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Nursing Care Plans for Bone Fractures. Common nursing diagnosis for bone fracturesAcute pain, Anxiety, Bathing or hygiene self-care deficit, Fear, Impaired physical mobility, Ineffective coping, Ineffective role performance, Ineffective tissue perfusion: Peripheral, Risk for deficient fluid volume, Risk for disuse syndrome, Risk for infection, Risk for injury, risk for [additional] Trauma.

Nursing Goals Nursing Care Plans for Bone Fractures

  • Pain controlled.
  • Prevented or minimized Complications
  • Fracture stabilized.
  • Condition, prognosis, and therapeutic regimen understood.
  • Plan in place to meet needs after discharge.

Nursing Care Plans for Bone Fractures with nursing diagnosis Acute pain


NURSING

DIAGNOSIS

INTERVENTIONS

RATIONALE

EVALUATION

Acute Pain related to Muscle spasms Movement of bone fragments, edema, and injury to the soft tissueTraction, immobility device

Stress, anxiety

  • Perform a comprehensive assessment of pain including location, characteristics, onset/duration, frequency, quality, severity
  • Maintain immobilization of affected part
  • Elevate and support injured extremity
  • Perform and supervise passive or active ROM exercises
  • Suggest diversional activities appropriate for client’s age, physical abilities, and personal preferences
  • Prevents bone displacement/extension of tissue injury and Relieves pain.
  • decreases edema, and may reduce pain.
  • maintains strength and mobility of unaffected muscles
  • Prevents boredom, reduces muscle tension, and can increase muscle strength; may also enhance coping abilities.
  • Reduce pain
  • Verbalize relief of pain.
  • Follow prescribed pharmacologic regimen
  • Display relaxed manner, able to participate in activities, and sleep and rest appropriately
  • Demonstrate use of relaxation skills and diversional activities, as indicated for individual situation

 

 

Patient Teaching Discharge and Home Healthcare Guidelines for Fractures

Patient Teaching Discharge and Home Health care Guidelines for fractures patient. To prevent complications of prolonged immobility, encourage the patient to participate in physical and occupational therapy as prescribed. Verify that the patient has demonstrated safe use of assistive devices such as wheelchairs, crutches, walkers, and transfers. Teach the patient the purpose, dosage, schedule, precautions, and potential side effects, interactions, and adverse reactions of all prescribed medications. Review with the patient all follow-up appointments that are arranged. If home care is necessary, verify that appropriate arrangements have been completed.

  • Help the patient set realistic goals for recovery.
  • Show the patient how to use his crutches properly.
  • Tell the patient with a cast to report immediately signs of impaired circulation (skin coldness, numbness, tingling, or discoloration).
  • Warn the patient against getting the cast wet, and instruct him not to insert foreign objects under the cast.
  • Teach the patient to exercise joints above and below the cast as ordered.
  • Tell the patient not to walk on a leg cast or foot cast without the physician’s permission.
  • Emphasize the importance of returning for follow-up care.

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2 Comments

  1. SOLOMON KASSA says:

    look i am doing study on qulaity nursing care for fracture patient in my country but i can’t get sufficient standard quality of nursing care so try to make full information in your writing.

  2. mya says:

    thanks alots.. it is very good .. go on

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