The precedence nursing diagnoses for the kid with a fractured left femur and delicate head harm are acute ache and head harm. A nurse must completely study this kid’s entire physique to establish areas of discomfort or soreness, crepitus, deformity, lack of operate, and the place and high quality of pulses and confirm the neurovascular situation of the limb (Haimes & Blankstein, 2019). For a affected person with a fracture, acute ache is essentially the most applicable nursing diagnostic. The GCS is carried out after an intensive analysis of the affected person’s situation, which incorporates making certain the security of the affected person’s airway, respiration, and blood circulation after a head harm.
Dietary and physiotherapy nursing interventions are given precedence after being transferred from ICU. Offering a nutritious diet helps bone restore and retains the affected person’s weight-bearable to restrictions as a result of injured limb. The affected person needs to be helped to make sure the secure use of mobility aids and Helpive devices. The kid would require retaining his airway is obvious and making certain sufficient respiration whereas at relaxation ((Haimes & Blankstein, 2019). Intracranial stress (ICP) monitoring can also be vital within the kid’s case as it might help in stopping extra secondary accidents (by recognizing and treating hypoxia, hypercapnia, or hypoperfusion).
The dangers of Foley catheter placement embody urinary infections, bladder spasms, and urethra injury. Utilizing a urinary catheter, reminiscent of an indwelling Foley catheter, will increase the chance of an infection. Urinary tract infections might end result from putting a Foley catheter (Saifullah et al., 2020). Epididymitis and orchitis are each potential issues of urinary an infection in males. The location also can trigger extra points, reminiscent of bladder spasms (much like abdomen pains), obstructions, leaks, and urethra injury.
Sufferers who’re unconscious or have severe points that forestall them from shifting can have an indwelling catheter inserted to empty urine right into a bag linked to a leg and emptied via a faucet on the backside. After being discharged from the Intensive Care Unit, the affected person doesn’t want an indwelling Foley catheter. The affected person’s muscle mass will should be strengthened and loosened up via bodily remedy. It is not uncommon for sufferers to start strolling with Helpance from a bodily therapist throughout the first few days following an accident or operation. Therefore, the kid doesn’t want an indwelling Foley catheter, and his probabilities of full restoration will be elevated via common actions.
