Nursing Diagnosis

 

 

Nursing Diagnosis	Nursing Diagnosis	Nursing Diagnosis
Impaired physical mobility related to loss of consciousness,complete bed rest, decreased muscle strength, musculoskeletal impairment and sensory deficits as evidenced by a limited range of motion, inability to move decisively within the physical environment, lack of spontaneous movement and the need for frequent repositioning to maintain correct body alignment(Zamora-Macorra et al., 2019).	Risk of weakened skin integrity related to complete bed rest, physical immobility, imbalanced nutritional state,fecal incontinence, loss of skin sensation and impaired blood circulation(Kalkim et al., 2019).	Risk of infection related to tube feeding,indwelling Foley catheter, fecal incontinence, complete bed rest and intravenous catheterization(Batista Lopes et al., 2016).
SMART Goal	SMART Goal	SMART Goal
The patient will be able to regain consciousness and came out of the bed and demonstrate measures of increased ability of mobility with or without the use of adaptive actions and able to perform the physical activity within the limits of the injury independently by the end of the third month.	The patient’s skin will remain intact, regain its healthy integrity and the redness on her heels will clear away attaining a capillary refill below six seconds over the area on the heel that was previously reddened by the end of one week.	The patient and the caregiver will adopt proper hygienic practices through meticulous hand washing, remain free from any risk factor to infection through early recognition of the possible risk factor of disease, any contamination will be promptly treated maintaining vital signs within normal limits and consequently clear away any signs and symptoms that could be related to infection by the third day.

 

 

 

 

 

 

 

 

 

(Zamora-Macorra, 2019)

References

Batista Lopes, E., Lenzi Pupulim, J. S., & Vilcinski Oliva, A. P (2016). Profile of nursing diagnoses of patients hospitalized at a medical clinic unit. Ciencia, Cuidado e Saude, 15(2).DOI:10.1111/jonm.12776.

Kalkim, A., Midilli, T. S.,& Dogru, S. (2019). Musculoskeletal disorder symptoms in nurses and etiological factors: A cross-sectional research. Ann Med Res, 26(3), 374-381.DOI:10.5455/annalsmedres.2019.01.01.

Zamora-Macorra, M., Reding-Bernal, A., Martinez Alcantara, S., & de Los Angeles Garrido Gonzalez, M. (2019). Musculoskeletal disorders and occupational demands in nurses at a tertiary care hospital in Mexico City. Journal of Nursing Management, 27(6), 1084-1090.DOI: 10.1111/2047-3095.12104.