Introduction to Unilateral Desatunction Nursing Diagnosis
The nursing diagnosis Unilateral Desatunction is defined as a deficiency in movement caused by an impairment, activity limitation, or participation restriction on one side of the body. This diagnosis can have both physical and psychological implications for the individual, and can have serious health consequences if not addressed.
Nursing Diagnosis Definition
Unilateral Desatunction is defined by NANDA as “a deficiency in movement on one side of the body due to an impairment, activity limitation, or participation restriction.”
Defining Characteristics
Subjective Data
- Complaint of pain or discomfort on one side of the body
- Limited range of motion on one side of the body
- Difficulty performing activities on one side of the body
- A feeling of “weakness” or “clumsiness” on one side of the body
Objective Data
- Reduced mobility on one side of the body
- Decreased muscle strength on one side of the body
- Lack of coordination or balance on one side of the body
- Impaired ability to perform routine activities on one side of the body
Medical Conditions: Certain medical conditions can cause or contribute to unilateral desatunction. These include stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, cerebral palsy, muscular dystrophy, and certain congenital conditions.
Aging: Age-related degenerative changes, such as arthritis and/or osteoarthritis, can also lead to unilateral desatunction.
Risk Populations
Individuals who are at a higher risk for developing unilateral desatunction include those with underlying medical conditions as mentioned above, older adults, individuals who have suffered a recent trauma, and those with poor physical fitness.
Associated Problems
- Decreased mobility
- Decreased strength
- Pain
- Decreased coordination
- Impaired ability to perform daily activities
- Depression
- Low self-esteem
- Social isolation
- Fatigue
Suggestions for Use
Nursing interventions to address unilateral desatunction may include developing a plan of care that takes into account the patient’s specific needs, providing education and resources about the condition, encouraging patient participation in physical activities, and monitoring for any changes in the patient’s condition.
Suggested Alternative Nanda Diagnosis
- Ineffective Coping
- Imbalanced Nutrition: Less Than Body Requirements
- Ineffective Health Maintenance
- Activity Intolerance
- Injury, Risk for
- Impaired Physical Mobility
Usage Tips
- Focus on developing achievable goals.
- Encourage the patient to take an active role in the therapeutic process.
- Be sure to provide the patient with written and verbal information about their condition, as well as any available resources.
- Involve family members and other healthcare professionals in the patient’s care as needed.
List of NOC Results
- Health Perception/Health Management: Ability to identify and respond appropriately to health problems and lifestyle changes.
- Breathing Pattern: Pattern that facilitates ventilation and oxygenation of blood.
- Mobility: Moving the body from one place to another.
- Tissue Integrity: Skin and mucous membrane integrity intact.
- Strength: Muscle strength that enables performance of tasks.
- Endurance: Performing physical tasks with minimal fatigue.
- Balance: Operating on even terrain without stumbling.
- Coordination: Performing multijoint activities with minimal effort.
- Mobility of Joint: Range of motion of joints not impaired.
List of NIC Interventions
- Therapeutic Exercise: Performing exercises to maintain, develop, or restore physical functioning and strength.
- Active Range of Motion: Exercises that increase joint flexibility and gross motor skills.
- Massage: Manipulation of the soft tissue to improve functioning.
- Cognitive Orientation: Receiving stimuli that increase awareness of the environment.
- Education: Teaching the client about their condition and ways to manage it effectively.
- Gait Training: Patterns of timed walking to promote coordination and balance.
- Physical Restraint Reduction: Techniques applied to prevent voluntary and involuntary movements that cause damage.
Conclusion
Unilateral Desatunction is a nursing diagnosis that takes into consideration not only the physical restrictions involved in unilateral movement, but also the psychological and social impacts it can have on an individual. Through appropriate nursing interventions, it is possible to help the patient improve their mobility and physical strength, as well as their overall quality of life.
FAQ
- What is Unilateral Desatunction?
Unilateral Desatunction is a deficiency in movement on one side of the body due to an impairment, activity limitation, or participation restriction. - Who is at risk for Unilateral Desatunction?
Individuals who are at a higher risk for developing unilateral desatunction include those with underlying medical conditions, older adults, individuals who have suffered a recent trauma, and those with poor physical fitness. - What types of interventions can be used to address Unilateral Desatunction?
Interventions to address Unilateral Desatunction may include developing a plan of care that takes into account the patient’s specific needs, providing education and resources about the condition, encouraging patient participation in physical activities, and monitoring for any changes in the patient’s condition.
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