________________________________
Intervention Rationale Evaluation
1. Maintain neutral positioning of hip. 1. _Prevents stress at the site of________________________________
1. _Client engages in therapeutic
fixation_ positioning.
2. Instruct and assist in position 2. Encourages client's active 2. Assist in position changes; shows
changes participation_ increased
And transfers.___________________ While preventing stress on hip Independence in transfers.______
fixation._
3. Instruct in and supervise 3. Strengthen muscles needed for 3. Exercises every 2 hours while
isometric,_ walking. awake._
Quadriceps-setting, and gluteal- __________________________________ __________________________________
setting
Exercises._______________________ _________________________________ ________________________________
4. Place pillow between legs when 4. Supports leg; prevents 4. Uses pillow between legs when
turning._ adduction.__ turning.__
5. Encourage use of 5. Strengthens shoulder and arm 5. Uses trapeze_-
trapeze._________ muscles_ ______________________
________________________________ Necessary for use of ambulatory __________________________________
Credits: MBancroft, JAdams, AMaradiaga ` 12/13/2010
Nursing Plan of Care Concept Map
Student Name: __David Ngo_________ Unique Patient Identifier:__501042111____Date
of Care: 04/26/2011_
aids._ _
6. _Offer encouragement and support 6. Reconditioning exercises can be 6 . Actively participates in exercise
__ ____ regimen_
Exercise Uncomfortable and fatiguing; __________________________________
regimen.______________________ encourage-_
Ment helps patient comply with the
program