Nursing Plan of Care Concept Map
Student Name: __David Ngo_________
of Care: 04/26/2011_
***Complete Pathophysiology, Therapeutic regimen, Functional Changes & Labs in
Nurse2
Nursing Dx (NANDA): Impaired physical mobility r/t
fractured hip
As evidenced by (AEB): Defining
Characteristics (Signs/Sx/Data)
that support NDX
1. Acute Pain;
discomfort_2/10____
or Improve
2. Joint Stiffness__________________
3. Lack of environmental
supports____
___________________________________
Interventions: What you will do:
Assessments, Actions (do), Teaching,
Meds if applicable. As many in each
category as needed.
Evaluation of Interventions (Give
supporting data)
Intervention
1. Maintain neutral positioning of hip.
2. Instruct and assist in position
changes
And transfers.___________________
3. Instruct in and supervise
isometric,_
Quadriceps-setting, and gluteal-
setting
Exercises._______________________
4. Place pillow between legs when
turning._
5. Encourage use of
trapeze._________
________________________________
Credits: MBancroft, JAdams, AMaradiaga `
Unique Patient Identifier:__501042111____Date
Goals with time frames:
_________________________________
1. Achieves pain-free_0/10__
Reverse
2. Functional - Joint movement
Freely_
3. Without help from another
person
__and equipment
Rationales device._____
(Why?). Cite
References
Smeltzer andofHinkle,
Evaluation Goals:2010, p.
Did you
2102 the goal? Give Evidence
reach
_Yes. Client is in less pain,
because pain level is at 1/10.
After regular exercise, client
mobility has improve by
walking__
_a short distance without any
help.__
________________________________
Rationale Evaluation
1. _Prevents stress at the site of________________________________
1. _Client engages in therapeutic
fixation_ positioning.
2. Encourages client's active 2. Assist in position changes; shows
participation_ increased
While preventing stress on hip Independence in transfers.______
fixation._
3. Strengthen muscles needed for 3. Exercises every 2 hours while
walking. awake._
__________________________________ __________________________________
_________________________________ ________________________________
4. Supports leg; prevents 4. Uses pillow between legs when
adduction.__ turning.__
5. Strengthens shoulder and arm 5. Uses trapeze_-
muscles_ ______________________
Necessary for use of ambulatory __________________________________
12/13/2010
 Nursing Plan of Care Concept Map
Student Name: __David Ngo_________
of Care: 04/26/2011_
6. _Offer encouragement and support
__
Exercise
regimen.______________________
Unique Patient Identifier:__501042111____Date
aids._ _
6. Reconditioning exercises can be 6 . Actively participates in exercise
____ regimen_
Uncomfortable and fatiguing; __________________________________
encourage-_
Ment helps patient comply with the
program

Credits: MBancroft, JAdams, AMaradiaga ` 12/13/2010