NURSING CARE PLAN

ROTATION IX: ORTHOPEDIC WARD

 BSN IV -C

Republic of the Philippines

Western Mindanao State University
COLLEGE OF NURSING
Zamboanga City
Tel. No. (062)9911040 loc. 111, (062) 9931339, (062) 9902706
Center of distinctive nursing education fostering the development of graduates,
who are values-oriented, socially responsive and globally competitive

Name: PEQUIT, Coleen T.

Section: BSN IV – C
Date of Clinical Rotation: March 6,7,8, 2023
Clinical Instructor: Murada J. Ismael, R.N., M.N., L.P.T.

ROTATION IX: ORTHOPEDIC WARD

NURSING CARE PLAN

NURSING PLANNING
EVALUATIO
ASSESSMENT DIAGNOSI OBJECTIVE OF IMPLEMENTATION
INTERVENTION RATIONALE N
S CARE

Subjective Cues: Impaired At the end of hours  Assess the  This will help the
 According to the Physical nursing intervention, the patient’s nurse plan
client, she Mobility client will be able to: knowledge appropriate
slipped on their related to  Verbalize the and approaches to
bathroom floor use of familiarity and perception of mobility, and
at around 3 A.M. Skeletal Pin purpose of the immobilizatio supplemental
on February 26, Traction immobilization n devices. information
2023. device needed by the
 She saw her  Demonstrate a patient.
bones dislocate range of motion
and was put exercise on the  Assess the
back to place by affected patient’s  Observing the
his brother. extremity mobility and patient’s ability to
 The client said perception of move may help the
that there is a immobility. nurse plan
localized, appropriate action
intermittent, and interventions
sharp pain in the to use on the
affected area. patient. The
 The client said patient may be
restricted by fears
 Republic of the Philippines
Western Mindanao State University
COLLEGE OF NURSING
Zamboanga City
Tel. No. (062)9911040 loc. 111, (062) 9931339, (062) 9902706
Center of distinctive nursing education fostering the development of graduates,
who are values-oriented, socially responsive and globally competitive

that she is resulting in

reluctant to physical
attempt limitations.
movement on  Educate the
her affected patient about
extremity (left the purpose  Brief and adequate
thigh) due to and information will
pain when restrictions of help the patient
moving. the understand his/her
 The client also immobilizatio condition.
verbalized her n device. Educational
sorrow of not Provide materials will give
being able to do materials such the patient a clear
her ADLs as educational picture and
independently brochures, demonstration
and not being pictures, and during different
able to do videos. situations.
household
chores for the  Assist the
time being. patient with
passive and
History: active range  Facilitates
4 days prior to of motion adequate tissue
confinement, the patient exercises of perfusion,
was inside her bathroom both maintains muscle
at home and slipped on extremities. tone, preserves
her left knee. The client joint mobility, and
took mefenamic acid for prevents muscle
temporary relief. 2 days atrophy from
prior to admission,  Encourage disuse.
intermittent fever and frequent
swelling on the left knee repositioning
was noted. with the use  Frequent changing
of trochanter, of position
 Republic of the Philippines
Western Mindanao State University
COLLEGE OF NURSING
Zamboanga City
Tel. No. (062)9911040 loc. 111, (062) 9931339, (062) 9902706
Center of distinctive nursing education fostering the development of graduates,
who are values-oriented, socially responsive and globally competitive

trapeze, or decreases the risk

Objective Cues: footboard. of skin
 The client was complications, the
admitted on trochanter and
March 2, 2023. trapeze aid in
 Diagnosis: changing of
Fracture Closed positions.
Distal Femur Footboard
Left  Encourage prevents foot drop
 S-pin insertion moving the while lying.
at left proximal affected areas
tibia was done tolerated.
on March 6,  It can promote
2023. healing and
 Swelling can be prevent
seen on the left  Educate complications.
thigh. significant
 There is a others about
limited range of proper
motion on the support and  Immobilization
left hip and left assistance devices requires
knee joint. during the use long-term
 Pain: 6/10 of assistive treatment, it is
devices and important to have
Vital Signs: ROM adequate support
 Blood Pressure: exercises. from family
120/90 mmHg members to
 Temperature: promote
36.9°C consistency and
compliance with
 O2 Saturation:
the treatment plan.
98%
This can also
 Respiratory
 Educate the prevent accidental
Rate: 16 bpm
patient and injury.
 Republic of the Philippines
Western Mindanao State University
COLLEGE OF NURSING
Zamboanga City
Tel. No. (062)9911040 loc. 111, (062) 9931339, (062) 9902706
Center of distinctive nursing education fostering the development of graduates,
who are values-oriented, socially responsive and globally competitive

 Heart Rate: 69 significant

bpm others about
warning signs  This facilitates
and prompt
symptoms to intervention
report. preventing further
complications.

Reference/s:
 Doenges, M. E. (2012). Nurses’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales (Moorhouse, M.F. & Murr, A.C.). F.A Davis Company:
Philadelphia
 C., A., & PHN. (2022, August 14). Femur fracture nursing diagnosis and nursing care plan. NurseStudy.Net. https://nursestudy.net/femur-fracture-nursing-diagnosis