Question

Please help

Patient addminted to the hospital with fall hip fracture.

Please give three Nursing Diagnosis for this patient. ( This is an example of nursing diagnosis. Please help me to answer these question. example, 1. acute pain relate to ...... 2. impare mobility relate to .....3. risk for fall relate to ......

I. Nursing Diagnosis 1

1. Nursing Diagnosis

R/t:

AEB

2. Goals/ Expected Outcomes

3. Nursing Interventions

4. Rationale

5. Evaluations

II. I. Nursing Diagnosis 2

1. Nursing Diagnosis

R/t:

AEB

2. Goals/ Expected Outcomes

3. Nursing Interventions

4. Rationale

5. Evaluations

III. I. Nursing Diagnosis 3

1. Nursing Diagnosis

R/t:

AEB

2. Goals/ Expected Outcomes

3. Nursing Interventions

4. Rationale

5. Evaluations

Answer 1

Image 1 explain disease name and nursing care plan needs to be planned

Image 2 explain care plan for acute pain

Image 3 explain nursing care plan for impaired mobility

Image 4 explain nursing care plan of risk for fall or injury

1st image

Fracture. * → Patient admitted to Hospital with fall Hip Thure Nursing Diagnosis : > Acute pain velated to... 2Impair mobility vuelated to ---- 3% Risk for Fall uelated to -----

2nd image

Biagnosis Goals Evaluation 2 Intervention - Record level of To relief pain Rationale Influence effective mees of intervention - pain relieved. pain. - Anxiety decreased - Circulation improved Acute pain related to - muscle spasm - Traction/ Immobility device - Movement et Bone fragments Evidenced By Repouts of pain, ou facial expression of pain. - To demonstrate - Encourage patient - Helps alleviate ability to to discuss anxiety participate in preoblems eft activities with ' injwy. minimal - Inmobalization - Relier pain & complaints of or Discomfort of affected part. I prevent Bone displace ment - Elevate & - Recomote venous suppout injured vetwin, decrease extermity edema & pain. & Analgesics give Relief pain. - - Provide comfort measures (massage) Improve circulation

3rd image

Diagnos's Impaired mobility related to Immobilisation devices evidenced Goal To maintain mobility at Intervention -Assess degree of immobility Rationale Require information to promote progress Evaluation 3 - Motility status enhanced - ROM Eraucises Helps in doing activities. Highest possible Level Encourage recreational activites. ~ Enhance patient's sense of self control and self worth. By limited ROM and decreased muscle strength - Teach patient on assist with ROM Exercises. - improve musde tone, preserve Joint mobility. - Assist in self-care activities - Improve muscle strength. (Bathing, shaving - Provide mobility aids such as walker, clutches Maintain optimal I mobility ete.

4th image

RATIONALE I EVALUATION - Diagnosis NURSING INTERVENTIONS GOALS 1 Provide stability - stability improved Risk for fall velated to Tuauma Evidenced By Loss of skeletal Integuity, weakness ou physical Harm. To puerent Maintain Bed Rest from fall and to maintain - Secove a bed Board Stabilization under mattress and alignment of Fracture. - Support fractuue site e pillows. - Soft mattress may - movement of deform wet plaster affected limb cast. veeduced - Prevent unnecess ally movements - Avold wing abduction failure to propere support limbs in casts may Break Cast. - Admmister alendronate as prescribed. - promote Healing of Foracture.