NURSING CARE PLAN - Fracture

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NURSING CARE PLAN – Fracture

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION


SUBJECTIVE: Impaired A fracture is a break After 8 hours of Independent: After 8 hours of
physical in the continuity of nursing  Assess degree of  Patient may be nursing intervention
“Nadulas ako sa mobility related bone. A fracture intervention the mobility produced restricted by self- the patient was able
hagdan, hindi ako to occurs when the patient will by injury or view or self- to regain or maintain
makalakad” (I neuromuscular stress placed on a regain or maintain treatment and note perception out of mobility at the
slipped down the skeletal bone is greater than mobility at the patient’s perception proportion with highest possible
stairs and now I impairment. the bone can absorb. highest possible level.
of immobility. actual physical
can’t walk) as
The stress may be level. limitations
verbalize by the mechanical (trauma) requiring
patient or related to a interventions to
disease process promote progress
(pathologic). toward wellness.
OBJECTIVE: Muscles, blood  Encourage  Provides
vessels, nerves, participation on opportunity for
 Limited diversional or
tendons, joints, release of energy,
range of and body organs recreational refocuses attention,
motion may be injured activities.
 Decreased enhances patient’s
when fracture self control or self
muscle occurs. worth and aids in
strength Complications of reducing social
 Inability to fractures include isolation.
move problems associated
purposefully  Increases blood
with immobility flow to muscle and
(muscle atrophy,  Instruct patient in bone to improve
 V/S taken as joint contracture, assisting in active or muscle tone,
follows pressure sores), passive range of maintain joint
growth problems ( motion exercises of mobility; prevent
T: 37.1 ˚C in children), affected and contractures or
P: 82 infection, shock, unaffected atrophy and calcium
R: 18 venous stasis and extremities. resorption from
BP: 120/ 100 thromboembolism disease.
, pulmonary  Useful in
emboli and fat maintaining
emboli, and bone
 Provide footboard.
union problems. functional position
of extremities,
preventing
complication.
 Assist with or  Improve muscle
encourage self- strength and
care activities. circulation,
enhances patient
control in situation,
and promotes self-
directed wellness.
 Prevents or
 Reposition
periodically and reduces incidence
encourage of skin and
coughing or deep respiratory
breathing complication.
exercises.
 Encourage  Keeps the body
increased fluid well hydrated,
intake to 2000- decreasing the
3000 mL/day risk of urinary
(within cardiac infection, stone
tolerance), formation, and
including acid/ash constipation.
juices.
Collaborative:
 Refer to a therapist  Done to promote
as indicated. bowel evacuation.

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