Nursing diagnoses are a critical part of patient care and management. “Deterioration of Mobility” is an example of a nursing diagnosis that can help identify, analyze and address different patient problems. This nursing diagnosis involves the patient’s decline in ability to move around as they formerly could. It can be used as a general term or as more specific categories such as decline of mobility in bed. This type of diagnosis allows for nurses to evaluate risk factors, create planned interventions and develop outcome evaluations.
NANDA Nursing Diagnosis Definition
The NANDA nursing diagnosis categorizes the disorder of Deterioration of Mobility in Bed as Impaired Physical Mobility. This NANDA definition is:
“A state in which an individual has an altered ability to move about, escape from danger, perform ADLs (Activities of Daily Living), or achieve mobility-related physical and psychological benefits.”
- Verbalizations of pain or discomfort with movement
- Lack of self-initiated activity
- Verbalizations of boredom
- Altered body position
- Decreased range of motion
- Change in body position
- Need for assistance during transfers
- Need for the use of adaptive equipment
The primary related factor for this diagnosis is limited physical stamina; specifically, the number of tasks that a patient is able to physically perform. Additional related factors include physiologic limitations, safety risks and environmental constraints.
Patients of all ages are at risk for deterioration of mobility in bed; however, elderly patients, individuals who suffer from certain motor disorders, and individuals with chronic illnesses and disabilities may be at higher risk.
Additional complications associated with the decline of mobility in bed include depression, irritability, social isolation, functional decline, and restraints on activities of daily living.
Suggestions of Use
The nursing diagnosis of deterioration of mobility in bed can provide valuable insight into an individual’s mobility issues. When used by nurses, it can help guide focused assessments, create personalized care plans and evaluate progress toward mobility goals.
Suggested Alternative NANDA Diagnoses
Alternative nursing diagnoses for deterioration of mobility in bed include Risk for Injury, Risk for Disuse Syndrome, Deficient Knowledge and Anxiety.
When making a nursing diagnosis of deterioration of mobility in bed, some tips to keep in mind include reviewing patient history, considering risk population, understanding ADLs(Activities of Daily Living), focusing on preventative strategies, monitoring indicators of pain and fatigue, avoiding the need for abrupt changes in position.
The NOC results related to the nursing diagnosis of deterioration of mobility in bed include: Strength, Adaptability, Endurance, Safety Awareness, Self-Care Management, Perceptual Motor-Function, Sleep/Rest and Balance.
- Strength: Assesses functional ability and performance of physical activites that require muscular force.
- Adaptability: Assesses the ability to adjust and cope with changes in environment.
- Endurance: Assesses the ability to withstand physical