Student Nurses’ Community

NURSING CARE PLAN – Fracture

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
SUBJECTIVE: Impaired A fracture is a After 8 hours of Independent: After 8 hours of
physical break in the nursing • Assess degree of • Patient may be nursing
“Nadulas ako sa mobility related continuity of bone. intervention the mobility produced restricted by self- intervention the
hagdan, hindi to A fracture occurs patient will by injury or view or self- patient 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 impairment. is greater than the highest possible perception of actual physical highest possible
can’t walk) as bone can absorb. level. immobility. limitations level.
verbalize by the The stress may requiring
patient be mechanical interventions to
(trauma) or promote progress
related to a toward wellness.
OBJECTIVE: disease process • Encourage • Provides
(pathologic). participation on opportunity for
• Limited Muscles, blood diversional or release of energy,
range of vessels, nerves, recreational refocuses
motion tendons, joints, activities. 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.
problems • Instruct patient in • Increases blood
• V/S taken as associated with assisting in active flow to muscle
follows immobility or passive range of and bone to
(muscle atrophy, motion exercises of improve muscle
T: 37.1 ˚C joint contracture, affected and tone, maintain
P: 82 pressure sores), unaffected joint mobility;
R: 18 growth problems ( extremities. prevent
BP: 120/ 100 in children), contractures or
infection, shock, atrophy and
venous stasis and calcium resorption
thromboembolism from disease.
, pulmonary
• Provide footboard. • Useful in
emboli and fat
maintaining
emboli, and bone
Student Nurses’ Community

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.
• Reposition • Prevents or
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.