Case Study: Musculoskeletal Care Modalities
Case Scenario
A 43 years old female patient was rushed to the ER. She suffered an open tibial fracture on her left leg after being hit by a car
whilst cycling to work. Assessments and diagnostic tests were done to confirm the extent of the fracture. She was admitted and
scheduled for open reduction internal fixation.
NURSING DIAGNOSIS PLANNING
Short-term Goal:
After 2 hours of nursing intervention, the
patient will verbalize relief of pain and display
a relaxed manner.
Long-term Goal:
After 5 days of nursing intervention, the
Acute Pain related to injury to patient will be able to demonstrate use of
the soft tissue relaxation skills, participate in activities, and
sleep and rest appropriately.
NURSING INTERVENTIONS
INDEPENDENT:
1. Maintain immobilization of the affected
part using bed rest, cast, split and
traction.
2. Elevate and support the injured extremity
3. Avoid using plastic sheets and pillows
because this can increase discomfort.
4. Perform and supervise active and
passive ROM exercises.
5. Provide alternative comfort measures
such as massage, backrub, and position
changes.
6. Apply cold or ice packs first 24–72 hr and
as necessary.
7. Provide emotional support and
encourage stress management
techniques.
DEPENDENT:
8. Administer medications, as indicated.
Commonly used medications for pain
include; analgesics, anti-inflammatory
drugs and muscle relaxants.