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pagkatapos niyang to mahulog sa duyan”’ as neuromuscular verbalized by the client’s impairement mother. Cues/Data Objective: • Limited range of motion • Pain upon moving the affected part
Rationale Complications of fractures include problems associated with immobility.
Goals and Interventions Rationale Objectives After 8 hours • Assess degree • Patient may be of nursing of mobility restricted by intervention, produced by self-view or the patient the injury. self – will be able to perception maintain or with actual increased physical mobility at the limitation. highest level possible. • Instruct and • Increases assist patient blood flow to in active or the muscle and passive range bone to of motion. improve muscle tone. • Educate • Keeeps the mother to body hydrated encourage her and promotes child increase faster wound fluid intake. healing. • Instruct mother to report to a therapist as indicated. • To help the child regain bone and muscle integrity
Evaluation After 8 hours of nursing intervention, the patient was able to maintained and increased mobility at the highest level possible.
the patient should be able to display relax manner and participate in activities • Contribut es to relief of pain • Only the client can describe the quality of pain he feels • To avoid exacerbation of pain in the affected elbow.Nursing Diagnosis Subjective: Acute pain “Umiiyak siya sa sakit nung related to nakita namen siya fractured pagkatapos niyang elbow mahulog. . emotional the patient experience should be able associated to display with actual or relax manner potential tissue and participate damage. as verbalized by the patient’s mother. in activities. • Instruct patient to report any increase in pain • Educate mother to provide soft blankets or pillows for the child to support affected elbow while at rest.After 30 min of nursing intervention. Rationale Interventions • Provide comfort measures (such as massage) • Teach and show patient how to do deep breathing exercise. Cues/Data Objective: • Guarding Behavior on the affected part • Facial mask of pain • Pain scale of 3/10 (at present) Goals and Objectives Is an After 30 min unpleasant of nursing sensory and intervention. Rationale • To promote relief and wellness Evaluation . Ganun siya hanggang mga 2 linggo”.
and current support systems • Provide opportunities to express concerns.Cues/Data Subjective: “Gusto ko na siya mapaoperahan kaso hindi namne alam san kukuha ng pera”. as verbalized by the patient’s mother. . • This promotes communicat ion and support. fears. Nursing Diagnosis Ineffective family Coping related to financial constraints Rationale Change in family relationships and/or functioning due to 1 family member’s condition and the issue of deprived money Goals and Objectives After 4 hours of nursing intervention. the family was able to express understanding of the problem and identify resource. Interventions • Assess family members’ perceptions of problem. • Refer family to social service or Rationale • Dependi ng on the stressor. Evaluation After 4 hours of nursing intervention. coping skills. or questions. the family should be able to express understanding of the problem and identify resources. a variety of strategies may be required to facilitate coping. expectations. Resolution is possible only if each person’s perceptions are understood • Evaluat e strengths. • This facilitates the use of previously successful techniques .
. • Longterm intervention or assistance may be required.counseling.