Miss C: Impaired Mobility Patient

N110 Adult Health IGeriatric Syndrome Group Project

Kayla Ottey, Ashley Reed, Lizzie Ciliberti, Leslie Cobourn, Nick Luberto, Casey Schramm, Adriana Boccuti

Miss C

“I may have a lot of things going on inside of me, but they don’t stop me from living my life to its fullest!”

Farm Life

Live and Learn

“Getting an education was important to me.”

“I hoped to go out on my own and get a job in the

city.”

Independent Woman

“I loved my job. I was an independent woman!”

“ The city life was different from home, but was exciting!”

Medical Conditions

• Admitted to Grand View Hospital for anemia (hemoglobin level=5.8)

•Other conditions:–Tertiary syphilis with Tabes dorsalis–Legal blindness–Neurogenic bladder–Locomotor ataxia

Nursing Issues

• DNR-level 3 with meds

• Impaired mobility• Fall risk• Functional urinary

incontience• Urinary retention• Fatigue• Acute pain• Chronic pain

• Blindness• Bathing/hygiene self-

care deficit• Disturbed sleep

pattern• Disturbed sensory

perception• Risk for injury• Anxiety

Nursing Diagnosis

IMPAIRED MOBILITY RELATED TO…

NEUROMUSCULAR/MUSCULOSKELETAL IMPAIRMENT AND LOSS OF VISION

Medical Condition:Anemia

Medical Conditions:Tertiary Syphilis

Medical Conditions:Legal Blindness

Medical Conditions: Neurogenic Bladder

Locomotor Ataxia

Best Nursing Interventions

• In depth assessment symmetry, strength, and degree of mobility; walk and movement ability; ADLs function, spasticity, gait pattern, etc.

• Passive/active ROM exercises• Position in proper alignment and reposition• Encourage isometric exercises when indicated• Encourage self care• Check/teach proper use/function of adaptive equipment• Provide progressive mobilization (walking, exercising

programs)• Proper use of transfer equipment• Effective pain treatment as prescribed by physician

Life is a Beautiful Struggle

“My conditions may make my life more difficult, but not impossible. I just want to be as productive as

possible and enjoy the life I was given.”