Question

E SCENARIO

Madam Augustina Nyako, a 45year old Christian and market woman weighing 82kg is on admission at the female orthopedic ward and on bed number (3) with severe pain in the left thigh as a result of left femur fracture, as diagnoses by Dr.Kwateng on 15th June, 2020. She is due for Open reduction and internal fixation (ORIF) at the theatre on 17th June,2020.Her folder number is UGMC/F134/2020.She was knocked by a speeding vehicle on her way from the market to her house. She has no known allergies .Her baseline vital signs read as follows; Temperature- 38.8°C,Blood pressure- 130/80mm/hg, pulse- 85bpm and respiration-24cpm.

The physician ordered the followingtreatment and management; diagnostic investigation; Blood for full blood count, fasting blood sugar, liver function test, Urine for urinalysis, x-ray of the left femur, CT scan of the head,medications prescribed include IV Paracetamol 1g 6hourly x 24 hours, IM Tramadol 50 milliliters stat, IV Normal saline 2 liters x 24hours,IV DNS 2 liters x 24hours. You are the student nurse in the female orthopedic ward working for 24hour work.

From the above scenario, demonstrate your care within the 24hour care of Madam Augustina on the ward using the nursing process as a guide to complete your Nursing Care Plan for Madam Augustina.

this is the scenario

so you read and answer the question i sent

Answer 1

Answer. Open reduction and internal fixation is the surgical procedure to treat the fractured bones. The thigh bone, femur, is the large bone and its fracture can only be treated with surgery. The surgeons perform this surgery by repositioning the pieces of bones for their alignment and fix them by using special screws, plates, rods, wires, or nails.

Nursing care plan to take care of patient will be as follows:-

. To minimise or to eliminate their risks of falls which will again break their bones and will make them suffer a lot. So, stability or bed rest or limb rest is advices and taken care of.

. Support the fracture with pillows or blankets by keeping in normal position.

. Observe the wound for edema and apply plaster.

. Observe the vitals for 24 hours and regulate the medicines in diet to reduce pain and help in healing.

. Keep in check the risk for any infection at wounded area before plaster.

. Educate the patient about self care plan, in which she have to take many precautions by herself.