D.0054
Gangguan Mobilitas Fisik
Kategori : Fisiologis
Subkategori: Aktivitas/stirahat
Definisi
Keterbatasan dalam gerakan fisik dari satu atau lebih ekstremitas secara mandiri.
Penyebab
1. Kerusakan integritas struktur tulang
2. Perubahan metabolisme
3. Ketidakbugaran fisik
4. Penurunan kendali otot
5. Penurunan massa otot
6. Penurunan kekuatan otot
7. Keterlambatan perkembangan
8. Kekakuan sendi
9. Kontraktur
10. Malnutrisi
11. Gangguan muskuloskeletal
12. Gangguan neuromuskular
13. Indeks masa tubuh diatas persentil ke-75 sesuai usia
14. Efek agen farmakologis
15. Program pembatasan gerak
16. Nyeri
17. Kurang terpapar informasi tentang aktivitas fisik
18. Kecemasan
19. Gangguan kognitif
20. Keengganan melakukan pergerakan
21. Gangguan sensoripersepsi
Gejala dan Tanda Mayor
Subjektif
1. Mengeluh sulit menggerakkan ekstremitas
Objektif
1. Kekuatan otot menurun
2. Rentang gerak (ROM) menurun
Gejala dan Tanda Minor
Subjektif
1. Gerakan tidak terkoordinasi
2. Nyeri saat bergerak
3. Enggan melakukan pergerakan
4. Merasa cemas saat bergerak
Objektif
1. Gerakan terbatas
2. Gerakan tidak terkondikansi
3. Gerakan terbatas
4. Fisik lemah
Kondisi Klinis Terkait
1. Stroke
2. Cedera medula spinalis
3. Trauma
4. Fraktur
5. Osteoarthritis
6. Ostemalasia
7. Keganasan
Referensi
Ackley, B. J., Ladwig, G. B., & Makic, M. B. F. (2017). Nursing Diagnosis Handbook, An Evidence-Based Guide to Planning Care. 11" Ed. St. Louis: Elsevier. Bachion, M., Araújo, L., & Santana, R. (2002). Validation of content of nursing diagnosis 'Impaired physical mobility' in elderly adults: a contribution. Acta Paulista De Enfermagem, 15(4), 66-72.
Chang, B. (1995). Nursing diagnoses and construct validity of pain, self-care deficit and impaired mobility. International Journal Of Nursing Studies, 32(6). 556-567.
Carperito-Moyet, L. J. (2013). Nursing Diagnosis Application to Clinical Practice. 14" Ed. Philadelphia: Lippincott Williams & Wilkins. Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2013). Nursing Diagnosis Manual Planning, Individualizing and Documenting Client Care. 4" Ed. Philadelphia: F. A. Davis Company. Herdman, T. H., & Kamitsuru, S. (2014). Nursing Diagnosis Definitions and
Classification 2015-2017. 10" Ed. Oxford: Wiley Blackwell, Hurr, H. K., Park, S. M., Kim, S. S., et al. (2005). Activity intolerance and impairedphysical mobility in elders. Int J of Nursing Terminologies and Classifications, 16(3-4), 47-53. Kneafsey, R., Clifford, C., & Greenfield, S. (2015). Perceptions of hospital manual handling policy and impact on nursing team involvement in promoting patients' mobility. Journal of Clinical Nursing, 24, 289–299. Kneafsey, R. (2007). A systematic review of nursing contributions to mobility rehabilitation: examining the quality and content of the evidence. Journal of Clinical Nursing, 16(11c), 325-340.Newfield, S. A., Hinz, M. D., Tiley, D. S., Sridaromont, K. L., Maramba, P. J. (2012). Cox's Clinical Applications of Nursing Diagnosis Adult, Child, Women's, Mental Health, Gerontic, and Home Health Considerations. 6 Ed. Philadelphia: F.A. Davis Company.
