COLLEGE OF NURSING

Silliman University
Dumaguete City

SYLLABUS ON THE CARE OF PATIENTS WITH FRACTURES AND AMPUTATIONS

PREPARED BY:
Albulario, Tiara Denise
Amplayo, Darlyn

PREPARED FOR:
Asst. Prof. Mary Nathalie M. Cata-al
Topic Title: CARE OF PATIENTS WITH FRACTURES AND AMPUTATIONS

Topic Description: This topic explores the concepts related to caring for patients with fractures or amputations, including the
related anatomy and physiology concepts, medical management, and nursing management.

Time Allotment: 1 hour

Central Objective: Through various teaching-learning activities, the learners will gain the knowledge, skills, and attitudes necessary
in providing care to patients with fractures and patients with amputations.

SPECIFIC OBJECTIVES CONTENT T.A. T-L ACTIVITIES References ASSESSMENT

Through varied Socialized 20-item quiz with

discussion with at least 76%
strategies, the learners
powerpoint mastery level
will: presentation and
video presentation
I. Successfully enumerate
I. Review of Anatomy and 3
the components of the Physiology mins
musculoskeletal system A. The Musculoskeletal System Cleveland Clinic,
(2017).
and correctly describe
the function of the
musculoskeletal system.

II. Correctly describe the B. Bone growth and healing Black, J.M., &
Hawks, J.H. (2008).
process of bone growth
and satisfactorily discuss
each stage of the bone
healing process.

II. Common Diagnostic Exams 3

III. Correctly describe
A. X-ray mins
each of the common B. Magnetic Resonance
diagnostic exams. Imaging (MRI)
C. Computed Tomography (CT
Scan)
D. Arthroscopy

III. Fractures
A. Clinical Manifestations 3 Black, J.M., &
IV. Correctly enumerate
1. Pain mins Hawks, J.H. (2008)
at least 4 of the clinical 2. Loss of function
manifestations of 3. Deformity
4. Crepitus
fractures and explain 5. Swelling and
their causes. discoloration

B. Types 3 Smeltzer, S.C. et al.

V. Correctly describe
each of the types of
fractures.
1. Complete fracture mins (2010).
2. Incomplete fracture
3. Traumatic fracture
4. Pathologic fracture
5. Closed/Simple fracture
6. Open/Compound
fracture
VI. Satisfactorily explain
each of the measures in
C. Medical Management 5 CHAD. (2004).
medical management of 1. Reduction mins
patients with fractures a. Casting Johns Hopkins
b. Open reduction Hospital. (2008).
and enumerate at least 1
c. Closed reduction
type of each measure. 2. Traction Smeltzer, S.C. et al.
a. Cervical traction (2010).
b. Halo vest
c. Skin traction
d. Bryant’s traction
e. Buck’s traction
3. Internal and External
VII. Satisfactorily discuss Fixation
at least 3 goals of nursing
D. Nursing Management 5 Smeltzer, S.C. et al.
management in patients
1. Relief of pain mins (2010).
with fractures and 2. Promotion of mobility
describe at least 1 3. Maintenance of skin
integrity
measure necessary to
4. Management of
achieve each of these increased nutritional
goals. needs
5. Care of casts, tractions,
fixations
VIII. Correctly describe at
least 2 complications of
E. Complications 3
fractures. 1. Shock mins
2. Compartment
 Syndrome Kozin, S.H., &
3. Fat Embolism Zlotolow, D.A.
4. Cast Syndrome (2014)
(Superior Mesenteric
Lewis, S.L. et al.
Artery Syndrome)
5. Nerve Injury (2017).
6. Volkmann’s Ma, C.B. (2018).
Contracture Smeltzer, S.C. et al.
(2010).
Sprague, J. (1998).
IX. Correctly define
IV. Amputations
amputations. A. Definition 1 min
X. Correctly describe
2 Smeltzer, S.C. et al.
each of the types of B. Types mins (2010).
amputations. 1. Minor amputations Van de Ven, V.
2. Major amputations (1999).

XI. Identify 3 out of 5 4

Reasons for amputations
satisfactorily.
XII. Identify 4 out of 7
goals of nursing
management of
amputees satisfactorily.
C. Reasons for amputations mins
1. Diabetic gangrene
2. Tissue necrosis
3. Neoplasm
4. Infection
5. Tissue trauma
5
D. Nursing Management mins
1. Relief of pain
2. Reduction of altered
sensory perception
3. Promotion of wound
 healing
4. Enhancement of body
image
5. Resolution of grief
6. Promotion of
independent self-care
7. Achievement of
physical mobility
XIII. Identify 2 out of 3
3
complications of E. Complications mins
amputations 1. Phantom limb pain
2. Infections
satisfactorily.
3. Fat emboli

10
Open Forum mins

10
Evaluation mins

References:
Black, J.M., & Hawks, J.H. (2008). Medical-surgical nursing, 8th ed. St. Louis, MI: Elsevier
 Childrens Hospital at Dartmouth-Hitchcock (CHAD). (2004). Modified Bryant’s traction. Retrieved from
https://www.chadkids.org/
orthopaedics/orthopaedics-bryants-traction.html
Cleveland Clinic. (2017). Musculoskeletal system. Retrieved from https://my.clevelandclinic.org/health/articles/12254-
musculoskeletal
-system-normal-structure--function
Johns Hopkins Hospital. (2008). Information for the patient in a Halo-Vest. Retrieved from https://www.hopkinsmedicine.org/
johns-hopkins-childrens-center/what-we-treat/specialties/orthopaedics/_documents/form_halo-vest.pdf
Kozin, S.H., & Zlotolow, D.A. (2014). Nerve injury and repair in children. Retrieved from https://www.sciencedirect.com/
science/article/pii/B9780323187732000226
Lewis, S.L. et al. (2017). Medical Surgical Nursing: Assessment and management of clinical problems, 10th ed. St. Louis, MI: Elsevier.
Ma, C.B. (2018). Volkmann contracture. Retrieved from https://medlineplus.gov/ency/article/001221.htm
Smeltzer, S.C., Bare, B.G., Farrel, M. (2010). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 12th ed. USA: Lippincott
Williams & Wilkins
Sprague, J. (1998). Cast syndrome: the superior mesenteric artery syndrome. Retrieved from https://www.ncbi.nlm.nih.gov/
pubmed/9814332
Van de Ven, V., (1999). Therapy for Amputees, 3rd ed. Hardcourt Brace and Company Limited.