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Obtain x-ray films to determine the extent of injuryĥ P’s in Nursing Assessment of a Patient with a Fracture.Asses affected extremities regularly for signs of neurovascular compromise such as paresthesia, paralysis, weak and thread pulses and sluggish capillary refill.Asses muscle strength and ROM in unaffected joints.Asses pain: location, severity, duration, alleviating and aggravating factors.Nursing Management for Facture Nursing Assessment Health education on fractures, pain management, immobilization, medical treatment, orthopedic device care, home care, and rehabilitation.Prevent infection and other complications.#9 Risk for ineffective cerebral tissue perfusion Decrease in circulatory blood volume due to hemorrhage.#6 Risk for decreased cardiac tissue perfusion #5 Risk for ineffective peripheral tissue perfusion Reports of psychological distress, irritability, apprehension, agitation, altered sleep-wake cycleĪnxiety Risk nursing diagnosis for Fractureįracture Nursing Diagnosis (Part 2) #1 Risk for peripheral neurovascular dysfunction Surgery, hospitalization, acute change in health status Impaired comfort #9 Anxiety May be related to Presence of casts, reports of discomfort and altered sleep-wake cycle, difficulty in relaxing, irritability Non-compliance with treatment, statement of inaccurate statement, inquiry about the condition, requests for information, development of preventable complicationsĭeficient knowledge #8 Impaired comfort May be related toĬast application, internal fixation devices, restricted movement, Lack of factual information, presence of learning disability Verbal expression of fear, tensing of muscles, tachypnea, tachycardia, crying, insominaįear #7 Deficient knowledge May be related to Impending surgical intervention, hospital environment, hospital procedures, orthopedic equipment Verbal expression of negative feelings about injury, unhappiness, fear of rejection, unwillingness to meet peopleĭisturbed body image #6 Fear May be related to Self-care deficit #5 Disturbed body image May be related toįracture(s), presence of immobilizing devices, amputation, tubes and drains Inability to perform activities of daily living (ADLs) independently, difficulty in putting on and removing clothes, difficulty in using assistive device, difficulty in walking Immobilization, pain, limited range of motion (ROM)
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Impaired skin integrity #4 Self-care deficit (Dressing/Bathing/Toileting) May be related to
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Open wound, surgical incision site, paresthesia, presence of pressure ulcers on bony prominences Open fractures, internal/external fixation devices, traumatic injury, surgical intervention, prolonged immobilization Impaired physical mobility #3 Impaired skin integrity May be related to Report of pain as severe on a standardized pain scale, crying, facial grimace, guarding behavior, diaphoresis, tachycardia, tachypnea, increased blood pressureĪcute pain #2 Impaired physical mobility May be related toĪltered bone integrity, immobilization, traction device, decrease in muscle strength and control, neuromuscular impairmentĭecreased range of motion, poor muscle control, muscle pull/spasm, reduced muscle strength, need for restriction of movement, postural instability NANDA nursing diagnoses for Fracture (Actual)įracture Nursing Diagnosis (Part 1) #1 Acute pain May be related toįracture, movement of bone fragments, soft tissue injury, vascular trauma, nerve injury, traction device, muscle spasms, tendon injury Risk for ineffective cerebral tissue perfusion.Risk for decreased cardiac tissue perfusion.Risk for ineffective peripheral tissue perfusion.Risk for peripheral neurovascular dysfunction.In nursing, a fracture can be defined as a break in a bone due to direct or indirect pressure that exceeds the bone’s normal elasticity.įracture causes damage to surrounding soft tissues, nerves, tendons, and vasculature and is associated with severe pain and as well.Ĭlick Here to Review Fracture Notes. These include actual and risk nursing diagnoses.įracture nursing assessment, interventions, priorities, and patient teaching are all included.
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In this post, you will find 19 NANDA nursing diagnosis for fracture.