Example Nursing Diagnosis:
Pg 563 Impaired mobility related to head injury and multiple fractures as evidence
by comatose state and inability to move self.
Problem: Impaired mobility Definition-limitation of independent movement
etiology: head injury and multiple fractures,
symptoms (the evidence): comatose state and inability to participate in any ADLS
Desired Outcome: Maintain position and function as evidence by absence of
contractures, foot drop, pressure injury, or impaired skin during admission.
Pg 251 Risk for disuse syndrome related to comatose state, multiple fractures, and
the patient’s inability to engage in intentional responses and movement.
Problem: Risk for disuse syndrome Definition-susceptible to deterioration of body
system as the result of unavoidable musculoskeletal activity
Etiology (risk factors) comatose state, multiple fractures, and the patient’s inability to
engage in intentional responses and movement.
Desired Outcome: Patient will maintain intact skin during admission.
Pg 430 Family readiness for enhanced health management as evidence by family
sting they want to learn TF
Problem: Family readiness for enhanced health management Definition-a pattern of
regulating and integrating into daily living a therapeutic regime for treatment of illness
and its sequalae.
Evidence: Family willingness to learn TF
Desired Outcome: Family will demonstrate correct TF administration process after
2 training sessions with nursing staff.