![]() ![]() Impaired Transfer Ability: relating to the patient’s reduced ability to safely move to another location or area.Mobility Crisis-Risk for Inactivity: relating to the risk of increased immobility due to stress, environmental changes, pain, etc.Impaired Physical Mobility: relating to decreased capability of moving from one location to another. ![]() In these cases, alternative NANDA Nursing Diagnosis may be used instead: In a few cases, “impaired bed mobility” may not be the most appropriate nursing diagnosis for the patient. Suggested Alternative NANDA Nursing Diagnosis ![]() Solutions to existing problems include physically changing positions in bed, reducing friction, and providing guidance and reassurance. To prevent issues, the nurse can provide supervised exercises, assistive devices, and continued education. The nurse should be aware of at-risk populations and the associated conditions. When it comes to nursing diagnosis of impaired bed mobility, nurses must provide both prevention and solutions. Confusion or disorientation: Moving from one position in bed to another without guidance can cause confusion or disorientation.Malnutrition: Difficulty getting up to eat can cause malnutrition.Falls: Lack of proper movement and balance makes falls more likely.Dehydration: Difficulty getting up to use the bathroom can lead to dehydration.Infection: Unable to keep oneself clean adds to the risk of infection and increases the possibility of further complications.Pressure ulcers: Unnecessary pressure on the skin can cause sores due to prolonged inactivity.Impaired bed mobility often results in multiple associated conditions: Patients with limited cognitive abilities: Patients may not have the ability to understand when to move or the need to move, leading to decreases in safety in bed and the potential for falling.Patients with neurological deficits: Neurological conditions may limit the patient’s awareness of posture, balance, position, and ability to transfer from one position to another. ![]() Immobile patients: Patients who are bedridden, or those with minimal mobility, cannot move in bed as easily as a more mobile patient.Older adults: Age-related changes can result in the optimization of activities, including the ability to move freely in bed.The following populations are at higher risk for developing impaired bed mobility: Medication: The side-effects of certain medications can decrease one’s capacity to move in bed independently.Diagnosis: Medical conditions can change a patient’s mobility and ability to move in bed.Physical disabilities: Physical conditions such as arthritis can interfere with the natural ability to move freely in bed.Gravity: Gravity affects our ability to move and shift in bed.Multiply hospitalizations: Recuperation times can lead to weakened muscles and joints, making bed mobility more challenging.Friction: Friction can create difficulty transferring from one position or lying surface to another due to sticking or fear of sliding.There are several related factors that can lead to impaired bed mobility: Muscle weakness: Reduced strength and impaired ability to support one’s body weight.Postural instability: Difficulty remaining balanced and upright.Movement deficits: Difficulty shifting into different positions or remaining inactive.Objective Components of Impaired Bed Mobility: Fear of falling: Fear of sliding out of bed or otherwise getting injured.Depression: Low moods, lack of motivation, and other psychological symptoms due to limited mobility.Pain or discomfort: The patient may feel pain or discomfort as a result of inactivity or difficulty moving in bed.Subjective Components of Impaired Bed Mobility: Additionally, any attempts to increase mobility can significantly amplify the risk of further injuries, such as fractures, due to the fragility of elderly individuals. This lack of mobility can cause potential injury, reduced physical functioning, or decreased independence associated with relaxing and repositioning oneself in bed. The NANDA Nursing Diagnosis definition of “impaired bed mobility” is a complete lack of movement or an inability to perform effective mobilization while in bed. Suggested Alternative NANDA Nursing Diagnosis. ![]()
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