Impaired physical mobility is a major nursing diagnosis for clients with osteoarthritis (OA). The nursing intervention best directed toward addressing this client's limitation is:
1. Assessing the client's range of motion of affected joints in order to plan and implement appropriate interventions.
2. Encouraging consistently high activity levels in order to minimize the development of associated emotional and self-esteem problems.
3. Encouraging client to assume responsibility for personal self-care needs in order to retain ability to be physically active.
4. Assessing and managing the client's need for narcotic analgesics in order to minimize the impact that pain has on personal activities of daily living.
Assessing the client's range of motion of affected joints in order to plan and implement appropriate interventions.
Rationale: A determination of the client's range of motion is needed to provide the best individualized care. Clients with osteoarthritis (OA) will need to build in periodic rest periods in order to decrease pain and associated symptoms such as depression once depression is identified in this client. Realistic goals will need to be set for the client with OA. Assuming responsibility for personal self-care needs may not be realistic for all clients with OA. Simply encouraging the client to remain active does not provide comprehensive care. OA is a chronic condition, and the use of narcotics could lead to dependence.
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