Thursday, November 3, 2011

Nursing Diagnoses in Clients With Fraktur Femur


Nursing Diagnoses of Fraktur Femur

Based on the analysis of data by Marilyn E. Doengoes (2000), Brunner and Suddarth (2001) defined nursing diagnoses as follows:


Preoperatif :

  1. High risk of trauma associated with loss of integrity of bone (fracture)
  2. Pain (acute) are associated with muscle spasms / movement of bone fragments, edema and injury to soft tissue, traction equipment / mobilization, strees, anxiety.
  3. High risk for peripheral neurovascular dysfunction associated with a reduction / interruption of blood flow. Direct vascular injury, edema, excessive / thrombus formation, hypovolemia
  4. High risk of infection associated with inadequate defense was the primary damage to the skin, tissue trauma, exposure to the environment, invasive procedures, spinal traction
  5. Damage to health care associated with loss of independence.
  6. Body image disturbance, self-esteem or performance-related roles impact muskuloskletal problem.


Postoperatif :
  1. Pain (acute) are associated with muscle spasms / movement of bone fragments, edema and injury to soft tissue, traction equipment / mobilization, strees, anxiety.
  2. High risk for peripheral neurovascular dysfunction associated with a reduction / interruption of blood flow. Direct vascular injury, edema, excessive / thrombus formation, hypovolemia
  3. High risk of infection associated with inadequate defense was the primary damage to the skin, tissue trauma, exposure to the environment, invasive procedures, spinal traction
  4.  Damage to health care associated with loss of independence.
  5. Body image disturbance, self-esteem or performance-related roles impact muskuloskletal problem.
  6. High risk of damage to gas exchange associated with the exchange flow, blood / fat embolism, changes in membrane alveoli / capillary intenstisial, pulmonary edema, congestion.
  7. Damage to physical mobility related to neuromuscular damage order: pain / discomfort: restrictive therapy (mobilization leg)
  8. High risk to damage the integrity of the skin / body tissue puncture injuries, open fractures: surgical repair, installation of traction pen / wire, screw, change in sensation, circulation, accumulation of excretions / secretions, physically immobilizing
  9. Lack of knowledge (learning needs) about the condition, prognosis, and treatment needs associated with less exposure, incorrect interpretation of information / do not know the source of information

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