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Careplan Assign 7
Careplan Assign 7
NURSING
DIAGNOSES
Risk for fall r/t
fractured femur neck
aeb use of assistive
device and hx of recent
falls
Impaired physical
mobility r/t fractured
femur neck aeb groin
pain, inability to walk,
and trouble bearing
weight on the affected
side
EXPECTED PATIENT
OUTCOMES
Pt will remain free of falls
by the end of shift
ASSESSMENT
interventions:
Assess environment for
hazards(cords, rugs,
clutter)
Assess pt for balance
and mobility skills
using the get up and go
scale or one similar
Assess pt ability to
tolerate mobility
Monitor vital signs
before and after activity
ACTION
interventions:
Assist pt when
ambulating
Evaluate pts
medications to
determine whether
the medications
increase the risk of
falling
Administer pain
medication before
anticipated activity
Instruct pt to use
assistive devices
correctly and
appropriately
TEACHING
interventions:
Teach the pt how to
safely ambulate by
using safety measures
such as hand rails,
nonskid footware, etc