ncp- impaired mobility rt fracture & traction
Post on 14-Apr-2018
216 Views
Preview:
TRANSCRIPT
-
7/29/2019 NCP- Impaired Mobility Rt Fracture & Traction
1/2
Patients Name: Johanny Jaromay Medical Diagnosis: Fracture Cl M3 Femur at left knee; Fracture Cl Patella at left kneeAge: 32 / Address: Paranaque City Date Admitted: October 23, 2006
ASSESSMENT DIAGNOSIS RATIONALE PLAN INTERVENTION RATIONALE EVALUATIO
N
Subjective:
The patient
verbalized, Hindi ko pa rin
maigagalaw ang paako. Nabali kasi ung
buto ko sa hita kayanga nilagyan muna
nila ng traction.
Objectives:
- Noted deformityof thigh due to
fracture- Limited ROM of
left lowerextremity
- Presence ofrestrictive
device (skeletaltraction)
- Insertion ofsteinmann pin
Partiallyimpaired
physicalmobility related
tomusculoskeletal
disorder(femoral
fracture) andexternal device
(skeletaltraction)
Femoral fractures areseen to those people who
have been involved in amotor vehicle crash or
who have fallen from ahigh place. The patient
presents with, enlargeddeformed, painful thigh
and cannot move the hipor the knee.
Skeletal traction isapplied directly to the
bone to treat fractureslike the femur by use of
metal pin (steinman pin)that is inserted through
the bone distal to thefracture. Often skeletal
traction is balancedtraction, which supports
the affected extremitythus limits patients
mobility but it alsoallows for some patient
movement.
Goal: After 4hours of
nursingintervention,
the patientwill be able to
maintainposition of
function withmaximum
mobilitywithin the
therapeuticlimits of
traction.
1. Assess for correctposition of traction and
alignment of bones
2. Maintain limbs in
functional alignment(with pillows, sandbags,
etc.). Support feet indorsiflexed position
3. Perform passive and
active ROM exerciseson extremities and
joints, using slowsmooth movements on
the unaffected bodyparts
4. Allow patient to
perform tasks at hisown rate. Encourage
independent activity asable as safe.
1.To maintain good bodyalignment when
mechanical devices areused
2. This prevents footdrop
and excessive plantarflexion
3. Enhances circulation
maintains muscle toneand joint mobility and
prevents disusecontractures and muscle
atrophy.
4. To increase patients
recovery and increase hisself-esteem.
After thenursing
intervention, thepatient was able
to maintainposition of
function andexerted
maximummobility within
the therapeuticlimits of
traction.
-
7/29/2019 NCP- Impaired Mobility Rt Fracture & Traction
2/2
Reference:
Medical Surgical Nursing
(Brunner and Suddarths)
5. Encourage use of
trapeze
6. Instruct and assist in
position changes andtransfers.
7. Keep side rails upand bed in low position
5. Strengthen shoulders
an arm musclesnecessary for safe
positioning andmobilization
6. Encourages active
participation whilepreventing stress on
fractured bone
7. This promotes a safeenvironment.
top related