Assessment Patient manifested: Verbalizes inadequate knowledge of care/use of immobilization device, mobility limitations, complications, and follow-up care.

Patient expresses concerns about ability to manage independently at home. Confusion; asking multiple questions

Diagnosis Deficient Knowledge related to new condition and treatment and cognitive limitations.

Planning Short Term: After 4 hours of nursing interventions, the patient will participate in the learning process and will verbalize understanding of condition process and treatment. Long Term: After 1 day of nursing interventions, the patient will assume responsibility for own learning and begin to look for information regarding health.

Intervention Assess current understanding of treatment and follow-up care.

Rationale Effective discharge planning is based on a clear understanding of the needs of the patient and family members who will assumecaregiver roles. To prevent patient from injury.

Evaluation Patient verbalizes understanding of and demonstrates ability to perform postoperative care after discharge. Patient/caregiver verbalizes understanding of treatment, possible complications, and follow-up care.

Determine if hazards exist in the home that will compromise the patients ability to be effectively mobile as home. Perform prescribed exercises several times a day. Identify and report to physician signs of neurovascular compromise of extremity: pain, numbness, tingling, burning, swelling, or discoloration.

Regular exercise is necessary to maintain muscle tone and promote bone healing. Early assessment reduces the risk of injury or complications

Obtain proper nutrition

Involve patient/caregiver in procedures. Supervise those performing procedures and teach proper technique.

This promotes bone/wound healing and prevent constipation. Ability to perform self-care procedures decreases risk of infection and optimize therapeutic effect in the home care environment. Efforts to enhance self-care abilities promotes successful transition/ accommodation to home environment

Provide patient with medical supplies and assistive devices needed

Assessment Patient may manifest inability to: - Get bath supplies - Wash body or body parts - Get in and out of bathroom

Diagnosis Self-Care Deficit related to musculoskeletal impairment secondary to fractured femur

Planning Short Term: After 2 hours of nursing interventions, the patient will verbalize knowledge of healthcare practices. Long-Term: After 2 days of nursing Interventions, the patient will demonstrate techniques or lifestyle changes to meet self care needs.

Intervention >Establish Rapport >Monitor and record vital signs >Assess patients general condition >Determine individual strengths and skills of the client >Promote client/SO participation in problem identification and decision making >Plan time for listening to the client/SO(s) >Develop plan of care appropriate to individual situation; schedule activities

Rationale >To gain patients trust and cooperation >To have baseline data >To provide proper nursing interventions >To assess degree of disability >To enhance commitment to plan, optimizing outcomes >To discover barriers to participation in regimen. >To conform to clients normal schedule

Evaluation Short Term: The patient shall have verbalized knowledge of healthcare practices. Long-Term: The patient shall have demonstrated techniques or lifestyle changes to meet self care needs.

>Encourage food and fluid choices reflecting individual likes and abilities that meet nutritional needs >Review safety concerns; modify activities or environment

>To assist in correcting/dealin g with situation

>To reduce risk of injury

Assessment Patient manifested: >pain >swelling >shortness of breath >dependence >inability to participate in activities >Patient may manifest: >edema >decrease reaction time >pressure ulcers

Diagnosis Impaired physical mobility related to body weakness and disease condition (Fracture)

Planning Short term: After 4 hours of NI patient will be able to demonstrate techniques and behaviors that enable resumption of activities. Long Term: After 4 days of NI patient will be able to maintain or increase strength and function of affected body part

Intervention >note for motor agility

Rationale >note in congruencies with reports and abilities >assess patient functional ability >to promote optimum level of functioning >to maximize energy production >to reduce risk of pressure ulcers

Evaluation Short term: Patient demonstrated Techniques and behaviors that enable resumption of activities. Long Term: Patient was able to maintain or increase strength and function of affected body part.

>observe client when unaware >determine complication related to immobility >encouraged participation in self care >encourage adequate intake of fluids and nutritious foods >support affected part by using pillows

Assessment Patient may manifest: - with an intact wound dressing - can sit on bed but limited mobility - pain when moving - eagerness to walk and do ADL - Patient may manifest: - irritability - restlessness

Diagnosis Activity Intolerance related to post operative condition

Planning Short term: After 2 days of nursing interventions, the patient will be able to identify techniques that can enhance activity intolerance. Long term goal: After 2 weeks of Nursing Interventions, the patient will report measurable increase in activity tolerance.

Intervention > establish rapport > Check Vital signs > assess Pts general condition > Note client reports of weakness, pain and difficulty accomplishing task/ADL >Provide position of comfort and assisted with ADL > Assess emotional and psychological factors affecting the current situation.

Rationale > gain Pts trust > baseline data > to provide proper NI > to monitor the patients ability to do activity > to be able for the patient to be comfortable and gain confidence in doing ADL >To determine the emotional and psychological response of the patient regarding her disease condition > To enhance patients health condition. > For health maintenance

Evaluation Short term: Patient shall have identified techniques that can enhance activity intolerance. Long term: Patient shall have reported measurable increase in activity tolerance

> Encourage to increase intake of CHON for tissue repair. > Encourage intake of vitamin

supplements