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Nursing Care Plan Orthopedic Philipine Center
Nursing Care Plan Orthopedic Philipine Center
Nursing Diagnosis
Scientific
Objectives
Evaluation
Impaired physical
Explanations
Osteosarcoma is a
Short Term:
Short Term:
difficult to move.
mobility related to
primary malignant
immobilization
patient
muskuluskletal
nursing
caused by edema
movement and
nursing interventions,
interventions, the
plan exercise ,
the patients
coordination;
amputation.
patients respiration
perception of
The patient
respiration will
decreased muscle
occur as a
immobilization.
stated
secondary
will be relieved.
understanding
be relieved.
mass.
metastases from
restrict the
of individual
1. To know
extremity limb in
Long Term:
movement as one of
situations,
Long Term:
50% of cases.
After 3 4 days of
perception
treatment
After 3 4 days of
nursing
programs, and
nursing interventions,
former site of
interventions, the
proportional).
security
radiation or more
2. Encourage
often as a
a pain.
participation in
measures,
2. To increase
broadcaster in
recreational activities
Paget's disease.
(watching TV,
reading newspapers,
etc.).
R /: Provides the
activity of the
patient behind
relive of the
injury, The
patient seemed
to participate in
maintain a pain.
opportunity to
training
expend energy,
programs /
shows
patient's sense of
willingness to
participate in
in reducing social
isolation.
3. Instruct the patient
to perform active and
passive exercises on
the injury or not.
R /: Increases blood
flow to the muscles
and bones to
improve muscle
tone, maintain joint
mobility, prevent
contractures /
atrophy and
reapsorbsi Ca
unused.
activities,
3. To get more
exercise from
muscle
stiffness and
more recovery
of the pain
NURSING PRIORITIZED
Rank
1
Nursing Diagnosis
Impaired physical mobility related to musculoskeletal
Justification
Bone pain is the most common symptom found in the process of metastasis to bone
and is usually the initial symptoms are recognized by the patient. Pain arising from
stretching the periosteum and the endosteum nerve stimulation by tumor. The pain
can be intermittent and more pronounced at night or while resting.
The presence of bone metastases can cause bone structure becomes more fragile
and at risk for fracture. Sometimes fractures arise before other symptoms. Areas are
often fractured long bones in the upper and lower extremities and spine.
Sensory nerves bring information about pain, heat, cold and other sensory
phenomena to the spinal cord from various parts of the body. At least two types of
nerve fibers are thought to carry the majority of pain messages to the spinal cord
Chronic pain is a controversial topic, and doubts have been raised regarding its
diagnosis and treatment as a clinical condition (e.g., CRPS, fibromyalgia). During the
past twenty years or so, however, tremendous advances have been made in our
understanding of the peripheral and central processes involved in chronic pain
conditions.
Alteration on the clients O2:CO2 ratio due to decreased absorbed oxygen and poor
impairment
gas exchage related to presence to exudates on the alveolar spaces causes the body
to cope by increasing respiratory rate or by hyperventilation. The increase in
respiratory rate is elicited to cause an increase in the tidal volume of air that in
inspired in order to absorb more oxygen. The increase in respiratory rate may need
the assistance of accessory muscle that would be evident by the rising and falling of
the shoulders during inspiration and expiration.