Impaired Physical Mobility

Rabu, 31 Juli 2013

A limitation in independent, purposeful physical movement of the body or of one or more extremities

Defining Characteristics:

  • Postural instability during performance of routine activities of daily living (ADLs); 
  • limited ability to perform gross motor skills; 
  • limited ability to perform fine motor skills; 
  • uncoordinated or jerky movements; 
  • limited range of motion; 
  • difficulty turning; 
  • decreased reaction time; 
  • movement-induced shortness of breath; 
  • gait changes (e.g., decreased walking speed, difficulty initiating gait, small steps, shuffles feet, exaggerated lateral postural sway); 
  • engages in substitutions for movement (e.g., increased attention to other's activity, controlling behavior, focus on preillness/predisability); 
  • slowed movement; 
  • movement-induced tremor

Related Factors:
  • Medications; 
  • prescribed movement restrictions; 
  • discomfort; 
  • lack of knowledge regarding value of physical activity; 
  • body mass index >30; 
  • sensoriperceptual impairments; 
  • neuromuscular impairment; 
  • pain; 
  • musculoskeletal impairment; 
  • intolerance to activity/decreased strength and endurance; 
  • depressive mood state or anxiety; 
  • cognitive impairment; 
  • decreased muscle strength, control, and/or mass; 
  • reluctance to initiate movement; 
  • sedentary lifestyle or disuse or deconditioning; 
  • selective or generalized malnutrition; 
  • loss of integrity of bone structures; 
  • developmental delay; 
  • joint stiffness or contractures; 
  • limited cardiovascular endurance; 
  • altered cellular metabolism; 
  • lack of physical or social environmental supports; 
  • cultural beliefs regarding age-appropriate activity

Suggested functional level classifications
0 Completely independent
1 Requires use of equipment or device
2 Requires help from another person for assistance, supervision, or teaching
3 Requires help from another person and equipment device
4 Dependent—does not participate in activity


NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Ambulation: Walking
  • Ambulation: Wheelchair
  • Joint Movement: Active
  • Mobility Level
  • Self-Care: Activities of Daily Living (ADLs)
  • Transfer Performance
Client Outcomes
  • Increases physical activity
  • Meets mutually defined goals of increased mobility
  • Verbalizes feeling of increased strength and ability to move
  • Demonstrates use of adaptive equipment (e.g., wheelchairs, walkers) to increase mobility
NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels
  • Exercise Therapy: Ambulation
  • Exercise Therapy: Joint Mobility
  • Positioning

Nursing Interventions and Rationales

1. Screen for mobility skills in the following order:
(1) bed mobility;
(2) supported and unsupported sitting;
(3) transition movements such as sit to stand, sitting down, and transfers; and
(4) standing and walking activities. Use a physical activity tool if available to evaluate mobility.
Screening mobility skills helps provide baselines of performance that can guide mobility-enhancement programming and allows nursing staff to integrate movement and practice opportunities into daily routines and regular and customary care. There are many tools available to measure physical activity; selection of the appropriate tool depends on the setting and situation (Halfmann, Keller, Allison, 1997).

2. Observe client for cause of impaired mobility. Determine whether cause is physical or psychological.
Some clients choose not to move because of psychological factors such as an inability to cope or depression. See interventions for Ineffective Coping or Hopelessness.

3. Monitor and record client's ability to tolerate activity and use all four extremities; note pulse rate, blood pressure, dyspnea, and skin color before and after activity. See care plan for Activity intolerance.

4. Before activity observe for and, if possible, treat pain. Ensure that client is not oversedated.
Pain limits mobility and is often exacerbated by movement.

5. Consult with physical therapist for further evaluation, strength training, gait training, and development of a mobility plan.
Techniques such as gait training, strength training, and exercise to improve balance and coordination can be very helpful for rehabilitating clients (Tempkin, Tempkin, Goodman, 1997).

6. Obtain any assistive devices needed for activity, such as walking belts, walkers, canes, crutches, or wheelchairs, before the activity begins.
Assistive devices can help increase mobility.

7. If client is immobile, perform passive range of motion (ROM) exercises at least twice a day unless contraindicated; repeat each maneuver three times.
Passive ROM exercises help maintain joint mobility, prevent contractures and deformities, increase circulation, and promote a feeling of comfort and well-being (Kottke, Lehmann, 1990; Bolander, 1994).

8. If client is immobile, consult with physician for a safety evaluation before beginning an exercise program; if program is approved, begin with the following exercises:
  • Active ROM exercises using both upper and lower extremities (e.g., flexing and extending at ankles, knees, hips)
  • Chin-ups and pull-ups using a trapeze in bed (may be contraindicated in clients with cardiac conditions)
  • Strengthening exercises such as gluteal or quadriceps sitting exercises
These exercises help reverse weakening and atrophy of muscles.

9. Help client achieve mobility and start walking as soon as possible if not contraindicated.
The longer a client is immobile, the longer it takes to regain strength, balance, and coordination (Bolander, 1994). A study has shown that bed rest for primary treatment of medical conditions or after healthcare procedures is associated with worse outcomes than early mobilization (Allen, Glasziou, Del Mar, 1999).

10. Use a walking belt when ambulating the client.
The client can walk independently with a walking belt, but the nurse can rapidly ensure safety if the knees buckle.

11. Apply any ordered brace before mobilizing client.
Braces support and stabilize a body part, allowing increased mobility.

12. Increase independence in ADLs and discourage helplessness as client gets stronger.
Providing unnecessary assistance with transfers and bathing activities may promote dependence and a loss of mobility (Mobily, Kelley, 1991).

13. If client does not feed or groom self, sit side-by-side with client, put your hand over client's hand, support client's elbow with your other hand, and help client feed self; use the same technique to help client comb hair.
This feeding technique increases client mobility, range of motion, and independence, and clients often eat more food (Pedretti, 1996).

Geriatric

1. Help the mostly immobile client achieve mobility as soon as possible, depending on physical condition.
In the elderly, mobility impairment can predict increased mortality and dependence; however, this can be prevented by physical exercise (Hirvensalo, Rantanen, Heikkinen, 2000).

2. For a client who is mostly immobile, minimize cardiovascular deconditioning by positioning client as close to the upright position as possible several times daily.
The hazards of bed rest in the elderly are multiple, serious, quick to develop, and slow to reverse. Deconditioning of the cardiovascular system occurs within days and involves fluid shifts, fluid loss, decreased cardiac output, decreased peak oxygen uptake, and increased resting heart rate (Resnick, 1998).

3. If client is mostly immobile, encourage him or her to attend a low-intensity aerobic chair exercise class that includes stretching and strengthening chair exercises.
Chair exercises have been shown to increase flexibility and balance (Mills, 1994).

4. Initiate a walking program in which client walks with or without help every day as part of daily routine.
Walking programs have been shown to be effective in improving ambulatory status and decreasing disability and the number of falls in the elderly (Koroknay et al, 1995).

5. Evaluate client for signs of depression (flat affect, insomnia, anorexia, frequent somatic complaints) or cognitive impairment (use Mini-Mental State Exam [MMSE]). Refer for treatment or counseling as needed.
Multiple studies have demonstrated that depression and decreased cognition in the elderly correlate with decreased levels of functional ability (Resnick, 1998).

6. Watch for orthostatic hypotension when mobilizing elderly clients. If relevant, have client flex and extend feet several times after sitting up, then stand up slowly with someone watching.
Orthostatic hypotension as a result of cardiovascular system changes, chronic diseases, and medication effects is common in the elderly (Matteson, McConnell, Linton, 1997).

7. Be very careful when getting a mostly immobile client up. Be sure to lock the bed and wheelchair and have sufficient personnel to protect client from falls.
The most important preventative measure to reduce the risk of injurious falls for nonambulatory residents involves increasing safety measures while transferring, including careful locking of equipment such as wheelchairs and beds before moves (Thapa et al, 1996). Elderly clients most commonly sustain the most serious injuries when they fall.

8. Help clients assume the prone position three times per week for 20 minutes each time. If clients are unable to do so, help them turn partially over and assume the position gradually.
The prone position helps prevent hip deformities that can interfere with balance and walking. This position may be contraindicated in some clients, such as morbidly obese clients, respiratory or cardiac clients who cannot lie flat, and neurological clients.

9. Do not routinely assist with transfers or bathing activities unless necessary.
The nursing staff may contribute to impaired mobility by helping too much. Encourage client independence (Mobily, Kelley, 1991).

10. Use gestures and nonverbal cues when helping clients move if they are anxious or have difficulty understanding and following verbal instructions.
Nonverbal gestures are part of a universal language that can be understood when the client is having difficulty with communication.

11. Recognize that wheelchairs are not a good mobility device and often serve as a mobility restraint.
Wheelchairs can be very effective restraints. In one study, only 4% of residents in wheelchairs were observed to propel them independently; only 45% could propel them, even with cues and prompts; no residents could unlock them without help; the wheelchairs were not fitted to residents; and residents were not trained in propulsion (Simmons et al, 1995).

12. Ensure that chairs fit clients. Chair seat should be 3 inches above the height of the knee. Provide a raised toilet seat if needed.
Raising the height of a chair can dramatically improve the ability of many older clients to stand up. Low, deep, soft seats with armrests that are far apart reduce a person's ability to get up and down without help.

13. If client is mainly immobile, provide opportunities for socialization and sensory stimulation (e.g., television and visits). See Deficient Diversional activity.
Immobility and a lack of social support and sensory input may result in confusion or depression in the elderly (Mobily, Kelley, 1991). See interventions for Acute Confusion or Hopelessness as appropriate.

Home Care Interventions

1. Assess home environment for factors that create barriers to physical mobility. Refer to occupational therapy services if needed to assist client in restructuring home and daily living patterns.

2. Refer to home health aide services to support client and family through changing levels of mobility. Reinforce need to promote independence in mobility as tolerated.
Providing unnecessary assistance with transfers and bathing activities may promote dependence and a loss of mobility (Mobily, Kelley, 1991).

3. Assess skin condition at every visit. Establish a skin care program that enhances circulation and maximizes position changes.
Impaired mobility decreases circulation to dependent areas. Decreased circulation and shearing place the client at risk for skin breakdown.

4. Provide support to client and family/caregivers during long-term impaired mobility.
Long-term impaired mobility may necessitate role changes within the family and precipitate caregiver stress (see care plan for Caregiver role strain).

Client/Family Teaching

1. Teach client to get out of bed slowly when transferring from the bed to the chair.

2. Teach client relaxation techniques to use during activity.

3. Teach client to use assistive devices such as a cane, a walker, or crutches to increase mobility.

4. Teach family members and caregivers to work with clients during self-care activities such as eating, bathing, grooming, dressing, and transferring rather than having client be a passive recipient of care.
Maintaining as much independence as possible helps maintain mobility skills (Lipson, Braun, 1993).

5. Develop a series of contracts with mutually agreed on goals of increased activity. Include measurable landmarks of progress, consequences for meeting or not meeting goals, and evaluation dates. Sign the contracts with the client.
Using a series of evolving contracts to modify behavior toward increasing activity, help the client learn skills to change behavior (Boehm, 1992).

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For years, I have read and seen the advertisements in the mass media about all of the penis enhancement pills and thought that they were all scams or gimmicks. All of the medical sites that I have visited stated that none of the herbal supplements would ever help increase the size of a penis. I got very depressed when I read this, because unfortunately I was not naturally blessed with a penis that was big enough to arouse my sexual partner or past partners. I am a man that is past my sexual primetime and my sexual performance has a lot to be desired. I decided to try Doctoc Akhigbe herbal medicine after all the reading and researching that I have done.I saw a testimony " Joe" about doctror Akhigbe Herbal Medicine Since there is a Money Back Guarantee, I give him a trial what did I have to lose? I couldn't believe the results I was seeing after drinking the Natural  Herbal Medicine  and Herbal Soap to be rubign my penis! he sent to me through DHL courier delivery service . Within about 2 weeks I had a noticeable increase in the girth of my penis. Then after a coupleof aditional week it started to grow in length and I was amazed and very excited.before I finish the drink and the soap my penis had grown an additional two inches. I've had a considerable improvement with my sex life and these pills are certainly worth every penny I spent on them! I want to thank Dr Akhigbe for the time and effort they have spent on helping people in my situation.I know many are out there who are suffering this problem and they need help, email him.    drrealakhigbe@gmail.com.    He also cure other diseases like: . HIV/ AIDS. JOINT PAIN, BREAST ENLARGEMENT. DIABETIES.  HERPES. AUTISM . NO PRIOD.  CHRONIC DISEASES. LUPUS . MALE AND FEMALE FERTILITY. WAST & BACK PAIN. CANCER . DISCHARGE FROM BREAST PAIN, BREAST INFECTION. PARKINSON DISEASES.  WOMEN SEXUAL PROBLEM.  VAGINAL INFECTION. IRREGULAR MENSTRATION , PAIN & ITCHING, TOXOPLASMOSIS,  . LOWER ABDOMINAL PAIN PAIN DURING SEX INSIDE THE PELVIC . PREMATURE EJACULATION.  PAIN DURING URINATION. PELVIC INFLAMATORY DISEASES , VAGINAL DISCHARGE. (PID). PULMONARY FIBROSIS, DRIPPING OF SPERM FROM THE VAGINAL AS WELL AS FOR LOW SPERM COUNT. DENGUE, TUBERCULOSIS. CIRRHOSIS .    ITCHING OF THE PRIVATE PART. ZERO SPERM COUNT.  ASTHMA.  . ,  EJACULATION. WEAK ERECTION. ERYSIPELAS, DISCHARGE FROM PENIS . HPV. QUICK EJACULATION. HEPATITIS A & B. STD. STAPHYLOCOCCUS + GONORRHEA + SYPHILIS. HEART DISEASE.  PILE-HEMORRHOID. HIGH BLOOD PRESSURE. RHIUMATISM, THYROID, PENIS ENLARGEMENT  .   For your cure email him now:   drrealakhigbe@gmail.com    or Contact his numbe:  +2349010754824.

Joel Golli mengatakan...

For years, I have read and seen the advertisements in the mass media about all of the penis enhancement pills and thought that they were all scams or gimmicks. All of the medical sites that I have visited stated that none of the herbal supplements would ever help increase the size of a penis. I got very depressed when I read this, because unfortunately I was not naturally blessed with a penis that was big enough to arouse my sexual partner or past partners. I am a man that is past my sexual primetime and my sexual performance has a lot to be desired. I decided to try Doctoc Akhigbe herbal medicine after all the reading and researching that I have done.I saw a testimony " Joe" about doctror Akhigbe Herbal Medicine Since there is a Money Back Guarantee, I give him a trial what did I have to lose? I couldn't believe the results I was seeing after drinking the Natural  Herbal Medicine  and Herbal Soap to be rubign my penis! he sent to me through DHL courier delivery service . Within about 2 weeks I had a noticeable increase in the girth of my penis. Then after a coupleof aditional week it started to grow in length and I was amazed and very excited.before I finish the drink and the soap my penis had grown an additional two inches. I've had a considerable improvement with my sex life and these pills are certainly worth every penny I spent on them! I want to thank Dr Akhigbe for the time and effort they have spent on helping people in my situation.I know many are out there who are suffering this problem and they need help, email him.    drrealakhigbe@gmail.com.    He also cure other diseases like: . HIV/ AIDS. JOINT PAIN, BREAST ENLARGEMENT. DIABETIES.  HERPES. AUTISM . NO PRIOD.  CHRONIC DISEASES. LUPUS . MALE AND FEMALE FERTILITY. WAST & BACK PAIN. CANCER . DISCHARGE FROM BREAST PAIN, BREAST INFECTION. PARKINSON DISEASES.  WOMEN SEXUAL PROBLEM.  VAGINAL INFECTION. IRREGULAR MENSTRATION , PAIN & ITCHING, TOXOPLASMOSIS,  . LOWER ABDOMINAL PAIN PAIN DURING SEX INSIDE THE PELVIC . PREMATURE EJACULATION.  PAIN DURING URINATION. PELVIC INFLAMATORY DISEASES , VAGINAL DISCHARGE. (PID). PULMONARY FIBROSIS, DRIPPING OF SPERM FROM THE VAGINAL AS WELL AS FOR LOW SPERM COUNT. DENGUE, TUBERCULOSIS. CIRRHOSIS .    ITCHING OF THE PRIVATE PART. ZERO SPERM COUNT.  ASTHMA.  . ,  EJACULATION. WEAK ERECTION. ERYSIPELAS, DISCHARGE FROM PENIS . HPV. QUICK EJACULATION. HEPATITIS A & B. STD. STAPHYLOCOCCUS + GONORRHEA + SYPHILIS. HEART DISEASE.  PILE-HEMORRHOID. HIGH BLOOD PRESSURE. RHIUMATISM, THYROID, PENIS ENLARGEMENT  .   For your cure email him now:   drrealakhigbe@gmail.com    or Contact his numbe:  +2349010754824.

Joel Golli mengatakan...

For years, I have read and seen the advertisements in the mass media about all of the penis enhancement pills and thought that they were all scams or gimmicks. All of the medical sites that I have visited stated that none of the herbal supplements would ever help increase the size of a penis. I got very depressed when I read this, because unfortunately I was not naturally blessed with a penis that was big enough to arouse my sexual partner or past partners. I am a man that is past my sexual primetime and my sexual performance has a lot to be desired. I decided to try Doctoc Akhigbe herbal medicine after all the reading and researching that I have done.I saw a testimony " Joe" about doctror Akhigbe Herbal Medicine Since there is a Money Back Guarantee, I give him a trial what did I have to lose? I couldn't believe the results I was seeing after drinking the Natural  Herbal Medicine  and Herbal Soap to be rubign my penis! he sent to me through DHL courier delivery service . Within about 2 weeks I had a noticeable increase in the girth of my penis. Then after a coupleof aditional week it started to grow in length and I was amazed and very excited.before I finish the drink and the soap my penis had grown an additional two inches. I've had a considerable improvement with my sex life and these pills are certainly worth every penny I spent on them! I want to thank Dr Akhigbe for the time and effort they have spent on helping people in my situation.I know many are out there who are suffering this problem and they need help, email him.    drrealakhigbe@gmail.com.    He also cure other diseases like: . HIV/ AIDS. JOINT PAIN, BREAST ENLARGEMENT. DIABETIES.  HERPES. AUTISM . NO PRIOD.  CHRONIC DISEASES. LUPUS . MALE AND FEMALE FERTILITY. WAST & BACK PAIN. CANCER . DISCHARGE FROM BREAST PAIN, BREAST INFECTION. PARKINSON DISEASES.  WOMEN SEXUAL PROBLEM.  VAGINAL INFECTION. IRREGULAR MENSTRATION , PAIN & ITCHING, TOXOPLASMOSIS,  . LOWER ABDOMINAL PAIN PAIN DURING SEX INSIDE THE PELVIC . PREMATURE EJACULATION.  PAIN DURING URINATION. PELVIC INFLAMATORY DISEASES , VAGINAL DISCHARGE. (PID). PULMONARY FIBROSIS, DRIPPING OF SPERM FROM THE VAGINAL AS WELL AS FOR LOW SPERM COUNT. DENGUE, TUBERCULOSIS. CIRRHOSIS .    ITCHING OF THE PRIVATE PART. ZERO SPERM COUNT.  ASTHMA.  . ,  EJACULATION. WEAK ERECTION. ERYSIPELAS, DISCHARGE FROM PENIS . HPV. QUICK EJACULATION. HEPATITIS A & B. STD. STAPHYLOCOCCUS + GONORRHEA + SYPHILIS. HEART DISEASE.  PILE-HEMORRHOID. HIGH BLOOD PRESSURE. RHIUMATISM, THYROID, PENIS ENLARGEMENT  .   For your cure email him now:   drrealakhigbe@gmail.com    or Contact his numbe:  +2349010754824.

Joel Golli mengatakan...

For years, I have read and seen the advertisements in the mass media about all of the penis enhancement pills and thought that they were all scams or gimmicks. All of the medical sites that I have visited stated that none of the herbal supplements would ever help increase the size of a penis. I got very depressed when I read this, because unfortunately I was not naturally blessed with a penis that was big enough to arouse my sexual partner or past partners. I am a man that is past my sexual primetime and my sexual performance has a lot to be desired. I decided to try Doctoc Akhigbe herbal medicine after all the reading and researching that I have done.I saw a testimony " Joe" about doctror Akhigbe Herbal Medicine Since there is a Money Back Guarantee, I give him a trial what did I have to lose? I couldn't believe the results I was seeing after drinking the Natural  Herbal Medicine  and Herbal Soap to be rubign my penis! he sent to me through DHL courier delivery service . Within about 2 weeks I had a noticeable increase in the girth of my penis. Then after a coupleof aditional week it started to grow in length and I was amazed and very excited.before I finish the drink and the soap my penis had grown an additional two inches. I've had a considerable improvement with my sex life and these pills are certainly worth every penny I spent on them! I want to thank Dr Akhigbe for the time and effort they have spent on helping people in my situation.I know many are out there who are suffering this problem and they need help, email him.    drrealakhigbe@gmail.com.    He also cure other diseases like: . HIV/ AIDS. JOINT PAIN, BREAST ENLARGEMENT. DIABETIES.  HERPES. AUTISM . NO PRIOD.  CHRONIC DISEASES. LUPUS . MALE AND FEMALE FERTILITY. WAST & BACK PAIN. CANCER . DISCHARGE FROM BREAST PAIN, BREAST INFECTION. PARKINSON DISEASES.  WOMEN SEXUAL PROBLEM.  VAGINAL INFECTION. IRREGULAR MENSTRATION , PAIN & ITCHING, TOXOPLASMOSIS,  . LOWER ABDOMINAL PAIN PAIN DURING SEX INSIDE THE PELVIC . PREMATURE EJACULATION.  PAIN DURING URINATION. PELVIC INFLAMATORY DISEASES , VAGINAL DISCHARGE. (PID). PULMONARY FIBROSIS, DRIPPING OF SPERM FROM THE VAGINAL AS WELL AS FOR LOW SPERM COUNT. DENGUE, TUBERCULOSIS. CIRRHOSIS .    ITCHING OF THE PRIVATE PART. ZERO SPERM COUNT.  ASTHMA.  . ,  EJACULATION. WEAK ERECTION. ERYSIPELAS, DISCHARGE FROM PENIS . HPV. QUICK EJACULATION. HEPATITIS A & B. STD. STAPHYLOCOCCUS + GONORRHEA + SYPHILIS. HEART DISEASE.  PILE-HEMORRHOID. HIGH BLOOD PRESSURE. RHIUMATISM, THYROID, PENIS ENLARGEMENT  .   For your cure email him now:   drrealakhigbe@gmail.com    or Contact his numbe:  +2349010754824.

Laurie Hughes mengatakan...

I really appreciate  DR AKHIGBE,my name is LAURIE HUGHES . I will never stop testifying DR AKHIGBE , Happiness is all i see now I never thought that I will be cured from HIV virus again. DR AKHIGBE did it for me I have been suffering from a deadly disease (HIV) for the past 2 years now, I had spent a lot of money going from one place to another, from churches to churches, hospitals have been my home every day residence. Constant checks up have been my hobby not until this faithful day,  I saw a testimony on how DR AKHIGBE helped someone in curing his HIV disease in internet quickly I copied his email which is drrealakhigbe@gmail.com just to give him a test I spoke to him, he asked me to do some certain things which I did, he told me that he is going to provide the herbal cure to me, which he did, then he asked me to go for medical checkup after some days, after using the herbal cure and i did, behold I was free from the deadly disease,till now no HIV in me again he only asked me to post the testimony through the whole world, faithfully am doing it now,all the testimony of DR AKHIGBE is true  please BROTHER and SISTER, MOTHER and FATHER he is great, I owe him in return. if you are having a similar problem just email him on drrealakhigbe@gmail.com or you can whats App his mobile number on +2349010754824  He can also cure these diseases like HIV and AIDS, BLADDER PAIN, DENGUE FEVER. HERPES,DIABETICS,CANCER, HEPATITIS A&B,CHRONIC DISEASES, HIGH BLOOD PRESURE, OBESITY,   ASTHMA, HEART DISEASES, EXTERNAL INFECTION, EPILEPSY, STROKE, MULTIPLE SCLEROSIS, NAUSEA,VOMITING OR DIARRHEA LUPUS,ECZEMA,BACK PAIN,JOINT PAIN, ERYSIPELAS, MALARIA,  BACTERIA , PULMONARY FIBROSIS. DIARRHEA,JAPANISE B ENCEPHALITIES, RABIE, BREAST INFECTION. CYSTIC FIBROSIS,  ETC .please email drrealakhigbe@gmail.com    or whats APP him  ..+2349010754824  he is a real good and honest man.  website...  https:drrealakhigbe.weebly.com

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Paul Delphine mengatakan...
Komentar ini telah dihapus oleh pengarang.
Sallow Villin mengatakan...

Hello Everyone out there,I am here to give my testimony about a Herbalist doctor who helped me . I was infected with HERPES VIRUS in 2012, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was in the river side thinking where I can go to get solution. so a lady walked to me telling me why am I so sad and i open up all to her telling her my problem, she told me that she can help me out, she introduce me to a doctor who uses herbal medication to cure HERPES VIRUS and gave me his email, so i mail him. He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after two weeks the HERPES VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him at {dradigba@gmail.com} or whatsapp him number: +2348077875210.Contact him today and you will have a testimony…Good luck!... DOCTOR ADIGBA CAN AS WELL CURE THE FOLLOWING DISEASE:-1. HIV/AIDS2. HERPES3. CANCER4. ALS5. Hepatitis6 Diabetes7 LOVE SPELL8 IF YOU NEED YOUR EX LOVER BACK TO LOVE YOU AGAIN.     

Paul Delphine mengatakan...
Komentar ini telah dihapus oleh pengarang.
Paul Delphine mengatakan...

I'm here to give my testimony how I was cured from HIV, I contacted my HIV via blade. A friend of my use blade to peel of her finger nails and drop it where she use it, so after she has left i did know what came unto me i looked at my nails, my nails were very long and I took the blade which she just used on her own nails to cut of my finger nails, as i was maintaining my names, i mistakenly injured myself. I did even bother about it, so when I got to the hospital the next week when i was ill the doctor told me that I am HIV positive, i wondered where did i got it from so i remembered how I use my friend blade to cut off my hand so i feel so sad in my heart to the extent that i don’t even know what to do, so one day i was passing through the internet i met a testimony of a lady that all talk about how she was cured by a doctor called DR Imoloa so i quickly emailed the doctor and he also replied to me and told me the requirements which i will provide and I do according to his command, he prepare a herbal medicine for me which I took. He message me the following week that i should go for a test which i did to my own surprise i found that i was HIV negative. He also have cured for all kinds of incurable diseases like: Huntington's disease, back acne, chronic kidney failure, Addison's disease, Chronic Disease, Crohn's Disease, Cystic Fibrosis, Fibromyalgia, Inflammatory Bowel Disease, Fungal Nail Disease, Paralysis, Celia Disease , Lymphoma, Major Depression, Malignant Melanoma, Mania, Melorheostosis, Meniere's Disease, Mucopolysaccharidosis, Multiple Sclerosis, Muscle Dystrophy, Rheumatoid Arthritis, Alzheimer Disease and so many. Thanks to him once more the great doctor that cured me dr. Imoloa so you can also email him via drimolaherbalmademedicine@gmail.com or what'sapp him on +2347081986098.. God Bless you Sir.

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Richard William mengatakan...

Am Richard, I am here to testify about a great herbalist  man who cured my wife of breast cancer. His name is Dr Imoloa. My wife went through this pain for 3 years, i almost spent all i had, until i saw some testimonies online on how Dr. Imoloa cure them from their diseases, immediately i contacted him through. then he told me the necessary things to do before he will send  the herbal medicine. Wish he did through DHL courier service, And he instructed us on how to apply or drink the medicine for good two weeks. and to greatest surprise before the upper third week my wife was relief from all the pains, Believe me, that was how my wife was cured from breast cancer by this great man. He also have powerful herbal medicine to cure diseases like: Alzheimer's disease, parkinson's disease, vaginal cancer, epilepsy Anxiety Disorders, Autoimmune Disease, Back Pain, Back Sprain, Bipolar Disorder, Brain Tumor, Malignant, Bruxism, Bulimia, Cervical Disc Disease, Cardiovascular Disease, Neoplasms , chronic respiratory disease, mental and behavioral disorder, Cystic Fibrosis, Hypertension, Diabetes, Asthma, Autoimmune inflammatory media arthritis ed. chronic kidney disease, inflammatory joint disease, impotence, alcohol spectrum feta, dysthymic disorder, eczema, tuberculosis, chronic fatigue syndrome, constipation, inflammatory bowel disease, lupus disease, mouth ulcer, mouth cancer, body pain, fever, hepatitis ABC, syphilis, diarrhea, HIV / AIDS, Huntington's disease, back acne, chronic kidney failure, addison's disease, chronic pain, Crohn's pain, cystic fibrosis, fibromyalgia, inflammatory Bowel disease, fungal nail disease, Lyme disease, Celia disease, Lymphoma, Major depression, Malignant melanoma, Mania, Melorheostosis, Meniere's disease, Mucopolysaccharidosis, Multiple sclerosis, Muscular dystrophy, Rheumatoid arthritis. You can reach him Email Via drimolaherbalmademedicine@gmail.com / whatsapp +2347081986098

Richard William mengatakan...

Am Richard, I am here to testify about a great herbalist  man who cured my wife of breast cancer. His name is Dr Imoloa. My wife went through this pain for 3 years, i almost spent all i had, until i saw some testimonies online on how Dr. Imoloa cure them from their diseases, immediately i contacted him through. then he told me the necessary things to do before he will send  the herbal medicine. Wish he did through DHL courier service, And he instructed us on how to apply or drink the medicine for good two weeks. and to greatest surprise before the upper third week my wife was relief from all the pains, Believe me, that was how my wife was cured from breast cancer by this great man. He also have powerful herbal medicine to cure diseases like: Alzheimer's disease, parkinson's disease, vaginal cancer, epilepsy Anxiety Disorders, Autoimmune Disease, Back Pain, Back Sprain, Bipolar Disorder, Brain Tumor, Malignant, Bruxism, Bulimia, Cervical Disc Disease, Cardiovascular Disease, Neoplasms , chronic respiratory disease, mental and behavioral disorder, Cystic Fibrosis, Hypertension, Diabetes, Asthma, Autoimmune inflammatory media arthritis ed. chronic kidney disease, inflammatory joint disease, impotence, alcohol spectrum feta, dysthymic disorder, eczema, tuberculosis, chronic fatigue syndrome, constipation, inflammatory bowel disease, lupus disease, mouth ulcer, mouth cancer, body pain, fever, hepatitis ABC, syphilis, diarrhea, HIV / AIDS, Huntington's disease, back acne, chronic kidney failure, addison's disease, chronic pain, Crohn's pain, cystic fibrosis, fibromyalgia, inflammatory Bowel disease, fungal nail disease, Lyme disease, Celia disease, Lymphoma, Major depression, Malignant melanoma, Mania, Melorheostosis, Meniere's disease, Mucopolysaccharidosis, Multiple sclerosis, Muscular dystrophy, Rheumatoid arthritis. You can reach him Email Via drimolaherbalmademedicine@gmail.com / whatsapp +2347081986098

Unknown mengatakan...

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Clara david mengatakan...

WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to search for cancer cure so that was how I found a lady called Peter Lizzy. She was testifying  to the world about the goodness of a herbal man who has the roots and herbs to cure all kinds of disease and the herbal man's email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister's help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com 

jolene gilman mengatakan...

My health was horrible before I decided to try the Protocol Of taking Dr Ebhota herbal mixture. I felt there was no hope for my health and I was doubtful to try the Protocol thinking it wouldn’t work because I have visited so many hospital but same result. However, I was convinced by my friend to try the herbal medicine because I wanted to get rid of HPV/WART. The herbal mixture that was given to me was really quick and easy to take, and since I have be taking it for less than 3 days I have less outbreak. But within one week i was fully cured from WART/HPV. The herbal medicine really work and I will like to share this great herb doctor contact with you all email him drebhotasolution@gmail.com or whatsapp +2348089535482. Pls try and help yourself out of warts completely today. he also c My health was horrible before I decided to try the Protocol Of taking Dr Ebhota herbal mixture. I felt there was no hope for my health and I was doubtful to try the Protocol thinking it wouldn’t work because I have visited so many hospital but same result. However, I was convinced by my friend to try the herbal medicine because I wanted to get rid of HPV/WART. The herbal mixture that was given to me was really quick and easy to take, and since I have be taking it for less than 3 days I have less outbreak. But within one week i was fully cured from WART/HPV. The herbal medicine really work and I will like to share this great herb doctor contact with you all email him drebhotasolution@gmail.com o r whatsapp +2348089535482. Pls try and help yourself out of warts completely today. he ure DIABETIES ULCAL CANCER etc.He also told me that he has solution for the flowing.1 Cancer cure2 Diabetes cure3 Ringing ear4 Herpes cure5 Warts cure6 HPV cure7 Get your ex back8 Pregnancy herbal medicine9 Prostate enlargement10 Hepatitis B11 Disability12 Kidney problem Etc.

Anita Lawson mengatakan...

It’s obvious some patients with herpes are being enslaved to the antiviral and other supplementary Orthodox medicine just to help suppress the virus and not a cure. I have been with the virus since 2015 until I was introduced by a blogger who also narrated her story online on how she was cured of Genital Herpes after using Dr Sikies Herbal Medicine. This is a year and 2 weeks since I was delivered from genital Herpes. All thanks to God for using this Great herbalist to heal me. I have promised to keep telling good things about Dr Sikies. Please feel free to share Your problems with him and don’t forget to tell him I did refer you to Him. Thanks. Write him on mail Drsikies@gmail.com He deals with Alzheimer virus, Cancer, HIV, Herpes, Genital, warts, ALS, BV, UTI, Virginal infection, Genital, Wart, HPV, Hepatitis A/B, Good luck, HSV, Pregnancy, Ex back.  

here is his website:https://drsikiesherbalcure.weebly.com 

you can reach me via mail:anitalawson515@gmail.com

Jeanne Gabriel mengatakan...

Great Dr. imoloa herbal medicine is the perfect cure for the HIV virus, I was diagnosed of HIV for 8 years, and every day I always looking for research to find the perfect way to get rid of this terrible disease because I always know that what we need because our health is on earth . So, on my internet search I saw several testimonies about how Dr. imoloa can cure HIV with powerful herbal medicines. I decided to contact this man, I contacted him for herbal medicines that I received via DHL courier service. And he guided me how. I asked him for a solution to take herbal medicine for two weeks. And then he instructed me to go check what I was doing. Look at me (HIV NEGATIVE). Thank God for Dr. Imoloa for using a powerful herbal remedy to cure me. he also has a cure for diseases such as Parkison's disease, vaginal cancer, epilepsy, anxiety disorders, autoimmune diseases, back pain, sprains, bipolar disorder, brain tumors, malignant, bruxism, bulimia, cervical disc disease, cardiovascular disease, cardiovascular disease, sprains, bipolar disorder, brain tumors, malignant, bruxism, bulimia, cervical disc disease, cardiovascular disease, cardiovascular disease, sprains, bipolar disorder, brain tumors, malignant, bruxism, bulimia, cervical disc disease, cardiovascular disease , chronic respiratory diseases, mental and behavioral disorders, Cystic Fibrosis, Hypertension, Diabetes, asthma, autoimmune mediated arthritis. Chronic kidney disease, arthritis, back pain, impotence, feta alcohol spectrum, Dysthymic Disorders, Eczema, skin cancer, tuberculosis, Chronic Fatigue Syndrome, constipation, inflammatory bowel disease, bone cancer, lung cancer, mouth sores, oral cancer, body pain, fever, hepatitis ABC, syphilis, diarrhea, Huntington's disease, back acne, chronic kidney failure, Addison's disease, Chronic Disease, Crohn's Disease, Cystic Fibrosis, Fibromyalgia, Inflammatory Bowel Disease, Fungal Nail Disease, Paralysis, Celia Disease , Lymphoma, Major Depression, Malignant Melanoma, Mania, Melorheostosis, Meniere's Disease, Mucopolysaccharidosis, Multiple Sclerosis, Muscle Dystrophy, Rheumatoid Arthritis, Alzheimer's Disease email- drimolaherbalmademedicine@gmail.com / or {whatssapp..+2347081986098} website- www.drimolaherbalmademedicine.wordpress.com

Lilian Wale mengatakan...

There are some natural remedies that can be used in the prevention and eliminate diabetes totally. However, the single most important aspect of a diabetes control plan is adopting a wholesome lifestyle Inner Peace, Nutritious and Healthy Diet, and Regular Physical Exercise. A state of inner peace and self-contentment is essential to enjoying a good physical health and overall well-being. The inner peace and self contentment is a just a state of mind.People with diabetes diseases often use complementary and alternative medicine. I diagnosed diabetes in 2010. Was at work feeling unusually tired and sleepy. I borrowed a cyclometer from a co-worker and tested at 760. Went immediately to my doctor and he gave me prescriptions like: Insulin ,Sulfonamides,Thiazolidinediones but Could not get the cure rather to reduce the pain but bring back the pain again. i found a woman testimony name Comfort online how Dr Akhigbe cure her HIV  and I also contacted the doctor and after I took his medication as instructed, I am now completely free from diabetes by doctor Akhigbe herbal medicine.So diabetes patients reading this testimony to contact his email     drrealakhigbe@gmail.com   or his Number   +2348142454860   He also use his herbal herbs to diseases like:SPIDER BITE, SCHIZOPHRENIA, LUPUS,EXTERNAL INFECTION, COMMON COLD, JOINT PAIN, EPILEPSY,STROKE,TUBERCULOSIS ,STOMACH DISEASE. ECZEMA, GOUT, PROGENITOR, EATING DISORDER, LOWER RESPIRATORY INFECTION,  DIABETICS,HERPES,HIV/AIDS, ;ALS,  CANCER , MENINGITIS,HEPATITIS A AND B,ASTHMA, HEART DISEASE, CHRONIC DISEASE. NAUSEA VOMITING OR DIARRHEA,KIDNEY DISEASE. HEARING  LOSSDr Akhigbe is a good man and he heal anybody that comes to him. here is email    drrealakhigbe@gmail.com    and his Number +2349010754824

clifford john mengatakan...

My name is Clifford John from USA taxes, I want to share a testimony of how Dr_Ogodo1 herbal mixture cream saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can't make love to my wife and my penis was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i can't even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr_Ogodo1 herbal mixture cream have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than one week of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is now 8 inches and i do not have week erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed.
* He can also bring back your Ex
*Love spell
* Herpes virus diseases
*Diabetes
*Aid virus
*STD/HSV
*Cancer/typhoid E.t.c you contact him through the mail. Ogodoherbalhomesolution@gmail.com
You can also WhatsApp him on +2349044680467

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