Cues Nursing Scientific Goal Nursing Action Rationale Evaluatio

Diagnosis Rationale Objective n

.
Subjective: Impaired The client who Short Term: 1. Teach or assist 1. ROM exercises The short
The patient Physical has After a 1-3 client with ROM help prevent muscle term goal
verbalizes Mobility experienced a days of exercises of atrophy and maintain was
while fracture performing unaffected limbs. strength and joint partially
sobbing Related Pain requires these function. Flexion and met. The
“Wag na sa secondary to immobilization nursing extension exercises patient is
kaliwa kasi hip fracture of the fractured actions the prevent the cooperativ
hirap bone. patient will development of foot e most of
igalaw.” As manifested Immobilization demonstrate drop, wrist drop or the time
by the alters normal participation 2. Teach frozen joint. but the
Objective: patient’s gait and in the Isometric discomfort
Upper thigh, verbalization, mobility. activities exercises and 2. Isometric exercises that he
particularly while sobbing -Medical- encourage client help prevent muscle feels
on the left “Wag na sa Surgical Long term: to perform them atrophy and force the hinders
hip, is kaliwa kasi Nursing 3rd ed. After a every 4 hours. synovial fluid and further
slightly hirap igalaw.” by Lemone and week, the nutrient into the activities
swollen. and the Burke patient will 3. Turn the client cartilage. related
Slight patient shows be able to on bed rest every mobilizatio
movement limited range maintain a 2 hours. If the n. Pain
of the entire of motion position of client is in 3. Turning and experience
left leg is specifically on function as traction, teach shifting weight d by the
painful for the left leg. evidenced the client to shift increase circulation client also
the client. Adduction and by absence his weight every and help prevent skin affects his
Leg abduction of hour. breakdown. mood.
adduction cannot be contractures
and performed. , foot drop, Medical-Surgical Goal
Nursing 3rd ed.
abduction Slight decubitus partially
by Lemone and
cannot be movement of etc. Burke Medical-Surgical met.
Nursing 3rd ed. by
performed the entire left
Lemone and Burke
leg is painful
for the client