Assessment Subjective Cues: Nung nakaraang dalawang araw pa nung huli akong naligo. Gustong gusto ko na maligo e.

Objective Cues: - presence of skeletal balancing traction

Nursing Diagnosis Partial Self care deficit related to inability to perform daily activities

Rationale Body image hygiene and other self practices are influenced by the people or peers around a school aged child. !his is a stage wherein a child based his norms to that of around him.

Goal/Objectiv es Objectives: "fter #hour of nursing intervention the client will be able to meet self care need$ bathing.

Intervention % "ssess client&s self care need

Rationale % !his will serve as a baseline data as to what the client&s level of self care need. % !o provide the overall data on what self care need should be given to the client. %!o provide comfort %!o enhance independence

Evaluation

% "ssess client&s physical condition relating to hygiene.

"fter # hour of nursing interventio n the client was able to meet self care needs$ bathing.

% Provide self care need$ bed bath. % 'ncourage client to do self care.

ASSESSMENT Subjective: Nahihirapan akong gumalaw dahil ditto sa bali sa buto ko Objectives: - (imited )*+ of left lower e,tremity - Presence of restrictive device -skeletal traction. - /nsertion of Steinmann&s pin

DIAGNOSIS Partially impaired physical mobility related to musculoskelet al disorder -femural fracture. and e,ternal device -skeletal traction.

RATIONA E 0emoral fractures are seen to those people who have been involved in a motor vehicle crash or who have fallen from a high place.

! AN "fter 1 hours of nursing intervention the patient will be able to maintain position of function with ma,imum mobility within the therapeutic limits of traction.

INTER"ENT ION "ssess for correct position of traction and alignment of bones +aintain limbs in functional alignment. Support feet in dorsifle,ed position Perform passive and active )*+ e,ercises on e,tremities and 2oints using slow smooth movements on the unaffected body parts 'ncourage use of trape3e

RATIONA E !o maintain good body alignment when mechanical devices are used !his will prevent footdrop

E"A #ATION "fter the nursing intervention the patient was able to maintain position of function and e,erted ma,imum mobility within the therapeutic limits of traction.

'nhances circulation maintains muscle tone and 2oint mobility and prevents disuse contractures and muscle atrophy.

/nstruct and assist in position changes and transfers.

Strengthen shoulders an arm muscles necessary for safe positioning and mobili3ation 'ncourages active participation while preventing stress on fractured bone !his promotes a safe environment.

4eep side rails up and bed in low position