Nursing S.
E Objectives Nursing Rationale Evaluation
Diagnosis Intervention
Impaired .A barrier to SHORT TERM GOAL: Observe To assess for SHORT TERM GOAL:
physical After 8 hours of movements of functional After 8 hours of
mobility r/t adequate pain client when client abilities of the
nursing interventions nursing
unrelieved management the patient will is unaware. client. interventions the
pain. has been the demonstrate patient shall have
belief that pain, behaviours that demonstrated
enable resumption of Assess client’s To avoid behaviours that
while nutritional status complications of
activities in enable resumption
uncomfortable, and energy. fatigue or
accordance with of activities in
has few exhaustion.
physical limitations. accordance with
physiologic Assist patient in To avoid further physical limitations.
effects. LONG TERM GOAL: changing complications of
After 4 days of position. immobility such LONG TERM GOAL:
Unrelieved pain
nursing interventions as pressure After 4 days of
can affect the the patient will sores. nursing
major organ increase strength and interventions the
systems function when
patient shall have
performing ADLs To promote
(activities of daily Assist client to muscle function increased strength
living) perform range of and avoid and function when
motion exercises disuse performing ADLs
syndrome (activities of daily
living
To provide client
Schedule with ample time
activities with to perform
adequate time mobility related
for rest tasks
Provide safety
measures such
as siderails. To prevent other
injuries brought
about by falls.
Consult to To develop
physical therapist individual
as indicated exercise
program and
identify
Monitor appropriate
nutrition(feeding) adjunctive
devices
To promote
well-being and
maximize
energy
production