Assessment Subjective cues; Client verbalized, I Cant walk my leg hurts. Objective cues; -Incision site at both feet.

- Wound dressing on both feet -Bi pedal swelling Nursing Diagnosis Impaired walking R/T Musculoskeletal impairment as evidenced by bi pedal injury. Definition: Limitation of independent movement within the environment on foot. Source: Nurses Pocket Guide:Diagnoses, Prioritized, Interventions and rationale, 9th edition Rationale Predisposing -Age Precipitating -Lack of Family support

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Kitchen Ergonomics Schools to Train to be a Nursing Assistant -Poor wound hygiene Above normal result in RBS - Wound dressing on both feet. Bus accident Skin and tissue injury on both feet

 Damaged veins, capillaries, nerve endings and muscles (digitorum brevis andhallucis longus). Injury to metatarsal bones Fracture of the phalanges Impaired blood circulation Disarticulation of the left big toe anddebridement of necrotic tissues Poor wound healing Impaired walking Desired Outcome/objectives Within 4 days of nursing intervention client will be able to: 1. 2. Identify precipitating factors & verbalize understanding about these precipitating factors Demonstrate activities of daily living that can be performed independently even on b ed.

3. Verbalize feelings regarding her health status. Nursing intervention INDEPENDENT *Enumerate to the client the different precipitating factors and explain the importance of understanding these factors. *Encourage patient to do some activities of daily living (bed such as tooth brushing, combing of hair, folding of blanket, and changing of clothes) *Determine ability of the patient to follow directions when giving instructions and note emotional responses that may be affecting the situation. *Provide ample time for the client to perform mobility related tasks.

COLLABORATIVE 1.Administered medication as prescribed 2. Refer to resources, as indicated such as physical therapy and occupational therapy Source: Nurses Pocket Guide:Diagnoses, Prioritized, Interventions and rationale, 9th edition Justification *To provide the client information about her health status. Identify conditions that may interfere with clients recovery * Promote mobility and independence in the part of the client. *To assess the contributing factors to the clients health status. *To help the client perform activities adequately and reduce the risk of falling and managing pain. *To help the client recover *For further treatment of the illness. Evaluation After 4 days of nursing intervention client was able to: Evaluate your client basing on your desired outcome

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