Outcome/ Intervention: Patient and family will understand the importance of neurological checks with every vital sign assessment to ensure there is no neurological compromise and the signs and symptoms such as altered sensation, paralysis, pallor, excessive pain by October 10th. Nurse will assess the neurological status of the legs by inspecting the color of the toes, capillary refill, movement, sensation, warmth and pulses and ensure findings are compared bilaterally then document findings on appropriate limb observation flowsheet by October 10th.
Evaluation: Patient and family understand the importance of neurological checks. Nurse performed neurological checks with every vital sign assessment. Patient and family understand the importance of regular pressure area care and repositioning. Nurse repositioned the patient every 2 hours and supported him with pillows. Patient and family understand the importance of the cast care. Nurse ensured the cast is kept clean and dry with regular diaper changes and cleaning. Goal met. Nurse will continue with these measures until discharge.