related to impaired physical mobility associated with weakness, fatigue, pain, nausea, depressant effect of some medications, fear of dislodging tubes and compromising surgical wound, and activity restrictions.
|The client will perform self-care activities within physical limitations and postoperative activity restrictions.|
|Nursing Actions and Selected Purposes/Rationales|
- With client, develop a realistic plan for meeting daily physical needs.
- Implement measures to facilitate the client's ability to perform self-care activities:
- schedule care at a time when client is most likely to be able to participate (e.g. when analgesics are at peak effect, after rest periods, not immediately after meals or treatments)
- keep needed objects within easy reach
- allow adequate time for accomplishment of self-care activities
- perform actions to increase physical mobility (see Diagnosis 12, action a).
- Encourage maximum independence within physical limitations and postoperative activity restrictions.
- Assist the client with activities he/she is unable to perform independently.
- Inform significant others of client's abilities to perform own care. Explain the importance of encouraging and allowing client to maintain an optimal level of independence.