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Name of Patient:
Teach the patient about the name of each
medication(both generic and trade
names) the reason for taking them and
the possible side effects
1. Paracetamol

2. Celecoxib

3. Tetanus toxoid

1. Instruct the patient to actively
exercise joints above and below the
immobilized fracture at frequent

Paracetamol has good analgesic and
antipyretic properties. It is suitable for the
treatment of pains of all kinds.
It is a nonsteroidal anti-inflammatory drug
(NSAID) It works by blocking certain
substances in the body that cause
Tetanus is caused by infection
from Clostridium tetani, which is an anaerobic
bacterium commonly found in soil, and the
toxins produced by the bacteria lead to severe
and potentially life-threatening muscular
Proper use of pain medication and antiplatelet
agents can reduce risk of complications.
. Prevents joint stiffness, contractures, and
muscle wasting, promoting earlier return to
independence in activities of daily living

2. Instruct the patients in methods of

Early mobility reduces complications of bed
safe ambulation-walker, crutches, and
rest (e.g., phlebitis) and promotes healing and
normalization of organ function. Learning the
correct way to use aids is important to
maintain optimal mobility and patient safety.
Further damage and delay in healing could
occur secondary to improper use of
ambulatory devices.
3. After removal of immobilizing device,
have the patient start active exercises
and continue with isometric exercises

Isometrics contract muscles without bending

joints or moving limbs and help maintain
muscle strength and mass. Note: These
exercises are contraindicated while acute
bleeding/edema is present

4. Assist with/encourage self-care

activities (e.g., bathing, shaving).

Improves muscle strength and circulation,

enhances patient control in situation, and
promotes self-directed wellness.


1. Explain basis for fracture treatment

and need for patient participation in
therapeutic regimen.
2. Identify and teach patient
signs/symptoms requiring medical
evaluation, e.g., severe pain,
fever/chills, foul odors; changes in
sensation, swelling, burning,
numbness, tingling, skin
discoloration, paralysis, white/cool
toes or fingertips; warm spots, soft
areas, cracks in cast.

By understanding bone healing better patient

can feel more in control of the rehabilitation
process and help fracture to heal.
Prompt intervention may reduce severity of
complications such as infection/impaired
circulation. Note: Some darkening of the skin
(vascular congestion) may occur normally
when walking on the casted extremity or using
casted arm; however, this should resolve with
rest and elevation.

1. Client should be reminded about his
follow-up care with the physician after
one week
2. Encourage follow-up medical

1. Stress the importance of a highcarbohydrate, calories .protein, and
calcium diet.
Such as:
a) Beans and legumes
b) Dairy products
c) Red meat
d) Fish
2. Avoid smoking and alcohol intake

To identify any occurring problems and

development in his health

To monitor for bone union


to promote bone and soft tissue healing and

general well being
Healing process requires a great deal of
energy- which is generally supplied through
the intake of calories in food.

An adequate blood supply is also mandatory

for fracture healing, so anything that
diminishes blood flow slows the healing

Alcohol in excess can be directly toxic to bone
and alcohol abuse is associated with increases
in both the incidence of fractures and
complications of fracture healing, including
3. Increase anti-oxidants such as:
a) Sweet potatoes
b) Beans
c) Coffee
d) Green tea

4. Boost mineral and vitamin intake

such as:
a) Green leafy vegetables:
malunggay, alugbati, etc.,,
b) Sea foods: fish , shellfish
c) Nuts and seeds

the trauma of the fracture itself creates a

biochemical burst of prooxidants (free
radicals), causing oxidative stress that can
overwhelm the bodys antioxidant reserves.
By weight, bone is roughly 70% minerals
(calcium, phosphorus, magnesium, silicon,
zinc, etc.) and fracture healing requires
available minerals
Vitamins are the catalysts for many
biochemical reactions and are equally