Limitation of independent movement within the environment on foot

Difficulty ambulating on decline

Difficulty ambulating on incline

Difficulty ambulating on uneven surface

Difficulty ambulating required distance

Difficulty climbing stairs

Difficulty navigating curbs

Altered mood

Cognitive dysfunction

Environmental constraints

Fear of falling

Inadequate knowledge of mobility strategies

Insufficient muscle strength

Insufficient physical endurance

Neurobehavioral manifestations

Obesity

Pain

Physical deconditioning

Cerebrovascular disorders

Impaired postural balance

Musculoskeletal impairment

Neuromuscular diseases

Vision disorders

AUTHOR'S NOTE

Impaired Walking can be a clinically useful diagnosis when an individual is a candidate for rehabilitation to improve strength, ROM, and balance. Impaired Physical Mobility addresses impaired sitting. This more specific diagnosis may be clinically useful with rehabilitative specialists, such as nurses and physical therapists.

Level 1 Fundamental Focused Basic Assessment

Refer to Impaired Physical Mobility.

The individual will increase walking distances (specify distance goal) as evidenced by the following indicators:

• Demonstrates safe mobility.
• Uses mobility aids correctly.

Level 1 Fundamental Focused Interventions

Explain That Safe Ambulation Is a Complex Movement Involving the Musculoskeletal, Neurological, and Cardiovascular Systems and Cognitive Factors Such as Mentation and Orientation

Consult with a Physical Therapist for Evaluation and Planning Prior to Initiation

• Ascertain that the individual is:
  • Using ambulatory aids (e.g., cane, walker, crutches) correctly and safely:
    • Wears well-fitting shoes
    • Can ambulate on inclines, uneven surfaces, and up and down stairs
    • Is aware of hazards (e.g., wet floors, throw rugs)
• Refer to Impaired Physical Mobility.