The document outlines an assessment, diagnosis, analysis, and plan of care for a client who sustained fractures to their leg and hip after being hit by a scooter. The client presents with impaired mobility and is placed in balanced skeletal traction. The nursing care plan involves interventions over 8 hours to regain and maintain mobility through range of motion exercises, self-care activities, and reducing risks of complications like skin breakdown through repositioning and respiratory issues. Progress will be evaluated after the 8 hour nursing intervention period.
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The document outlines an assessment, diagnosis, analysis, and plan of care for a client who sustained fractures to their leg and hip after being hit by a scooter. The client presents with impaired mobility and is placed in balanced skeletal traction. The nursing care plan involves interventions over 8 hours to regain and maintain mobility through range of motion exercises, self-care activities, and reducing risks of complications like skin breakdown through repositioning and respiratory issues. Progress will be evaluated after the 8 hour nursing intervention period.
The document outlines an assessment, diagnosis, analysis, and plan of care for a client who sustained fractures to their leg and hip after being hit by a scooter. The client presents with impaired mobility and is placed in balanced skeletal traction. The nursing care plan involves interventions over 8 hours to regain and maintain mobility through range of motion exercises, self-care activities, and reducing risks of complications like skin breakdown through repositioning and respiratory issues. Progress will be evaluated after the 8 hour nursing intervention period.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online from Scribd
The document outlines an assessment, diagnosis, analysis, and plan of care for a client who sustained fractures to their leg and hip after being hit by a scooter. The client presents with impaired mobility and is placed in balanced skeletal traction. The nursing care plan involves interventions over 8 hours to regain and maintain mobility through range of motion exercises, self-care activities, and reducing risks of complications like skin breakdown through repositioning and respiratory issues. Progress will be evaluated after the 8 hour nursing intervention period.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online from Scribd
Subjective: Impaired physical A fracture is a After 8 hours of After 8 hours of
mobility related to break in the nursing nursing “Wala po ako nun masculoskeletal continuity of intervention the intervention the sa bahay, impairment, bone. patient will client nabundol po ako presence of A fracture occurs regain or maintain ___ was able ng scooter, tapos balanced skeletal when the stress mobility at the ___was not able nung dahin po nila traction and placed on a bone highest possible to regain or ako dito sa ospital prescribed is greater than the level. maintain mobility may bali daw po movement bone can absorb. at the highest ung binti at hita restrictions as The stress may Independent possible level. ko sabi nung manifested by be mechanical doctor, limited range of (trauma) or ·Client will be able · Assess degree of · Patient may be inoperahan po motions. related to a to verbalize mobility produced restricted by self ako, nilagyan daw disease process understanding of by injury or view or self ng bakal ung (pathologic). the situation. treatment and perception buto.” Muscles, blood note patient’s out of vessels, nerves, perception of proportion with Objective: tendons, joints, immobility. actual physical and body organs limitations · Client is with may be injured requiring balanced skeletal when fracture interventions to traction. occurs. promote progress Complications of toward wellness. Vital Signs: fractures include problems ·Client will be able · Encourage · Provides T:37.3 ˚C associated with to verbalize other participation on opportunity for R:30 cpm immobility diversional and diversional or release of energy, P:82 bpm (muscle atrophy, recreational recreational refocuses joint contracture, activities she can activities. attention, pressure sores), engage in . enhances growth problems ( patient’s self in children), control or self infection, shock, worth and aids in venous stasis and reducing social thromboembolism isolation. , pulmonary emboli and fat emboli, and bone ·Client will be · Instruct patient · Increases blood union problems. able to perform in performing flow to muscle active and passive active or passive and bone to range of motions. range of motion improve muscle exercises of tone, maintain affected and joint mobility; unaffected prevent extremities. contractures or atrophy and calcium resorption from disease.
Client will be able · Assist with or · Improve
to perform self encourage self muscle care activities. care activities. strength and circulation, enhances patient control in situation, and promotes selfdirected wellness.
Client risk for skin · Reposition · Prevents or
and respiratory periodically and reduces incidence complications will encourage of skin and be lessened. coughing or deep respiratory breathing complication. exercises.
Client risk urinary · Encourage · Keeps the body
infection and increased fluid well hydrated, constipation will intake to 2000- decreasing the be lessened. 3000 mL/day risk of urinary (within cardiac infection, stone tolerance), formation, and including acid/ash constipation. juices. Nursing Care Plan