer Lortab 7.5/325mg PO every 4 hours as needed for pain rating greater than 3. |