Nursing Care Plan For Internal Fixation
Nursing Care Plan For Internal Fixation
Prepared by :
Areej Ali Awadh (401000183)
Supervisor :
Dr. : Reham Saeed
1
Nursing diagnosis (1):
Pain related to fracture, soft tissue damage, muscle spasm,
and surgery evidence by patient facial expression or pain
scale.
Goals :
Relieve patient pain during 24 hours & maintain patient
comfort.
Nursing interventions :
Assess patient pain after surgery by using pain scale
Assess patient vital signs specially pulse & BP.
Adjust patient position of site of fixation (by elevation the
limb).
Instruct & teach patient about relaxation technique
Administer analgesic as order
Evaluation :
Goals was met during 24 hours evidence by patient free
from pain, relax and sleepy.
2
Nursing diagnosis (2) :
Impaired physical mobility related to fractured hip
evidence by patient not able to move.
Goal :
Maintain patient physical mobility, prevent muscle
atrophy and bed sores during month of treatment &
staying in hospital.
Nursing interventions :
Assess patient physical mobility & level of dependency
Assess muscle tone, mass & flacity.
Advice patient to use moving aid device in movement
Turning & lifting patient every 2 hours.
Apply passive range of motion exercise every day.
Apply muscle massage after bed bath every day
Evaluation :
Goal wase met & achieved through outpatient stay in
hospital evidence by absent of immobility complications.
3
Nursing diagnosis (3) :
Impaired skin integrity related to surgical incision
evidence by surgical site wound & special screws, plates,
rods, wires.
Goal :
Maintain normal skin integrity & speed healing of wound
through out month period.
Nursing intervention :
Assess skin integrity at site of incision
Assess healing process every day during dressing
Assess peripheral pulse and sensation of affected limb
Apply wound care every day
Encourage patient to eat protein and vitamin C
Evaluation :
Goal was met & achieved evidence by intact skin integrity
& wound healed properly throughout month period .
4
Nursing diagnosis (4) :
Risk for infection related to fracture and surgery
Goal :
Prevent patient infection throughout course of treatment
Nursing interventions :
Assess patient signs of infection by measuring TEMP daily
and assess the site of wound for redness, swelling &
tenderness.
Applying dressing daily
Administer antibiotics as order
Evaluation :
Goal was met & achieved evidence by patient free from
infection, temp stable and normal.