impaired mobility patient
TRANSCRIPT
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Miss C: Impaired Mobility Patient
N110 Adult Health IGeriatric Syndrome Group Project
Kayla Ottey, Ashley Reed, Lizzie Ciliberti, Leslie Cobourn, Nick Luberto, Casey Schramm, Adriana Boccuti
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Miss C
“I may have a lot of things going on inside of me, but they don’t stop me from living my life to its fullest!”
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Farm Life
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Live and Learn
“Getting an education was important to me.”
“I hoped to go out on my own and get a job in the
city.”
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Independent Woman
“I loved my job. I was an independent woman!”
“ The city life was different from home, but was exciting!”
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Medical Conditions
• Admitted to Grand View Hospital for anemia (hemoglobin level=5.8)
•Other conditions:–Tertiary syphilis with Tabes dorsalis–Legal blindness–Neurogenic bladder–Locomotor ataxia
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Nursing Issues
• DNR-level 3 with meds
• Impaired mobility• Fall risk• Functional urinary
incontience• Urinary retention• Fatigue• Acute pain• Chronic pain
• Blindness• Bathing/hygiene self-
care deficit• Disturbed sleep
pattern• Disturbed sensory
perception• Risk for injury• Anxiety
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Nursing Diagnosis
IMPAIRED MOBILITY RELATED TO…
NEUROMUSCULAR/MUSCULOSKELETAL IMPAIRMENT AND LOSS OF VISION
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Medical Condition:Anemia
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Medical Conditions:Tertiary Syphilis
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Medical Conditions:Legal Blindness
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Medical Conditions: Neurogenic Bladder
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Locomotor Ataxia
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Best Nursing Interventions
• In depth assessment symmetry, strength, and degree of mobility; walk and movement ability; ADLs function, spasticity, gait pattern, etc.
• Passive/active ROM exercises• Position in proper alignment and reposition• Encourage isometric exercises when indicated• Encourage self care• Check/teach proper use/function of adaptive equipment• Provide progressive mobilization (walking, exercising
programs)• Proper use of transfer equipment• Effective pain treatment as prescribed by physician
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Life is a Beautiful Struggle
“My conditions may make my life more difficult, but not impossible. I just want to be as productive as
possible and enjoy the life I was given.”