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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
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Abstract
IMPAIRED PHYSICAL MOBILITY AS A NURSING DIAGNOSIS, PREVALENCE AND DEFINING CHARECTERISTICS AMONG PATIENT WITH STROKE
Prof. Kanmani J.*, Priya Thomas, M. S. Padmaprabha and Lekshmi Raj
ABSTRACT
Background: Stroke is a chronic neurological disorder that often results in severe functional impairments. The mobility capacity of the elderly is making them dependent on others to perform their daily activities. The progressive loss of functional capacity can affect the quality of life of the elderly. Purpose: Studying nursing diagnoses, more specifically impaired physical mobility in survivors of stroke is important for evidenced-based nursing practice and to identify the main defining features and factors related to such diagnosis. Method: A descriptive study with a cross-sectional design, among 100 patients with stroke who were admitted to the inpatient department. The muscle strength and deep tendon reflexes were assessed. The activities of daily living were analyzed through the Barthel Index, Major findings: The study results show that 56 (56%) were age above 60 years, 64 (64%) were males, 42 (42%) had primary education and 42 (42%) were professionals, lifestyle habits: alcohol 64(64%), smoking 84 (84%) 37(37%) is present with paralysis on the left side of the body, 43 (43%) having vision problems, 33(33%) have memory loss of inquisitive behavioural style of 20 (20%), speech problem 49 (49%), anticoagulant 60(60%), antiplatelet 28(28%), hypertension 56(56%), DM 53(53%), CAD 19(19%), BMI 61(61%) of normal weight and Deep tendon reflex 55(55%) have a normal impulse. that reluctance in attempt to move in 63(63%)difficulty in moving with physical environment in 40(40%), limited range of motion in 60(60%), fear of dislocation in 36(36%), report of pain in 22(22%), gait changes 31(31%), decreased muscle strength in 67 (67%), neuromuscular losses in 38 (38%), decreased muscle control in 60(60%), and anxiety in 72(72%). Conclusion: The study concluded that prioritizing the needs of individuals and individualized care will result in more effective rehabilitation and patient-centred actions.
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