![]() Failure to properly support limbs in casts may cause the cast to break.ĥ. Hip, body, or multiple casts can be extremely heavy and cumbersome. Avoid using an abduction bar when turning a patient with a spica cast. Proper placement of pillows also can prevent pressure deformities in the drying cast.Ĥ. Prevents unnecessary movement and disruption of alignment. Maintain a neutral position of the affected part with sandbags, splints, trochanter roll, footboard. Support fracture site with pillows or folded blankets. Secure a bed board under the mattress or place the patient on the orthopedic bed.Ī soft or sagging mattress may deform a wet (green) plaster cast, crack a dry cast, or interfere with traction pull.ģ. Provides stability, reducing the possibility of disturbing alignment and muscle spasms, which enhances healing.Ģ. Provide support of joints above and below the fracture site, especially when moving and turning. Maintain bed rest or limb rest as indicated. Client will demonstrate body mechanics that promote stability at the fracture site.ġ. ![]() Client will display callus formation/beginning union at fracture site as appropriate.Client will maintain stabilization and alignment of fracture(s).Loss of skeletal integrity (fractures)/movement of bone fragments.It is important for nurses to assess and address these risk factors, through the use of assistive devices and implementation of fall prevention strategies, to ensure the safety of the patient and promote a successful recovery. In addition, pain and discomfort can affect balance and coordination, leading to a higher risk of falls. The immobilization of the affected limb can cause instability and reduced mobility, increasing the risk of falls. Patients who have sustained fractures are at a higher risk of falls due to several factors. Here are eleven (11) nursing care plans (NCP) and nursing diagnosis (NDx) for fracture: ![]() In emergency trauma care, basics include triage, assessment and maintaining the airway, breathing, and circulation, protecting the cervical spine, and assessing the level of consciousness. Performing an accurate nursing assessment regularly allows the nursing staff to manage the patient’s pain and prevent complications. Pathological: Fracture occurs in diseased bone (such as cancer, osteoporosis), with no or only minimal trauma.Ĭreating nursing care plans for clients with fractures, whether in a cast or traction, is based on preventing complications during healing.Open: Bone fragments extend through the muscle and skin, which is potentially infected.Closed: The fracture does not extend through the skin.Complete: Fracture line involves entire cross-section of the bone, and bone fragments are usually displaced.One side breaks the other usually just bends (greenstick). Incomplete: Fracture involves only a portion of the cross-section of the bone.There are many fractures, but the main categories are complete, incomplete, open, closed, and pathological. Fracture is sometimes abbreviated FRX or Fx, Fx, or #. ![]() Other causes are low bone density and osteoporosis, which cause the weakening of the bones. They commonly happen because of car accidents, falls, or sports injuries. What is Fracture?Ī fracture is a medical term used for a broken bone. They occur when the physical force exerted on the bone is stronger than the bone itself. Know the assessment, goals, related factors, and nursing interventions with rationale for fracture in this guide. As a nurse, it’s important to understand the basics of fracture care and create a comprehensive nursing care plan for your patients. Fractures can be a painful and debilitating injury for patients, and proper care is crucial for a successful recovery. In this nursing care plan guide are 11 nursing diagnoses for patients with fractures. ![]()
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