Impaired sitting

Domain 4. Activity-rest
Class 2. Activity-exercise
Diagnostic Code: 00237
Nanda label: Impaired sitting
Diagnostic focus: Sitting

Introduction to Impaired Sitting

Impaired sitting is a nursing diagnosis that describes a patient’s inability to sit in an upright position for a sustained period of time, in order to maintain functional abilities. This can be due to a variety of conditions, including poor posture, frailty or physical impairment, or other medical issues. The nursing care plan for someone suffering from impaired sitting might include interventions that allow the patient to remain comfortable, safe and independent while in a seated position. It is always important to develop a personalized treatment plan to adequately address the specific needs of the patient.

NANDA Nursing Diagnosis Definition

The National Association of Seniors (NANDA) defines impaired sitting as a nursing diagnosis that encompasses problems with the patient's ability to sustain seated positions without experiencing discomfort or physical pain; decreased balance while maintaining a sitting position; or difficulty in performing functional activities while in a seated position.

Defining Characteristics

Subjective characteristics associated with impaired sitting may include:

• verbal reports of discomfort or pain when sitting
• verbal complaints about body stiffness or fatigue.
• Difficulty in rising from seating positions.

Objective characteristics associated with impaired sitting may include:

• muscle weakness in the trunk and lower extremities
• poor posture when seated
• decreased balance when transitioning from standing to sitting positions.
• slowed reflex responses when attempting to maintain upright posture in a seated position.

Related Factors

There are a number of possible factors related to impaired sitting, including:

• Physical impairments that limit mobility and don’t provide adequate support while in a seated position. These impairments may be due to age-related changes, neurological conditions, musculoskeletal diseases and chronic pain.
• Environmental factors may cause an individual to lack access to appropriate seating, or to lack sufficient seating options for their needs.

Associated Conditions

Patients with impaired sitting may also have other conditions such as dehydration, malnutrition, and pressure injuries, particularly if they spend a long time sitting in one position. Additionally, those with impaired sitting may experience a decrease in mental alertness, as they are not able to move as much as they should in order to remain mentally active.

Suggestions of Use

Nurses treating patients with impaired sitting should consider specific seating solutions that will allow to patient to stay in an upright position. These solutions may include ergonomically designed chairs or special cushions to help the patient remain comfortable and supported in the seated position. Additionally, nurses should include exercises and range-of-motion therapies in the patient’s care plan in order to help keep them active and improve their coordination. Regularly scheduled position changes, walking and exercise should also be instituted to help maintain joint range of motion.

Suggested Alternative NANDA Nursing Diagnosis

Other NANDA nursing diagnosis that may be associated with impaired sitting include:

• Ineffective Thermoregulation
• Impaired Mobility
• Activity Intolerance
• Impaired Physical Mobility
• Impaired Tissue Integrity

Usage Tips

When assessing a patient with impaired sitting, it is important to take into account any associated conditions, as these can impact the effectiveness of treatment. Additionally, nurses should remember to ask both subjective and objective questions, as this will give a better indication of the patient’s level of functioning. Nurses should be aware that treatment can be both physical and psychological in nature, and they should be open to utilizing both traditional and non-traditional methods to get the best results possible.

NOC Outcomes

The following list summarizes known outcomes from nursing diagnoses associated with impaired sitting, according to the Nursing Outcomes Classification (NOC) system:

• Joint Mobility: Ability to move the joints correctly and freely
• Respiratory Function: Quality of breathing and oxygenation of tissues
• Cardiac Output: Volume of blood moving through the heart
• Grip Strength: Ability to grasp and hold objects
• Posture: Ability to maintain an upright position

It is important to note that these outcomes are merely guidelines and not absolute goals or requirements. The specific outcomes of a given nursing diagnosis developed for a particular patient depend on the individual and his or her condition.

Evaluation Objectives and Criteria

When developing a nursing care plan for a patient with impaired sitting, the nurse must first identify the goals and desired outcomes of treatment. To do this, the nurse usually creates a series of evaluation objectives and criteria that will be used to measure progress. These objectives may include such things as increased joint mobility, improved respiratory function, increased grip strength, improved posture, and reduced pain or discomfort when sitting.

NIC Interventions

The following list summarizes known interventions from nursing care plans for impaired sitting, according to the Nursing Interventions Classification (NIC) system:

• Manual Exercise: Hands on techniques to increase joint mobility
• Breathing Exercises: Practices to enhance and maintain lung health
• Grip Strength Training: Rehabilitation techniques to increase hand strength
• Balance Training: Techniques to reduce risk of falls and increase stability
• Posture Training: Strategies to help patients improve their sitting and standing posture

Nursing Activities

Depending on the patient’s condition and goals, nurses may carry out various activities to help reach the desired outcome. These activities could include helping the patient to accurately identify functional sitting positions; teaching correct posture; providing physical therapy; administering medications; implementing special seating solutions; recommending lifestyle modifications; and assisting with activities of daily living, when applicable.

Conclusion

Impaired sitting is a nursing diagnosis associated with a patient's inability to sit for extended periods of time, which can lead to a decline in functional abilities. Nurses can assess, diagnose and treat patients with impaired sitting by utilizing a variety of interventions, all while taking into account associated conditions and any other influences, in order to come up with the most effective care plan. By monitoring progress and making modifications as needed, nurses can help their patients remain as comfortable as possible while in a seated position.

5 FAQs

• What is impaired sitting?
• Impaired sitting is a nursing diagnosis that describes a patient’s inability to sit in an upright position for a sustained period of time, in order to maintain functional abilities.
• What causes impaired sitting?
• Impaired sitting can be due to a variety of conditions, including poor posture, frailty or physical impairment, or other medical issues.
• What is the nursing care plan for someone with impaired sitting?
• The nursing care plan for someone suffering from impaired sitting might include interventions that allow the patient to remain comfortable, safe and independent while in a seated position.
• What is the assessment process for impaired sitting?
• When assessing a patient with impaired sitting, it is important to take into account any associated conditions, as well as subjective and objective questions.
• What activities can nurses perform to help patients with impaired sitting?
• Nurses can assist patients with impaired sitting by helping them identify functional sitting positions; teaching correct posture; providing physical therapy; administering medications; implementing special seating solutions; recommending lifestyle modifications; and assisting with activities of daily living, when applicable.

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Introduction to Impaired Sitting

Individuals suffering from impaired sitting are often unable to remain in a sitting position for an extended period of time due to various conditions such as poor posture, frailty, physical impairment or other medical issues. To create an effective nursing care plan to address the needs of impaired sitting patients, it is essential to comprehend the NANDA Nursing Diagnosis Definition of the diagnosis, as well as become familiar with the defining characteristics, associated conditions, and the suggested use for alternative NANDA diagnoses related to impaired sitting.

NANDA Nursing Diagnosis Definition

The National Association of Seniors describes impaired sitting as a diagnosis which primarily consists of affecting an individual's capability to maintain seated positions without discomfort or physical pain, or decreased balance while seated. The defining characteristics of impaired sitting may come in the form of subjective experiences or comments expressed by the patient such as verbal reports of discomfort or pain when sitting, verbal complaints regarding body stiffness or fatigue and difficulty in arising from a seated position. Objectively, it could be muscle weakness in the trunk and lower extremity muscles, poor posture when seated, and slowed reflex responses when attempting to keep an upright position.

Related Factors

There are several potentially influential factors pertaining to impaired sitting - physical impairments that limit mobility, insufficient accessibility to suitable seating, environmental issues and age related changes. For instance, elderly individuals may struggle with body stiffness and consequently, struggle to cope with this position as a result of restricted mobility. In addition to this, certain medical conditions such as neurological problems and chronic pain may make it difficult to sit in an upright position for extended periods of time.

Associated Conditions

Individuals with impaired sitting may commonly suffer from other conditions that aim to aggravate the problem - for instance, dehydration, malnutrition and pressure injuries due to prolonged sitting in the same position. Besides the physical manifestations, cognitive abilities may also be affected, causing sluggish mental alertness in patients who cannot move around as much as they should.

Suggestions of Use

Nurses providing care for patients with impaired sitting should explore seating solutions to keep the patient comfortable, safe and independent while maintaining an upright position - some examples may be ergonomically designed chairs or special cushions. Other strategies nurses suggest include exercises and range-of-motion therapies to keep