Kathy Gestalt, 33yr-old, Dx- second-day post-op open right Tibia/Fibula fracture, plaster cast in place on right...

Kathy Gestalt, 33yr-old, Dx- second-day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. No known allergies. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Neuro WNL, alert, and cooperative but worried about scarring and is reluctant regarding walking on leg. Diet as tolerated, up ad-lib after gait training. Crutches at bedside adjusted for height.

Write a Nursing Care Plan Assessment, Diagnosis, Goal, Implement, Evaluation

Expert Solution

ASSESSMENT

Subjective data:-

patient complaints about

gait change and scarring

objective data :-

patient looks nervous and dull

DIAGNOSIS

Altered posture and gait related to surgical procedure as manifested by visualisation

GOAL

To provide

support

to

patient

IMPLIMENTATION

-Assess the general condition

-provide comfortable position.

-Explain regarding meassures to reduce scar

-Assist with supportive devices

-provide health education -Provide psychological support

-provide diversional therapy

EVALUATION

patient psychologically

started adapting and feels comfortable.

Nightingale answered 2 years ago

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