ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Impaired A fracture is a break After 8 hours of Independent: After 8 hours of

physical in the continuity of nursing • Assess degree of mobility • Patient may be restricted by self- nursing
“Nawalan ako ng mobility related bone. A fracture intervention the produced by injury or view or self-perception out of intervention the
balance habang to occurs when the patient will treatment and note proportion with actual physical patient was
nagbibike at neuromuscular stress placed on a regain or patient’s perception of limitations requiring interventions able to
naituon ko ang skeletal bone is greater than maintain immobility. to promote progress toward regain or
kaliwang impairment. the bone can absorb. mobility at the • Encourage participation on wellness. maintain
bewang ko as The stress may be highest possible diversional or recreational • Provides opportunity for release of mobility at the
verbalize by the mechanical (trauma) level. activities. energy, refocuses attention, highest
patient or related to a • Instruct patient in assisting enhances patient’s self control or possible level.
disease process in active or passive range self worth and aids in reducing
(pathologic). of motion exercises of social isolation.
OBJECTIVE: Muscles, blood affected and unaffected • Increases blood flow to muscle
vessels, nerves, extremities. and bone to improve muscle tone,
• Limited range tendons, joints, and • Provide footboard. maintain joint mobility; prevent
of motion body organs may be • Assist with or encourage contractures or atrophy and
• Decreased injured when fracture self-care activities. calcium resorption from disease.
muscle occurs. • Useful in maintaining functional
• Reposition periodically and
strength Complications of position of extremities, preventing
encourage coughing or
• Inability to fractures include complication.
deep breathing exercises.
move problems associated • Improve muscle strength and
with immobility • Encourage increased fluid
purposefully intake to 2000-3000 circulation, enhances patient
• V/S taken as (muscle atrophy, joint control in situation, and promotes
contracture, pressure mL/day (within cardiac
follows tolerance), including self-directed wellness.
sores), growth
acid/ash juices. • Prevents or reduces incidence of
T: 37.1 ˚C problems ( in
skin and respiratory complication.
P: 82 children), infection,
shock, venous stasis Collaborative:
R: 18 • Refer to a therapist as • Keeps the body well hydrated,
BP: 120/ 100 and
thromboembolism, indicated. decreasing the risk of urinary
pulmonary emboli infection, stone formation, and
and fat emboli, and constipation.
bone union
problems.
• Done to promote bowel
evacuation.