ANGELES UNIVERSITY FOUNDATION

COLLEGE OF NURSING
NURSING CARE PLAN
NAME OF STUDENT: DIZON, PATRICIA ELLYNE T. PATIENTS PSEUDONAME: PX PINK
YEAR/SECTION 3-C DIAGNOSIS: POST ORIF
GROUP NO. 11 AGE AND SEX: 22, FEMALE
DATE: 08-11-2022
ASSESSMENT NURSING SCIENTIFIC OBJECTIVES INTERVENTIONS RATIONALE EXPECTED
DIAGNOSIS EXPLANATION OUTCOME
Subjective cues: Short Term: INDEPENDENT: Short Term:
Patient verbalized: Impaired physical In the case of the patient, After 2 to 4 hours of After 2 to 4 hours of
 “Nahihirapan mobility related to she has undergone a nursing intervention,  Monitor vital  For baseline nursing intervention,
ako tumayo muscle weakness procedure to repair the the patient will: signs. records and the patient shall have:
dahil nga sa tahi as evidenced by broken bone on her  Regain/ monitoring signs  Regained/
ko.” presence of left affected leg area. Thus, maintain of discomfort and maintained
 “Takot din ako leg injury and activities such as mobility at the stress. mobility at the
iapak yung paa pain upon walking, standing and highest  Assess the  The patient may highest
ko kasi movement sitting has been a possible level. degree of be restricted by possible level.
namamanhid challenged on the  Demonstrate immobility self-view or self-
produced by  Demonstrated
minsan.” patient. techniques perception out of
injury or techniques
that enable proportion with
According to Vera treatment and that enable
Objective cues: resumption of actual physical
 Facial grimaces (2022), a fracture is a activities. note the limitations, resumption of
when being medical term used for a patient’s requiring activities.
repositioned/ broken bone. They occur perception of information or
moved. when the physical force Long Term: immobility. interventions to
 Pain scale of 8 exerted on the bone is After 2 to 4 days of promote progress Long Term:
out of 10 upon stronger than the bone nursing intervention, toward wellness.
 Monitor After 2 to 4 days of
movement itself. They commonly the patient will:  Bed rest, use of nursing intervention,
 Presence of left happen because of car  Demonstrate elimination analgesics, and the patient shall have:
leg injury accidents, falls, or sports independence habits and changes in
injuries. provide for a  Demonstrated
 Post-operative in promoting dietary habits can
regular bowel independence
case of ORIF her own slow peristalsis
Creating nursing care wellbeing and routine. Place and produce in promoting
 Muscle her own
plans for clients with function. on bedside constipation.
weakness
fractures, whether in a  Increase commode. Nursing wellbeing and
cast or traction, is based strength/functi Provide privacy. measures that function.
on preventing on of affected facilitate  Increased
complications during and elimination may strength/functi
healing. Performing an compensatory prevent or limit on of affected
accurate nursing body parts. complications. and
assessment regularly  Monitor blood  Postural compensatory
allows the nursing staff pressure (BP) hypotension is a body parts.
to manage the patient’s with the common problem
pain and prevent resumption of following
complications. According activity. Note prolonged bed
to NANDA, impaired reports of rest and may
physical mobility is dizziness. require specific
defined as the state in interventions (tilt
which an individual has a table with gradual
limitation in independent, elevation to the
purposeful physical upright position).
movement of the body or  Teach patient or  Increases blood
of one or more assist with flow to muscles
extremities. Therefore, in active and and bone to
the case of the patient, a passive ROM improve muscle
therapeutic management exercises of tone, preserve
is needed in order to affected and joint mobility,
increase strength and unaffected prevent
function independently extremities. contractures or
throughout the healing atrophy, and
process. calcium
resorption from
disuse.
Vera, M. B. (2022, March  Instruct client in  Relaxation
18). 11 Fracture Nursing relaxation techniques and
Care Plans. Nurseslabs. techniques; diversionary
https://nurseslabs.com/fr provide activities refocus
acture-nursing-care- diversionary the client’s
plans/5/ activities. attention,
promote a
positive attitude,
and enhance
comfort.
 Reposition  Prevents or
periodically and reduces the
encourage incidence of skin
coughing and and respiratory
deep-breathing complications
exercises. (decubitus,
atelectasis,
pneumonia).
  This reduces
 Provide comfort muscle fatigue
measures. and promotes
relaxation and
comfort.

DEPENDENT:
 To promote relief
 Administer from pain.
medication/ pain
relievers, as
ordered.  For prophylaxis
 Administer since there is an
antibiotics, as open wound.
ordered.

INTERDEPENDENT:
 Useful in creating
 Refer to a individualized
physical or activity and
occupational exercise
therapist. programs. The
patient may
require long-term
assistance with
movement,
strengthening,
and weight-
bearing activities.