Nursing Care Plan

Assessment Nursing Diagnosis Inference Planning Nursing Rationale Evaluation

Intervention
Subjective: Impaired physical Trauma After hrs of  Determine  To identify After hrs of
“ hindi ko mobility related to nursing diagnosis that contributing nursing
maigalaw ang paa loss integrity of Fracture of the left intervention the contributes to factors intervention the
ko” as verbalized bone structures foot patient will: immobility goal was met and
by the patient the patient has
Bleeding from -Verbalize  Note situations  Note situations
damaged ends of understanding of such as such as -verbalize
Objective: bone and the situation and fractures fractures understanding of
surrounding tissue individual the situation and
-Limited range of treatment regimen individual
motion Stimulates and safety  Determine the  To assess treatment regimen
inflammatory degree of functional and safety
- Slowed response - Participate in immobility mobility
movement Adls - participate in adls
Increased capillary  Determine the  To assess
-Limited ability to permeability - Maintain position complications presence of - maintain position
perform gross and of function and reltated to complications of function and
fine motor Fluid and cellular skin integrity immobility skin integrity
exudation
-With cast on left -Maintain increase  Assist the  To promote -maintain increase
foot Pain strength and client to optimum level strength and
function of affected reposition self of function function of affected
Impaired physical part part
mobility
 Support the  To prevent
patient affected complication
body part using
pillows

 Encourage  To promote
client to well being and
adequate fluid maximize
intake and eat energy
nutritious food production