UNIVERSITY OF TABUK
FACULTY OF APPLIED MEDICAL SCIENCE
DEPARTMENT OF NURSING
NURSING CARE PLAN
Name of Student: ___Fahad Saad Alenzi Student Number: __381007055_______________
Name of Patient: _________S A______________ Age:__30____ Medical Diagnosis: __Fracture____________________________
Ward/Unit :_________________ Room/ Bed No.:__________ Date of Assessment: _________________
Assessment Nursing Diagnosis Goal Interventions Rationale Evaluation
Subjective Cues: Impaired physical Goal Statement: 1-Encourage adequate intake 1-It promotes well- being
“I can't move my leg” mobility related to loss At the end 6hrs. of nurse- of fluids/nutritious foods. and maximizes Goals are met.
As claimed by patient. of integrity of bone patient interaction and energy production.
intervention, the patient will:
structure (fracture).
Objective Cues: 1- Verbalize understanding of
>limited range of the situation and individual 2-Support affected body part 2-to maintain position
motion treatment regimen and safety using pillows. and function and reduce
measures.
>slowed movement risk of pressure ulcers.
>limited ability to 2-Participate in ADLs and
perform gross and fine desired activities.
motor 3-Assist client reposition self 3-to promote optimum
> with cast on left leg 3-Maintain position of function on a regular schedule. level of function and
and skin integrity as evidenced
>Functional Level: 3. prevent complications.
by absence of decubitus ulcers.
4-Maintain and increase
strength and function of 4-determine the degree of 4-to assess presence of
affected part. immobility in relation to complications.
suggested scale.
CTC_Revised summer 2016