Impaired Physical Mobility

1. Definition of "impaired physical mobility."

1. It is the limitation of purposeful movement.

2. It may range from very minor limitation to complete inability to move.

3. There are many causes, including effects of strokes, arthritis, fractures, amputations, etc.

2. How to improve mobility.

1. Rehabilitation nurse (assists with exercises).

2. Physical therapy (works primarily with lower extremities.

3. Occupational therapy (works primarily with upper extremities).

3. Exercise program prescribed to promote increased mobility.

1. The client/care giver is aware of value of exercise.

1. Improves mobility.

2. Improves circulation.

3. Improves sense of well-being.

2. Incorporate active range-of-motion exercises into daily activities.

3. Perform passive range-of-motion exercises if client is unable to do active range-of-motion exercises.

1. Move joint gently, within pain tolerance.

2. Support extremity above and below the joint.

3. Assure good body alignment.

4. Never force the joint past the point of resistance.

5. Perform exercises slowly to allow muscle to relax.

4. Gradually increase exercise as tolerated.

5. Perform good body mechanics. (Provide "Body Mechanics" handout.)

6. Encourage maximum independence.

4. Necessary interventions when mobility is impaired.

1. Maintain good body alignment.

2. Change position frequently to prevent skin breakdown.

3. Eat high-fiber to prevent constipation. (Provide "Fiber in Diet" handout.)

4. Drink at least 2 quarts of fluid per day to prevent urinary complications.

5. Need for safety. (Refer to Safety/Potential for Injury in the Elderly Teaching Guides.)

6. Mobility aids available. (Provide "Self-Help Hints and Devices" handout.)

1. Walkers, canes, wheelchairs, crutches, etc. can be prescribed and fitted by physical therapy.

2. Blocks under chairs and toilet seat elevators are helpful if the client has difficulty standing form a sitting position.

7. Possible complications of impaired physical mobility.

1. Phlebitis.

2. Decubitus ulcer.

3. Pneumonia.

4. Fractures.

5. Depression.

6. Urinary complications.

7. Muscle weakness and atrophy.

8. Constipation.