Nursing diagnoses provide a standardized method for recognizing, prioritizing, and addressing specific client needs and responses in relation to fractures, including both actual and high-risk problems. Altered sensation, circulation accumulation of excretions/secretions.Puncture injury compound fracture surgical repair insertion of traction pins, wires, screws.Unfamiliarity with the use of immobilization devices.Neuromuscular skeletal impairment pain/discomfort restrictive therapies (limb immobilization).Alveolar/capillary membrane changes: interstitial, pulmonary edema, congestion.Direct vascular injury, tissue trauma, excessive edema, thrombus formation.Movement of bone fragments, edema, and injury to the soft tissue.Loss of skeletal integrity (fractures)/movement of bone fragments.Decreased sensation, diminished pulses, or cyanosisĪssess for factors related to the cause of fractures:.Crepitus or abnormal movement at the fracture site.Ecchymosis (bruising) or hematoma formation.Presence of an open wound or exposed bone.Numbness or tingling in the affected limb or extremity.Loss of function or decreased range of motion in the affected area.Pain or tenderness at the site of the fracture, which may worsen with movement or pressure.Visible deformity or swelling at the site of the fracture.Address psychological and emotional needs, such as anxiety, fear, and frustration, related to the fracture and its impact on daily life.Īssess for the following subjective and objective data:.Educate the patient and the family on fracture care, rehabilitation exercises, and preventive measures.Promote adequate nutrition for bone healing and support.Promote early mobilization and ambulation.Ensure proper alignment and immobilization of the fractured area.Ensure patient comfort and relief from pain.The following are the nursing priorities for clients with fractures: The nursing care planning goals for patients with fractures typically include pain management, promoting optimal healing and mobility, preventing further injury, and providing education and support to the patient and the family about self-care and rehabilitation. Pathological: Fracture occurs in diseased bone (such as cancer, or osteoporosis), with no or only minimal trauma.
Open: Bone fragments extend through the muscle and skin, which is potentially infected.Closed: The fracture does not extend through the skin.Complete: The fracture line involves an entire cross-section of the bone, and bone fragments are usually displaced.One side breaks the other usually just bend (greenstick). Incomplete: Fracture involves only a portion of the cross-section of the bone.There are many fractures, but the main categories are complete, incomplete, open, closed, and pathological. Fracture is sometimes abbreviated FRX or Fx, Fx, or #. Other causes are low bone density and osteoporosis, which cause the weakening of the bones. They commonly happen because of car accidents, falls, or sports injuries. Administering Medications and Pharmacological SupportĪ fracture is a medical term used for a broken bone. They occur when the physical force exerted on the bone is stronger than the bone itself. Managing Constipation and Improving Bowel Movement
Initiating Patient Education and Health Teachings Promoting Pain Relief and Pain Management
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