Assessment Diagnosis Planning Intervention Rationale EvaluationSubjective:“Pakiramdam ko nanghihina ako.” as verbalized by the patient

Objective: the patient is

weak the patient

has limited range of movements

minimized movements

stays in bed most of the time

Impaired physical mobility related to decreased strength and endurance.

Short term Goal:Within the shift the patient will have a much more wider range of motion than before and slight increase in endurance

Long term Goal:After 4 days of nursing intervention the patient will achieve full restoration of ROM, strength and endurance.

Establish rapport

Reviewed functional abilities and reasons for impairment.

Provided assistance for range of motion exercise.

Kept necessary utensils within reach of the patient.

Encouraged patient to do self care activities such as oral care, walking exercise.

To gain the patient trust and cooperation during the entire procedure.

Identifies probable functional impairments and influences choice of intervention.

Maintains mobility and functions of joints alignment of extremities and reduces venous stasis.

Keeping all in reach, can greatly reduce the risk of accident to the patient.

This is to enable the patient to regain muscle strength and keeping himself clean, and will gain independence.

Within 8 hours of the shift, the patient has a much more wider range of motion than before and slight increase in endurance

After 4 days of nursing intervention the patient achieved full restoration of ROM, strength and endurance.