Medical Surgical Nursing

conservation

techniques (pacing,

delegating, setting

priorities).

 Identify physical

and emotional

factors that can

cause fatigue.

energy.

 Awareness of the

various causes of

fatigue provides the

basis for measures

to modify the

fatigue.

strategies in daily

activities

 Uses appropriate

measures to prevent

physical and

emotional fatigue

 Has an established

plan to ensure well-

paced, therapeutic

activity schedule

 Adheres to

therapeutic program

 Follows a planned

conditioning

program

 Consumes a

nutritious diet

consisting of

appropriate food

groups and

recommended daily

allowance of

vitamins and

minerals

2. Facilitate development
   of appropriate activity/rest
   schedule.
   2. Alternating rest and
   activity conserves energy
   while allowing most
   productivity.


3. Encourage adherence to
   the treatment program.
   3. Overall control of
   disease activity can
   decrease the amount of
   fatigue.


4. Refer to and encourage
   a conditioning program.
   4. Deconditioning resulting
   from lack of mobility,
   understanding, and disease
   activity contributes to
   fatigue.


5. Encourage adequate
   nutrition, including source
   of iron from food and
   supplements.
   5. A nutritious diet can
   help counteract fatigue.

Nursing Diagnosis: Impaired physical mobility related to decreased range of motion,
muscle weakness, pain on movement, limited endurance, lack of or improper use of
ambulatory devices
Goal: Attains and maintains optimal functional mobility
NURSING
INTERVENTIONS

RATIONALE EXPECTED

OUTCOMES

1. Encourage verbalization
   regarding limitations in
   mobility.
   
   
   1. Mobility is not
      necessarily related to
      deformity. Pain, stiffness,
      and fatigue may
      temporarily limit
      mobility. The degree of
      mobility is not
      synonymous with the
      degree of independence.
      Decreased mobility may
      influence a person's self-
      concept and lead to social
      isolation.
   
   
   
   

 Identifies factors

that interfere with

mobility

 Describes and uses

measures to prevent

loss of motion

 Identifies

environmental

(home, school,

work, community)

barriers to optimal

mobility

 Uses appropriate

techniques and/or

assistive equipment

to aid mobility

 Identifies

community

resources available

2. Assess need for
   occupational or physical
   therapy consultation:

 Emphasize range of

motion of affected

2. Therapeutic exercises,
   proper footwear, and/or
   assistive equipment may
   improve mobility. Correct
   posture and positioning
   are necessary for