Student Nurses Community

NURSING CARE PLAN Fracture

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
SUBJECTIVE: Impaired
physical
A fracture is a
break in the
After 8 hours of
nursing
Independent:
· Assess degree of · Patient may be
After 8 hours of
nursing
Nadulas ako sa mobility related continuity of bone. intervention the mobility pro
duced restricted by self-intervention the
hagdan, hindi to A fracture occurs patient will by injury or view or self-patien
t was able to
ako makalakad neuromuscular when the stress regain or maintain treatment and note
perception out of regain or maintain
(I slipped down the skeletal placed on a bone mobility at the patient s proportion
with mobility at the
stairs and now I
can t walk) as
verbalize by the
patient
impairment. is greater than the
bone can absorb.
The stress may
be mechanical
highest possible
level.
perception of
immobility.
actual physical
limitations
requiring
interventions to
highest possible
level.
(trauma) or promote progress
OBJECTIVE:
related to a
disease process · Encourage
toward wellness.
· Provides
· Limited
range of
motion
(pathologic).
Muscles, blood
vessels, nerves,
tendons, joints,
participation on
diversional or
recreational
activities.
opportunity for
release of energy,
refocuses
attention,
· Decreased and body organs enhances
muscle may be injured patient s self
strength when fracture control or self
· Inability to occurs. worth and aids in
move Complications of reducing social
purposefully fractures include isolation.
· V/S taken as
follows
T: 37.1 °C
P: 82
R: 18
BP: 120/ 100
problems
associated with
immobility
(muscle atrophy,
joint contracture,
pressure sores),
growth problems (
in children),
infection, shock,
venous stasis and
thromboembolism
, pulmonary
emboli and fat
emboli, and bone
· Instruct patient in
assisting in active
or passive range of
motion exercises of
affected and
unaffected
extremities.
· Provide footboard.
· Increases blood
flow to muscle
and bone to
improve muscle
tone, maintain
joint mobility;
prevent
contractures or
atrophy and
calcium resorption
from disease.
· Useful in
maintaining
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union problems.
· Assist with or
encourage self-
care activities.
· Reposition
periodically and
encourage
coughing or deep
breathing
exercises.
· Encourage
increased fluid
intake to 20003000
mL/day
(within cardiac
tolerance),
including acid/ash
juices.
functional position
of extremities,
preventing
complication.
· Improve muscle
strength and
circulation,
enhances patient
control in
situation, and
promotes self-
directed wellness.
· Prevents or
reduces incidence
of skin and
respiratory
complication.
· Keeps the body
well hydrated,
decreasing the
risk of urinary
infection, stone
formation, and
constipation.
Collaborative:
· Refer to a therapist
as indicated.
· Done to promote
bowel evacuation.