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The document lists the top 3 nursing problems for a patient with neuromuscular impairment: 1. Impaired physical mobility related to weakness and numbness in the upper and lower extremities. 2. Activity intolerance related to generalized weakness from impaired neuromuscular function causing decreased muscle strength and immobility. 3. Self-care deficit in bathing, hygiene, toileting, and dressing due to neuromuscular skeletal impairment and physical immobility requiring assistance.

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Ysrael Alcantara
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2K views

Problem Prio

The document lists the top 3 nursing problems for a patient with neuromuscular impairment: 1. Impaired physical mobility related to weakness and numbness in the upper and lower extremities. 2. Activity intolerance related to generalized weakness from impaired neuromuscular function causing decreased muscle strength and immobility. 3. Self-care deficit in bathing, hygiene, toileting, and dressing due to neuromuscular skeletal impairment and physical immobility requiring assistance.

Uploaded by

Ysrael Alcantara
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Prioritized List of Nursing Problems

Rank Nursing Problem Cues Justification


1 Impaired physical Observation: Impairment is a problem in body function or
mobility related to -Restlessness structure; an activity limitation is a difficulty
neuromuscular insult -Weakness encountered by an individual in executing a
(right upper and -Decrease muscle task or action; while a participation
lower extremities strength restriction is a problem experienced by an
numbness) as - Limited ROM individual in involvement in life situations.
evidenced by Thus disability is a complex phenomenon,
decreased motor reflecting an interaction between features of
control. a person’s body and features of the society
in which he or she lives."
(Kozier et al. Fundamentals of Nursing. 9th
edition. 2002. p. 916)

2 Activity intolerance Observation: Most activity intolerance is related to


related to -Restriction of generalized weakness and debilitation
neuromuscular activities due to secondary to acute or chronic illness
impairment as hospitalization and disease. This is especially apparent
evidenced by -Immobile
in elderly patients with a history of
decrease muscle
strength and orthopedic, cardiopulmonary, diabetic,
immobility. or pulmonary- related problems. The
aging process itself causes reduction in
muscle strength and function, which can
impair the ability to maintain activity.

(Kozier et al. Fundamentals of Nursing. 9th


edition. 2002. p. 894)

3 Self Care Deficit Observation: According to Abraham Maslow’s Hierarchy of


(bathing, hygiene, -Assisted when Needs, it is one of the basic human needs.
toileting, dressing, feeding. Physiological needs can control thoughts
-Assisted when and behaviors and can cause people to feel
and grooming)
taking a bath. sickness, pain and discomfort. Self-esteem,
related to
neuromuscular -Assisted in doing confidence and motivation can all be altered
skeletal impairment personal hygiene. by our body image, often reflected on our
and physical ability to care for ourselves and keep good
hygiene practices.
immobility.

(Kozier et al. Fundamentals of Nursing. 9th


edition. 2002. p. 889)

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