Nursing Care Plan Fibromyalgia

 

NURSING CARE PLAN ASSESSMENT

Subjective: “Masakit ang katawan ko kya nahihirapan ako lumakad” as verbalized by the patient. Objective:   Reluctance to attempt movement.

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  Limited range of motion.

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  Decreased muscle strength.

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  V/S taken as follows:

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T: 37.1 P: 76 R: 19 BP: 120/90

DIAGNOSIS

  Impaired physical mobility related to discomfort and pain.

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INFERENCE

PLANNING

  After 7 days of nursing intervention s, the patient will increase strength and function of affected

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  Fibromyalgia a syndrome is characterized by fatigue, diffuse musculoskeletal pain and stiffness, sleep disturbance, and the presence of tender points on physical examination. There no knownisetiology, but theories have suggested a variety of possible pathophysiologi c mechanisms, such as neuralhormonal disturbance, antecedent physical trauma, viral infection, immune dysregulation, psychiatric

body part.

INTERVENTION

Independent:   Continuously monitor degree of inflammation or pain. •

  Maintain bed rest or chair rest when

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indicated. Schedule activities providing frequent rest periods and uninterrupted night time sleep.   Assist with active

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or passive range of motion exercises.   Encourage patient to maintain upright and erect posture

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when sitting, standing, and walking.   Discuss and provide safety needs.   Reposition patient frequently.

RATIONALE

  Level of activity or exercise depends on progression and resolution of inflammation process.   Systemic rest is mandatory and

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important throughout all phases of disease to reduce fatigue, and improve strength.   Maintains or

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improve function, joint muscle strength.   Maximize joint function and maintains mobility.

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  Helps prevent accidental injuries or falls.   Relieves pressure on tissues and promotes circulation.

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EVALUATION

  After 7 days of nursing intervention s, the patient was able to increase strength and function of

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affected body part.

 

disturbances and heightened sensitivity to pain. Complications include disability and inability to maintain functional roles.

Collaborative:   Consult with physical or occupational •

  Useful in formulating exercise or

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activityon program based individual needs and in identifying mobility devices.

therapist.

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