CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Fractures of the tibia and fibula often occur in association with each other and tend ... to result from a direct blow, falls with the foot in a flexed position, or a violent twisting motion. splint: device designed specifically to support and immobilize a body part in a desired position DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS ANTICIPATED NURSING INTERVENTIONS vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Karen Brito RN , Med Surge Unit Your name, position (RN), unit you are working on SITUATION Marilyn Hughes, 45 year old female, suffered a left mid-shaft tibia- fibula fracture Patient’s name, age, specific reason for visit BACKGROUND Primary diagnosis is compartment syndrome after the surgery , date of admission 4/12/2020, current orders are morphine and to assess vital signs and assess post operative dressing Patient’s primary diagnosis, date of admission, current orders for patient ASSESSMENT Lower left leg looks cyanotic, dressing seems really tight, prolonged capillary refill in the toes on the left side, normal skin turgor, skin is cool and she is very sweaty Current pertinent assessment data using head to toe approach, pertinent diagnostics, vital signs RECOMMENDATION Recommendations is to loosen dressing, assess pedal pulses, vital signs q 15 mins, provide PRN medication for pain, assess pain, circulation Any orders or recommendations you mayhave for this patient [Show More]
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