Student Nurses Community

NURSING CARE PLAN Fracture

ASSESSMENT
SUBJECTIVE:
Nadulas ako sa
hagdan, hindi
ako makalakad
(I slipped down the
stairs and now I
cant walk) as

verbalize by the
patient
OBJECTIVE:

Limited
range of
motion
Decreased
muscle
strength
Inability to
move
purposefully
V/S taken as
follows
T: 37.1 C
P: 82
R: 18
BP: 120/ 100

DIAGNOSIS

INFERENCE

PLANNING

INTERVENTION

Impaired
physical
mobility related
to
neuromuscular
skeletal
impairment.

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.
Complications of
fractures include
problems
associated with
immobility
(muscle atrophy,
joint contracture,
pressure sores),
growth problems (
in children),
infection, shock,
venous stasis and
thromboembolism
, pulmonary
emboli and fat
emboli, and bone

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

Independent:
Assess degree of
mobility produced
by injury or
treatment and note
patients
perception of
immobility.

RATIONALE

Encourage
participation on
diversional or
recreational
activities.

Instruct patient in

assisting in active
or passive range of
motion exercises of
affected and
unaffected
extremities.

Provide footboard.

Patient may be
restricted by selfview or selfperception out of
proportion with
actual physical
limitations
requiring
interventions to
promote progress
toward wellness.
Provides
opportunity for
release of energy,
refocuses
attention,
enhances
patients self
control or self
worth 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.
Useful in
maintaining

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

Student Nurses Community

union problems.

Assist with or
encourage selfcare activities.

Reposition
periodically and
encourage
coughing or deep
breathing
exercises.
Encourage
increased fluid
intake to 20003000 mL/day
(within cardiac
tolerance),
including acid/ash
juices.

Collaborative:
Refer to a therapist
as indicated.

functional position
of extremities,
preventing
complication.
Improve muscle
strength and
circulation,
enhances patient
control in
situation, and
promotes selfdirected wellness.
Prevents or
reduces incidence
of skin and
respiratory
complication.

Keeps the body

well hydrated,
decreasing the
risk of urinary
infection, stone
formation, and
constipation.

Done to promote
bowel evacuation.