NURSING CARE PLAN

ASSESSMENT



SUBJECTIVE :

Nag angkas ko og
motor kusog kai
ang padagan sa
driver nakabangga
me sapok dili ko
maka tindug kai
sakit kai akong
wala na tiil.



OBJECTIVE :

-Limited range of
motion
-decreased muscle
strength
-inability to move
purposefully
-V/S taken as follow
T-37.1c
P-83 bpm
R-20 bpm
BP-110/70
NURSING
DIAGNOSIS





*Impaired Physical
mobility,inability to
stand alone realated
to skeletal
impairment to
fracture close of
M/3
rd
femur, left .



SCIENTIFICT BASIS:

-Fractures occur
when the bone is
subjected to stress
Greater that it can
absorb. when the
bone is broken
adjacent structures
that also affected
resulting in soft
tissue edema
hemorrhage
Into the muscles and
joints dislocation ,
NURSING GOAL





At the end of 8 hours
Of nursing intervention
or holistic nursing care
the patient will be able
to:

1. Demonstrate
increasing
function of the
extremities.
2. Enhance blood
circulation.
3. To produce risk
factors and
protect self from
injury.
4. Regain or
maintain
mobility
At the highest
possible level.
NURSING
INTERVENTION


Independent :

Assess degree
of mobility
produce by
injury or
treatment and
note patient
perception of
immobility.
Encourage
participation
on diversional
or
recreational
activities.
Instruct
patient in
assisting in
active or
passive range
of motion
exercises of
the effected
and
unaffected
extremities.
Reposition
RATIONALE





-self perception out
proposition with
action physical
limitation requiring
intervention to
promote progress
toward wellness.

-provide
opportunity to
release of energy
refocuses attention
enhance pattern
self control or self
worth and aid in
reducing social
isolation .
-increased blood
flow to muscles and
bone to improve
muscles movement
maintain joint
mobility prevent
contractures or
atrophy and
calcium restoration
ACTUAL
EVALUATION




After 8hours nursing
student patient
interaction ,the patient
has:

Verbalize
understanding
of the
situational and
individual
treatment
regimen and
safety
measures.
Maintained
and increased
strength and
function of
affected part.
Acquire
ruptured
tendon,servered
Nerve and damage
blood vessels
fracture, the
extremities cannot
function properly
because normal
function of muscle
depend on the
integrity of the bone
which they are
attached.


periodically
and
encourage
coughing or
deep
breathing
exercises.
Encourage
increased fluid
intake



COLLABORATIVE :
>refer to a therapist
as indicated.

Measures to:

*promote adequate
mobility of the 5.0 to
keep side rails up or
raised. Assist patient
to do active ROM
exercise on the lower
extremities.







from disease.








-keep the body well
hydrated,
decreasing the risk
of urinary infection,
stone formation
and constipation.


-improve muscle
strength and
circulation
enhances patient
control situation,
and provide self
directed wellness.
- prevent reduce
incidence of falling
to sudden
movement.
-to improve muscle
strength and joint
mobility .