Impaired Physical Mobility Nursing Interventions
Nursing intervention with rationale 1. Continually assess motor function, as spinal shock and spinal cord edema resolves, by requesting client to perform certain actions, such as shrug shoulders, spread fingers, and squeeze and release examiner’s hands. Rationale: Continuous motor function assessment helps determine appropriate interventions for the specific motor impairment. 2. Provide means to summon help, such as special sensitive call light. Rationale: Promotes the client’s sense of control and reduces fear of being left alone. Note: Ventilator-dependent tetraplegic client may require continuous observation for timely interventions. 3. Perform or assist with full range of motion (ROM) exercises on all extremities using slow, smooth movements. Include periodic hip hyperextension. Rationale: ROM exercises enhance circulation, restore or maintain muscle tone and joint mobility, and prevent disuse contractures and muscle atrophy. 4. Position arms at 90-degree angle at regular intervals