Assessment

Subjective Data:

- “He is very active and likes to jump, run, and skip.”

Objective Data:

- 42 months old (3.5 years old)

Diagnosis:
Risk for Injury related to lack of knowledge regarding environmental hazards.

Planning:
Short term:

After 1 hour of nursing intervention, the mother of the patient would verbalize knowledge about the
cautions that should be noted to avoid injuries which would be measured by:

 Participation in Conversation
 Active listening
 Asking questions

Long term:

After 3 months of nursing intervention, the mother will report no injuries on her child (Voltaire).

Intervention/Implementation
Independent:

 Assess the client's general status.

 Provide simple, honest and at the level of a child's understanding explanations.
 Provide a safe environment.
 Teach and assist client’s mother in active ROM (Range of Motion) exercises of affected and
unaffected extremities.
 Encourage the need for close supervision when playing

Collaborative:

 Refer to a physical therapist.

Rationale:
Independent:

 This will allow the health provider to identify the client’s present condition and the likelihood
that an injury could occur.
 Simple and honest explanations grant the child the right to information even though they
cannot completely comprehend it.
 Providing a safe environment for the client will decrease the risk of potential injuries.
 Increases blood flow to muscles and bone to improve muscle tone and preserve joint mobility.
 Parent supervision is the most powerful tool in keeping the children safe and free from injuries.

Collaborative:

 Exercises and stretching can help strengthen muscles of the legs and realign the knees.

Evaluation:
Short term: After 1 hour of nursing intervention, the mother of the client verbalized the knowledge
about the cautions to avoid injuries for her child.

Long term: After 3 months of nursing intervention, the mother reported no injuries on her child.