NURSING CARE PLAN FORMAT

Name:_________________________________ Medical Diagnosis: OSTEOPOROSIS Date: _________________

Nursing Assessment Nursing Interventions
Subjective Objective Interventions Rationale
cc of back pain with Hunched posture 1. Consider the 10 rights of a patient. to ensure the ethical treatment of
the pain scale of Height loss persons receiving medical or other
10/10 professional health care services.
Guarding behavior 3. Obtain patient’s assessment of pain To obtain subjective data about the pain
Facial grimace to include location, characteristics, and that the patient feels and rule out
intensity/quality, frequency, and underlying condition/ development of
aggravating factors complications.
Pain upon moving 5. Administer medication therapies as To aide faster healing.
Can’t sit or stand prescribed.
without assistance.
Nursing Diagnosis 7. Monitor VS and skin color Which are usually altered in acute pain and
Acute pain to obtain baseline data.
Problem
9. Advise patient to move the trunk as a To minimize back pain and prevent further
Related to vertebral unit and avoid twisting. injury of the affected back.
Related
compression on spinal
factor
nerve, muscles, and ligaments 11. Assist patient to turn to sides every 2 To prevent patient from having pressure
As evidenced by verbal reports, hours. ulcers.
Defining guarding
characteri or distraction behaviors. 13. Encourage patient to have bed rest To provide comfort and decrease pain.
stics and provide a comfortable linen and a
firm and non-sagging mattress.
Nursing Inference 15. Encourage patient to perform To distract attention from pain and reduce
Osteoporosis is a disease of bone that can lead relaxing activities/exercise such as deep tension.
to an increased risk of fracture. When there’s a breathing exercises.
higher breakdown of bone in comparison to the formation of 17. Encourage patient to take adequate Calcium and phosphorus and vit. D are
new bone which results in porous bones, meaning a balanced diet, rich in calcium, phosphorus essential for bone formation and increases
decrease in bone density to the point of potential fracture. and vit. D (e.g. milk, salmon, sardines, the bone density and mass.
Therefore, the bones in the spine weaken and shatter which
egg, liver).
 18. Encourage increase fluid intake
causes back pain, height loss and hunched posture. To keep the body well hydrated and to
2000-3000 ml/day within cardiac decrease risk of constipation.
tolerance.
After 8 hours of nursing interventions, the patient will verbalize absence or control of pain, from pain scale of
Nursing Plan/Goal 10/10 to 0/10.

After 8 hours of nursing intervention, the goal is partially met. The patient was able to verbalize decrease of pain,
Nursing from 10/10 to 0/10.
Evaluation
Prof. AltroyVanAgtang