Physical – Mobility – KidneyPal

Mobility

physical domain

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Physical

In the Physical Domain, the sociodemographics that were moderately correlated were educational attainment and occupational status. These two factors had a stronger relationship to physical quality of life (QoL) compared to the other variables, which showed only weak correlations.

Educational attainment and Occupational status correlated moderately to the physical domain. Educational attainment is linked to physical quality of life, with higher levels of education often leading to better physical well-being. This stems from improved health literacy, greater access to resources, and informed decision-making regarding lifestyle and treatment. Educated individuals are more effective at managing health conditions like Chronic Kidney Disease (CKD), adhering to treatment, and maintaining healthier routines. Occupational status underscores the positive impact of employment on their well-being. Stable jobs enhance access to healthcare, financial security, and structured routines, all contributing to better health outcomes.

Mobility

Mobility refers to the ability to move freely and independently, encompassing a person’s capacity to change body position or location, transfer from one place to another, and use assistive devices when needed (NANDA International, 2021).

General Interventions

(For age, sex, marital status, household income, comorbidities)

1. Avoid lifting heavy objects or putting pressure on the arm with the fistula, including sleeping on that side

This prevents damage or strain to the dialysis access site. (Mo et al., 2019)

2. Perform daily light exercises (walking or stretching)

This maintains flexibility and prevents deconditioning. (Mo et al., 2019)

3. Elevate your legs when sitting to reduce swelling

This will help promote good blood flow. (Mo et al., 2019)

Occupational Status-Based Teachings: Employed

1. Take short stretch breaks or move around every hour at work

This will help prevent stiffness and improve energy, especially in desk jobs. (National Institute on Aging, 2025).

2. Inform your employer about your dialysis access arm to avoid heavy lifting tasks

This will help you avoid any injuries and protects your dialysis access. (NANDA International, 2021).

3. Incorporate short walks before or after work

This will help boost circulation and improves your mobility. (National Institute on Aging, 2025).

Occupational Status-Based Teachings: Unemployed

1. Schedule daily morning walks.

To simulate a structured day and improve joint function (NANDA International, 2021).

2. Do light chores (sweeping, dishwashing) with rest intervals

To stay mobile and have physical benefits (National Institute on Aging, 2025).

3. Join barangay-based group stretching or movement activities.

For social and physical benefits (Zhang et al., 2024).

Educational Attainment-Based Teachings: Higher Education

1. Follow a written or app-based exercise plan.

To maintain routine mobility (NANDA International, 2021).

2. Use wearable tech.

To monitor daily step goals and motivate physical activity (National Institute on Aging, 2025).

3. Practice exercise routines with a family member or caregiver first

To align with dialysis off-days (Zhang et al., 2024).

Educational Attainment-Based Teachings: Limited Formal Education

1. Use color-coded stickers near the bed or fridge (e.g., green = stretch, red = rest).

For visual reminders (NANDA International, 2021).

2. Practice exercises with a caregiver.

For visual reminders (NANDA International, 2021).

3. Use illustrated posters with simple step-by-step movement routines.

To provide clarity for each exercise or activity (Zhang et al., 2024).

References

● NANDA International. (2021). NANDA Nursing Diagnoses: Definitions and Classification, 16th Edition.
● National Institute on Aging. (2025). Exercise and physical activity: How to get started. https://www.nia.nih.gov
● Zhang, Y., Wen, Z., Zhu, Y., & Guan, G. (2024). Effects of physical exercise on body esteem. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-20861-7
● Albulescu, P., et al. (2022). Micro-breaks for increasing well-being and performance. PLOS ONE, 17(8), e0272460.
● Mo, Y., Song, L., Huang, J., Sun, C., Zhou, L., Zheng, S., Zhuang, T., Chen, Y., Chen, Y., Liu, S., Liang, X., & Fu, X. (2019). Can the fistula arm be used to lift heavy items? Six-pound dumbbells versus handgrip exercise in a 6-month follow-up secondary analysis of a randomized controlled trial. The Journal of Vascular Access, 21(5), 602–608. https://doi.org/10.1177/1129729819894090
● Michaelsen, M. M., et al. (2023). Mindfulness-based workplace interventions. Mindfulness, 14(6), 1271–1304.
● Verve Behavioral Health IOP. (2024). How to Deal with Stress at Work. https://vervebh.com/how-to-deal-with-stress-at-work
● Hochstein, R. E., et al. (2024). The case of self-care. Journal of Consumer Research, 52(1), 219–242.
● Fisher, J., & Budson, A. E. (2025). Tips to leverage neuroplasticity. Harvard Health. https://www.health.harvard.edu