NCP Case Pres
NCP Case Pres
NCP Case Pres
* Encourage and
facilitate early *This promotes a safe
ambulation and other environment.
ADLs when possible.
Assist with each initial
change: dangling, *This optimizes
sitting in chair, circulation to all tissues
ambulation. and relieves pressure.
* Facilitate transfer *This prevents footdrop
training by using and/or excessive plantar
appropriate assistance flexion or tightness.
of persons or devices Support feet in
when transferring dorsiflexed position.
patients to bed, chair, or
stretcher. *Decreased chest
excursions and stasis of
* Keep side rails up and secretions are associated
bed in low position. with immobility.
* Maintain limbs in
functional alignment
(e.g., with pillows,
sandbags, wedges, or
prefabricated splints).
* Perform passive or
active assistive ROM
exercises to all *Liquids optimize
extremities. Exercise hydration status and
promotes increased prevent hardening of
venous return, prevents stool.
stiffness, and maintains
muscle strength and
endurance.
* Encourage coughing
and deep-breathing
exercises. These
prevent buildup of
secretions. *This increases lung
expansion.
* Encourage liquid
intake of 2000 to 3000 *Antispasmodic
ml/day unless medications may reduce
contraindicated. muscle spasms or
. spasticity that interferes
* Set up a bowel with mobility.
program (e.g., adequate
fluid, foods high in
bulk, physical activity)
as needed. Record
bowel activity level.
* Instruct patient or
caregivers regarding
hazards of immobility.
Emphasize importance
of measures such as
position change, ROM,
coughing, and
exercises.
* Instruct patient/family
regarding need to make
home environment safe.
A safe environment is a
prerequisite to
improved mobility.
Dependent:
* Use incentive
spirometer as indicated.
* Administer
medications as
appropriate. (i.e.
Antispasmodic
medications)