skewing around a "medical diagnosis" help!

[EveUnderConstruction]

I am writing a nursing diagnosis : Impaired physical mobility r/t loss of integrity of bone structures ....but the AEB? ...needing assistance ambulating????????with adls???

I know the guy has a R hip fx .....but I really dislike this "tip toe" double speak around the fact that the client has a hip fracture ...

Am I just viewing this all wrong , or my could my nursing diagnoses be better?

[CyclicalEvents]

Nursing diagnoses are basically a way to prioritize patient care, plan for possible possible negative/positive outcomes, teach, and evaluate progress (improvement and deterioration). I don't like the formality of them, because I feel it makes it unnecessarily difficult to get across your point. The goal of it is to teach you to think, but there is such a high focus on arbitrary rules that the goal of why you do a nursing process tends to get lost. It honestly didn't come together until my last semester of school.

See here's how I would do your situation. You have right hip fracture. The goal of the nursing process is to prioritize care based on facts, plan interventions for potential outcomes, teach, and monitor progress.

So what facts do you have(Your subjective and objective data)? You know that you have a guy with a right hip fracture.

Now what? Since I know nothing else about this guy's situation, I would assess assess assess!

First and foremost you have to consider your ABCs. Is his airway compromised? There's not enough information and there's nothing immediately relevant about what you said to think it would be. Is his breathing compromised? Not enough info for the same reason. What about circulation? Well now we have something to work with. Fractures, especially hip fractures can impair circulation. Hip fractures can lead to fat embolisms that could lead to circulatory and respiratory problems. You also have impaired ambulation due to the lack of movement, as you described. Is it an open or closed fracture? There's not enough information, but if it were open there is the potential for infection.

So there's your top 3 nursing diagnoses right there -

Risk for impaired circulation/ineffective gas exchange related to physical trauma

Risk for (or actual) infection related to impaired skin integrity secondary to (open) right hip fracture as evidenced by (only have AEB when it's actually occurring) temperature, WBCs, pus, etc

Impaired physical mobility related to physical trauma secondary to right hip fracture as evidenced by fractured hip bone, pain, casts, traction, etc.