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  • MAHILOM NCP Risk For Fall

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    kasandra dawn Beriso
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    The document outlines nursing cues, scientific basis, objectives, implementation, rationale, and evaluation for a patient with impaired physical activity related to pain from a left femur pathologic fracture and soft tissue sarcoma. The nursing interventions are aimed at increasing the patient's strength, range of motion, and mobility over 4-6 hours through activities like assisted ambulation and range of motion exercises to relieve pain and prevent debilitation from immobility. The goals are to improve physical function and reduce pain through both independent and dependent nursing interventions.

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    MAHILOM NCP risk for fall

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    The document outlines nursing cues, scientific basis, objectives, implementation, rationale, and evaluation for a patient with impaired physical activity related to pain from a left femur pathologic fracture and soft tissue sarcoma. The nursing interventions are aimed at increasing the patient's strength, range of motion, and mobility over 4-6 hours through activities like assisted ambulation and range of motion exercises to relieve pain and prevent debilitation from immobility. The goals are to improve physical function and reduce pain through both independent and dependent nursing interventions.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    112 views2 pages

    MAHILOM NCP Risk For Fall

    Uploaded by

    kasandra dawn Beriso
    The document outlines nursing cues, scientific basis, objectives, implementation, rationale, and evaluation for a patient with impaired physical activity related to pain from a left femur pathologic fracture and soft tissue sarcoma. The nursing interventions are aimed at increasing the patient's strength, range of motion, and mobility over 4-6 hours through activities like assisted ambulation and range of motion exercises to relieve pain and prevent debilitation from immobility. The goals are to improve physical function and reduce pain through both independent and dependent nursing interventions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 2

    NURSING

    CUES SCIENTIFIC BASIS OBJECTIVES IMPLEMENTATION RATIONALE EVALUATION


    DIAGNOSIS

    SUBJECTIVE: Impaired Tissue sarcoma can Short Term: Independent: Independent: Short Term:
    “Diri ako gud physical cause pain for various After 4-6 hours of 1. Assess degree of 1. Patient may be After 4-6 hours of
    masyado nag- activity related reasons and can nursing interventions immobility produced by restricted by self- nursing interventions
    giginios kay pain cause discomfort the patient will be able injury/treatment and note view/self-perception the patient was able
    nasakit iton secondary to which may lead to to: patient’s perception of out of proportion with to:
    akon bug-os left femur patient’s limited range immobility. actual physical
     Increase strength  Increase
    nga tiil ha wala pathologic of motion, slowed
    and function of limitations, requiring strength and
    ngan naabot it fracture and movements, and information/interventi
    soft tissue reluctance to attempt affected body part function of
    sakit ha iba ons to promote affected body
    sarcoma as movement hence the  Improve range of
    nga parte hit progress toward part
    motion of the
    akon lawas,” as evidenced by impaired physical wellness.
    limited range activity. Common affected body  Improve range
    verbalized by
    of motion of causes of pain in parts 2. Encourage participation in of motion of the
    the client. 2. Provides opportunity
    hips and legs, cancer patients by diversional/recreational affected body
    for release of energy,
    slowed tumor are: activities. Maintain parts
    refocuses attention,
    movements, stimulating environment,
     Release of pain- enhances patient’s
    OBJECTIVE: and reluctance e.g., radio, TV,
    causing substances sense of GOALS WERE MET
    to attempt newspapers, personal
     Limited hip produced by the self-control/self-
    movement. possessions/pictures,
    and legs tumor or by the worth, and aids in
    clock, calendar, visits from
    range of immune system in reducing social
    family/friends.
    motion response to the isolation.
     Slowed presence of tumor
    movement  Invasion of tumor in 3. Assist with
     Reluctance to bones, nerves, activity/progressive
    pleura/peritoneum, ambulation 3. Until healing occurs,
    attempt
    viscera, blood activity is limited and
    movement
    vessels, mucous advanced slowly
    membranes and soft according to
    4. Encourage and facilitate
    tissue. early ambulation and other individual tolerance.
    ADLs when possible.
    Assist with each initial 4. The longer the patient
    Reference: change: dangling, sitting in remains immobile the
    Johnson, Gross. chair, ambulation. greater the level of
    1998. Handbook of debilitation that will
    Oncology. p. 306-307. occur.

    5. Provide patient with ample


    time to perform mobility
    related task.

    5. To promote optimal
    Dependent:
    level of function.
    1. Administer analgesic
    medication such as
    Paracetamol and
    Dependent:
    Celecoxib as prescribed by
    the physician. 1. To relieve mild or
    moderate pain.

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