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BONE INJURIES-FRACTURES (Types Of Fracture (Complete Facture (There is a…

- - - - Patient describes satisfactory pain control at a level less than 3 to 4 on a rating scale of 0 to 10.
      - Patient displays improved well-being such as baseline levels for pulse, BP, respirations, and relaxed muscle tone or body posture.
      - Patient uses pharmacological and nonpharmacological pain-relief strategies.
      - Patient displays improvement in mood, coping.
    - - Assess for signs and symptoms relating to pain.
      - Assess the patent’s anticipation for pain relief.
    - - Foresee the need for pain relief.
      - Acknowledge reports of pain immediately.
      - Provide rest periods to promote relief, sleep, and relaxation.
      - Adminisinnster opioids orally, intravenously
  - - - Patient performs physical activity independently or within limits of disease.
      - Patient demonstrates measures to increase mobility
      - Patient demonstrates the use of adaptive devices to increase mobility
    - - Check for functional level of mobility.
      - Evaluate patient’s ability to perform Activities of Daily Living efficiently and safely on a daily basis.
      - Evaluate the need for assistive devices.
    - - Assist patient for muscle exercises as able or when allowed out of bed; execute abdominal-tightening exercises and knee bends; hop on foot; stand on toes.
      - Present a safe environment: bed rails up, bed in down position, important items close by.
      - Establish measures to prevent skin breakdown and thrombophlebitis from prolonged immobility:
      - Provide foam or flotation mattress, water or air mattress or kinetic therapy bed, as necessary.
  - - - Patient remains free of infection, as evidenced by normal vital signs and absence of signs and symptoms of infection.
      - Early recognition of infection to allow for prompt treatment.
      - Patient will demonstrate meticulous hand washing technique.
    - - Monitor white blood cell (WBC) count
      - Assess and monitor nutritional status, weight, history of weight loss, and serum albumin.
      - Redness, swelling, increased pain, purulent discharge from incisions, injury, and exit sites of tubes (IV tubings), drains, or catheters
    - - Maintain or teach asepsis for dressing changes and wound care, peripheral IV and central venous management, and catheter care and handling.
      - Encourage intake of protein-rich and calorie-rich foods.
      - Encourage fluid intake of 2,000 to 3,000 mL of water per day, unless contraindicated.
      - Teach the patient and/or SO to wash hands often, especially after toileting, before meals, and before and after administering self-care.