Mr. R presented with a fractured tibia and fibula that pierced the skin (open type II complete and comminuted fracture). He experienced chronic pain, swelling, tenderness and inability to move his lower leg. The nurse assessed the patient and identified the specific fracture to guide optimal treatment planning. Through 4 hours of interaction, the nurse helped the patient progress in mobility, learn to use assistive devices properly, and transfer without pain. The patient was also able to groom independently and take prescribed medications.
Mr. R presented with a fractured tibia and fibula that pierced the skin (open type II complete and comminuted fracture). He experienced chronic pain, swelling, tenderness and inability to move his lower leg. The nurse assessed the patient and identified the specific fracture to guide optimal treatment planning. Through 4 hours of interaction, the nurse helped the patient progress in mobility, learn to use assistive devices properly, and transfer without pain. The patient was also able to groom independently and take prescribed medications.
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Mr. R presented with a fractured tibia and fibula that pierced the skin (open type II complete and comminuted fracture). He experienced chronic pain, swelling, tenderness and inability to move his lower leg. The nurse assessed the patient and identified the specific fracture to guide optimal treatment planning. Through 4 hours of interaction, the nurse helped the patient progress in mobility, learn to use assistive devices properly, and transfer without pain. The patient was also able to groom independently and take prescribed medications.
Copyright:
Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online from Scribd
R Diagnosis: Fractured Tibia, Fibula Open Type II Complete, Comminuted
25 M Assessment Diagnosis Scientific Planning Intervention Rationale Evaluation Basis Subjective Chronic pain > A break in the Goal: Independent: > Identifying the After 4 hours of Data: related to bone is known as After 4 hours of > Assess specific cause nurse- patient a fracture. There Patient swelling and nurse- patient symmetry, guides design of interaction, the are two main verbalized, tenderness of types of fracture: interaction, the strength, optimal treatment patient was “Ngul-ngul the fractured the simple (close) patient will be degree of plan. able to properly akong tiil”. lower leg, and and compound able to use mobility. >This optimizes use assistive inability to (open). The simple assistive > Position circulation to all devices as Objective move fracture is a break equipment patient in tissues and provided. in the bone that Data: purposefully in properly, show proper body relieves pressure. Patient was also does not pierce RR= 27 cpm the the skin or cause progress in alignment. >Exercise able to progress T°= 36.6°C environment severe damage to mobility on bed, > Encourage promotes in mobilization BP= 100/70 including surrounding and be able to isometric increased venous through mmHg mobility, tissues. In the transfer without exercises when return, prevents exercises and PR= 76 bpm transfers, and compound feeling any indicated. stiffness, and was slowly able fracture, the skin > Patient is ambulation pain. > Teach proper maintains muscle to move himself and tissues are unable to move secondary to broken through. A use of assistive strength and up in bed lower leg. fractured tibia, fracture may also Planned device such as endurance. without pain. > Skin is fibula open be complete, Actions: crutches. >Proper use of Patient was also discolored type II dividing the bone > Maintain or > Provide wheelchairs, able to properly > Swelling of complete, into two or more increase progressive canes, transfer groom himself skin noted comminuted 25 separate pieces. It strength and mobilization. bars, and other without help. may be also > Grimacing of M. incomplete or endurance of assistance can Patient was patient’s face partial. In a fractured lower Dependent: promote activity able to take the was noted comminuted leg. >Passive/active and reduce danger prescribed > Patient is not fracture, the bone > Make sure no ROM exercises of falls. medication. properly is broken into little complications as ordered by >The longer the groomed pieces at the point will develop physician to the patient remains of fracture. (Reader’s Digest during injured body part. immobile the Medical immobilization. > Administer greater the risk of Family Health Diagnosis: Guide and Medical > Demonstrate proper complications. Fractured Tibia, Encyclopedia) the proper use medication as (www1.us.elsevier Fibula Open > Lower leg of assistive prescribed by health.com) Type II fractures include devices. the physician. the fractures of Complete, the tibia and Comminuted 25 Expected Collaborative: fibula. Of these Name of Student: Bongon, Claudine Y. BSN1-N1