Ncp Fracture

Nursing Diagnosis Impaired physical mobility related to neuromuscular skeletal impairment Subjective: “Nabangga-an ko ug taxi pagpadulong namo sakay ug jeep, as verbalized by the patient. Objective: Limited range of motion Decreased muscle strength Inability to move purposely

Scientific Analysis A fracture is a break in the continuity of bone. A fracture occurs when the stress placed on a bone is greater than the bone can absorb. The stress may be mechanical (trauma) or related to a disease process (pathologic). Muscles, blood vessels, nerves, tendons, joints and body organs may be injured when fracture occurs. Complication of fractures include problems associated with immobility (muscle atrophy, joint contracture, pressure sores), infection, shock, venous stasis and thromboembolism, pulmonary emboli and fat emboli and bone union problems.

Objective After 8 hours of nursing intervention the patient will regain or maintain mobility at the highest possible level.

Nursing Intervention 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.

Assist with or encourage selfcare activities

Rationale

Evaluation

Patient may be restricted by self-view or selfperception out of proportion with actual physical limitations requiring interventions to promote progress toward wellness.

After 8 hours of nursing intervention the patient was able to regain or maintain mobility at the highest possible level.

Provides opportunity for release of energy, refocuses attention, enhances patient’s self control or selfworth 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. Improve muscle strength and