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Case Study- Fracture

Case Study- Fracture

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Published by Christian
From CDU
From CDU

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Published by: Christian on Sep 16, 2009
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11/12/2014

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I- IntroductionA fracture is a break in the continuity of bone and is defined according to its typeand extent. Fractures occur when the bone is subjected to stress greater that it can absorb.Fractures are caused by direct blows, crushing forces, sudden twisting motions, and evenextreme muscle contractions. When the bone is broken, adjacent structures are alsoaffected, resulting in soft tissue edema, hemorrhage into the muscles and joints, jointdislocation, ruptured tendons, severed nerves, and damaged blood vessels. Body organsmaybe injured by the force that cause the fracture or by the fracture fragments.There are different types of fractures and these include, complete fracture,incomplete fracture, closed fracture, open fracture and there are also types of fracturesthat may also be described according to the anatomic placement of fragments, particularly if they are displaced or nondisplaced. Such as greenstick fracture, depressedfracture, oblique fracture, avulsion, spinal fracture, impacted fracture, transverse fractureand compression fracture.A comminuted fracture is one that produces several bone fragments and a closedfracture or simple fracture is one that not cause a break in the skin. Comminuted fractureat the Right Femoral Neck is a fracture in which bones of the Right Femoral Neck hassplintered to several fragments.By choosing this condition as a case study, the student nurse expects to broadenher knowledge understanding and management of fracture, not just for the fulfillment of the course requirements in medical-surgical nursing. It is very important for the nursesnow a day to be adequately informed regarding the knowledge and skill in managingthese conditions since hip fracture has a high incidence among elderly people, who have brittle bones from osteoporosis (particularly women) and who tend to fall frequently.Often, a fractured hip is a catastrophic event that will have a negative impact on the patient’s life style and quality of life. There are two major types of hip fracture.Intracapsular fractures are fractures of the neck of the femur, Extracapsular fracture arefractures of the trochanteric region and of the subtrocanteric region. Fractures of the neck of the femur may damage the vascular system that supplies blood to the head and theneck of the femur, and the bone may die. Many older adults experience hip fracture that1
 
student nurse need to insure recovery and to attend their special need efficiently andeffectively. True the knowledge of this condition, a high quality of care will be providedto those people suffering from it.2
 
II. ObjectivesGeneral Objectives:After three day of student nurse-patient interaction, the patient and the significantothers will be able to acquire knowledge, attitudes and skills in preventing complicationsof immobility.Specific Objectives:A. STUDENT-NURSE CENTEREDAfter 8 hours of student nurse-patient interaction, the student nurse will be ableto:1. state the history of the patient.2. identify potential problems of patient3. review the anatomy and physiology of the organ affective4. discuss the pathophysiology of the condition.5. identify the clinical and classical signs and symptoms of the condition.6. implement holistic nursing care in the care of patient utilizing the nursing process.7. impart health teachings to patient and family members to care of patient withfracture.B. PATIENT-CENTEREDAfter 8 hours of student nurse-patient interaction, the patient and the significantothers will be able to:1. explain the goals of the frequent position changes.2. enumerate the position for proper body alignment.3. discuss the different therapeutic exercises.4. practice the different kinds of range of motion.5. participate attentively during the discussion.3

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