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NURSING CARE PLAN ASSESSMENT SUBJECTIVE : “Nag angkas ko og motor kusog kai ang padagan sa driver nakabangga me sapok dili ko maka tindug kai sakit kai akong wala’ na tiil”. OBJECTIVE : -Limited range of motion -decreased muscle strength -inability to move purposefully -V/S taken as follow T-37.1’c P-83 bpm R-20 bpm BP-110/70 NURSING DIAGNOSIS
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   NURSING CARE PLAN ASSESSMENT SUBJECTIVE : “Nag angkas ko og motor kusog kai ang padagan sa driver nakabangga me sapok dili ko maka tindug kai sakit kai akong wala’ na tiil”.  OBJECTIVE : -Limited range of motion -decreased muscle strength -inability to move purposefully -V/S taken as follow T- 37.1’c  P-83 bpm R-20 bpm BP-110/70 NURSING DIAGNOSIS *Impaired Physical mobility,inability to stand alone realated to skeletal impairment to fracture close of M/3 rd  femur, left . SCIENTIFICT BASIS: -Fractures occur when the bone is subjected to stress Greater that it can absorb. when the bone is broken adjacent structures that also affected resulting in soft tissue edema hemorrhage Into the muscles and  joints dislocation , NURSING GOAL At the end of 8 hours Of nursing intervention or holistic nursing care the patient will be able to: 1.   Demonstrate increasing function of the extremities. 2.   Enhance blood circulation. 3.   To produce risk factors and protect self from injury. 4.   Regain or maintain mobility At the highest possible level. NURSING INTERVENTION Independent :    Assess degree of mobility produce by injury or treatment and note patient perception of immobility.    Encourage participation on diversional or recreational activities.    Instruct patient in assisting in active or passive range of motion exercises of the effected and unaffected extremities.    Reposition RATIONALE -self perception out proposition with action physical limitation requiring intervention to promote progress toward wellness. -provide opportunity to release of energy refocuses attention enhance pattern self control or self worth and aid in reducing social isolation . -increased blood flow to muscles and bone to improve muscles movement maintain joint mobility prevent contractures or atrophy and calcium restoration ACTUAL EVALUATION After 8hours nursing student patient interaction ,the patient has:    Verbalize understanding of the situational and individual treatment regimen and safety measures.    Maintained and increased strength and function of affected part.    Acquire  ruptured tendon,servered Nerve and damage blood vessels fracture, the extremities cannot function properly because normal function of muscle depend on the integrity of the bone which they are attached. periodically and encourage coughing or deep breathing exercises.    Encourage increased fluid intake COLLABORATIVE : >refer to a therapist as indicated. Measures to: *promote adequate mobility of the 5.0 to keep side rails up or raised. Assist patient to do active ROM exercise on the lower extremities. from disease. -keep the body well hydrated, decreasing the risk of urinary infection, stone formation and constipation. -improve muscle strength and circulation enhances patient control situation, and provide self directed wellness. - prevent reduce incidence of falling to sudden movement. -to improve muscle strength and joint mobility .   
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