Student Nurses’ Community

NURSING CARE PLAN – Fracture

ASSESSMENT DIAGNOSIS INFERENCE
SUBJECTIVE: Impaired physical A fracture is a break in the
mobility related to continuity of bone. A fracture
“Nadulas ako sa hagdan, neuromuscular skeletal occurs when the stress
hindi ako makalakad” (I impairment. placed on a bone is greater
slipped down the stairs and now I than the bone can absorb.
can’t walk) as verbalize by the The stress may be
patient mechanical (trauma) or
related to a disease process
(pathologic). Muscles, blood
OBJECTIVE: vessels, nerves, tendons,
joints, and body organs may
• Limited range of motion be injured when fracture
• Decreased muscle occurs. Complications of
strength fractures include problems
• Inability to move associated with immobility
purposefully (muscle atrophy, joint
contracture, pressure sores),
• V/S taken as follows growth problems ( in
children), infection, shock,
T: 37.1 ˚C venous stasis and
P: 82 thromboembolism,
R: 18 pulmonary emboli and fat
BP: 120/ 100 emboli, and bone union
problems.
PLANNING
After 8 hours of nursing
intervention the patient will
regain or maintain mobility
at the highest possible level.
INTERVENTION
Independent:
• Assess degree of mobility
produced by injury or
treatment and note patient’s
perception of immobility.
• Encourage participation on
diversional or recreational
activities.
• Instruct patient in assisting in
active or passive range of
motion exercises of affected
and unaffected extremities.
• Provide footboard.
• Assist with or encourage self-
care activities.
RATIONALE EVALUATION
After 8 hours of nursing
• Patient may be restricted by intervention the patient was
self-view or self-perception able to
out of proportion with actual regain or maintain mobility at
the highest possible level.
physical limitations requiring
interventions to promote
progress toward wellness.
• Provides opportunity for
release of energy, refocuses
attention, enhances patient’s
self control or self worth and
aids in reducing social
isolation.
• Increases blood flow to
muscle and bone to improve
muscle tone, maintain joint
mobility; prevent
contractures or atrophy and
calcium resorption from
disease.
• Useful in maintaining
functional position of
extremities, preventing
complication.
• Improve muscle strength and
circulation, enhances patient
control in situation, and
promotes self-directed
wellness.
• Prevents or reduces
incidence of skin and
respiratory complication.
• Keeps the body well
hydrated, decreasing the risk
of urinary infection, stone
formation, and constipation.

• Reposition periodically and

encourage coughing or deep • Done to promote bowel
breathing exercises. evacuation.
• Encourage increased fluid
intake to 2000-3000 mL/day
(within cardiac tolerance),
including acid/ash juices.

Collaborative:
• Refer to a therapist as
indicated.