Domain 4. Activity-rest
Class 2. Activity-exercise
Diagnostic Code: 00090
Nanda label: Impaired transfer ability
Diagnostic focus: Transfer ability
Transfer ability refers to the skill of moving from one place or position to another while maintaining balance, coordination, and control. It is an important activity of daily living that involves physical and cognitive functioning. Yet, there are certain impairments which may significantly limit a person’s ability to transfer safely and independently. Nursing diagnosis: Impaired Transfer ability focuses on assessing and managing the risk associated with this impairment.
NANDA Nursing Diagnosis Definition
This nursing diagnosis is defined as the patient’s inability to move from one place or position to another due to physical and/or cognitive disability.
Defining Characteristics
Subjectives:
- Reports difficulty in transferring
- Voices fear or anxiety when trying to transfer
- Reports inadequate knowledge and/or understanding of task
Objectives:
- Unable to independently perform transfers
- Demonstrates poor muscle coordination
- Inadequate hand-eye coordination and body balance noticed
- Inappropriate planning or performance noted
Related Factors
- Muscle weakness
- Decreased physical mobility
- Decrease grip strength
- Pain
- Altered cognition
- Decreased ability to bear weight
- Poor physical coordination
Explanation: Related factors may include any impairment that alters an individual’s ability to transfer safely from one place or position to another, such as muscle weakness, decreased physical mobility, decrease grip strength, pain, altered cognition, decreased ability to bear weight, and poor physical coordination.
Associated Conditions
- Neurologic disorder
- Inflammatory joint disorder
- Paralysis
- Arthritis
- Stroke
- Multiple Sclerosis
- Muscular dystrophy
Explanation: Associated conditions include any long-term disease or injury which affects the individual’s mobility, including neurologic disorder, inflammatory joint disorder, paralysis, arthritis, stroke, multiple sclerosis, and muscular dystrophy.
Suggestions for Use
Nursing diagnosis: Impaired Transfer ability should be used to assess an individual’s ability to transfer safely from one place or position to another. This nursing diagnosis can be used to identify the potential risk associated with an individual’s impaired ability to transfer, as well as provide guidance for implementing interventions to reduce this risk.
Suggested Alternative NANDA Nursing Diagnosis
- Risk for Injury
- Decreased Physical Mobility
- Readiness for Enhanced Mobility
- Chronic Pain Syndrome
- Activity Intolerance
Explanation: Suggested alternative nursing diagnosis may include risk for injury, decreased physical mobility, readiness for enhanced mobility, chronic pain syndrome, and activity intolerance.
Usage Tips
When using nursing diagnosis: Impaired Transfer ability it is recommended to assess the individual’s general mobility, strength, coordination, and balance prior to attempting any transfer. Additionally, it is important to implement strategies to reduce the risk associated with impaired transfer ability. Such strategies include providing the individual with appropriate assistive devices, such as wheelchairs or gait belts, as well as using appropriate body mechanics when providing assistance with transfers.
NOC Outcomes
- Extreme Weakness
- Balance Performance
- Bed Mobility
- Ambulation
- Transfer Performance
- Upper Extremity Function
- Lower Extremity Function
Explanation: NOC outcomes that may help to measure the effectiveness of the intervention for nursing diagnosis: Impaired Transfer ability include extreme weakness, balance performance, bed mobility, ambulation, transfer performance, upper extremity function, and lower extremity function.
Evaluation Objectives and Criteria
The following objectives should be met and criteria observed when evaluating the efficiency of interventions for nursing diagnosis: Impaired Transfer ability:
- A decrease in the risk of injury due to impaired transfer ability should be observed.
- The individual should demonstrate an increase in their ability to complete the transfer without any assistance.
- The individual should demonstrate an increase in physical strength and coordination.
- The individual should be able to safely transition from one position to another with greater ease and stability.
NIC Interventions
- Body Mechanics Mechanism
- Manual Assistance
- Equipment Training
- Range of Motion Exercises
- Gait Training
- Physical Therapy Evaluation
- Exercise Program Compliance
- Safety Education
Explanation: NIC interventions that may help to improve the individual’s transfer ability include body mechanics mechanism, manual assistance, equipment training, range of motion exercises, gait training, physical therapy evaluation, exercise program compliance, and safety education.
Nursing Activities
Nursing activities that should be implemented when assessing and managing the risk associated with nursing diagnosis: Impaired Transfer ability include:
- Assessing the individual’s physical and cognitive abilities prior to transfers.
- Providing the individual with assistive devices to facilitate transfers.
- Training the individual in appropriate body mechanics techniques for safe transfers.
- Encouraging adherence to an exercise program to improve strength.
- Educating the individual on developing strategies for managing fatigue and pain.
- Providing feedback and support to reinforce positive behaviors.
Conclusion
Nursing diagnosis: Impaired Transfer Ability is an important assessment to determine the potential risk associated with an individual’s inability to transfer safely from one place or position to another. Training in appropriate body mechanics, providing safety education, and implementing an exercise program can all help to improve the individual’s transfer ability and reduce the risk of injury.
FAQs
- What is Nursing Diagnosis: Impaired Transfer Ability?
Nursing diagnosis: Impaired Transfer ability is a nursing diagnosis which assesses an individual’s ability to transfer safely from one place or position to another. - What are the related factors associated with this nursing diagnosis?
The related factors associated with nursing diagnosis: Impaired Transfer Ability include muscle weakness, decreased physical mobility, decrease grip strength, pain, altered cognition, decreased ability to bear weight, and poor physical coordination. - What are the associated conditions which may contribute to impaired transfer ability?
Associated conditions which may contribute to impaired transfer ability include any long-term diseases or injuries which disrupt the individual’s mobility, such as neurologic disorder, inflammatory joint disorder, paralysis, arthritis, stroke, multiple sclerosis, and muscular dystrophy. - What are some suggested interventions which can help reduce the risk associated with impaired transfer ability?
Suggested interventions which can help reduce the risk associated with impaired transfer ability include providing appropriate assistive devices, such as wheelchairs or gait belts, as well as using proper body mechanics when providing assistance during transfers. Additionally, an exercise program and safety education can help improve the individual’s physical strength and coordination, as well as reduce the risk of injury. - What should be assessed prior to attempting any transfers?
When attempting transfers, it is important to assess the individual’s general mobility, strength, coordination, and balance prior to attempting any transfer.