Develop a plan of care using the nursing process for the client situations.

Assessment:   To assess the client’s risk for complications, the nurse should ask about past medical history including any circulatory disease or other conditions such as diabetes that could affect healing. Examine the area around the toes for any reddening, pain or irritation. Ask about the sensations at the toes. Assist safety and make sure you understand if the home has a support system for daily activities, such as showering, bathing, or transferring to/from bed.  Cast management is affected by previous casts that have an impact on circulation and movement. (Gadde, et al. 2017, 2017).

Diagnosis: Risk for impaired physical mobility related to inability to weight-bear due to full leg fracture secondary to motor vehicle accident (NANDA-I® 2019).

Plan: To prevent further injury from immobility it should be established that patient will utilize alternative ambulation methods during their recovery period with crutches and wheelchairs when needed (Chandler & Moreau 2013). Instruction should be given on the safe use of crutches or wheelchairs, as well as any potential dangers such falls and pressure wounds. Patients should be taught how to properly care for their immobilization devices.

You should schedule an appointment with your primary care provider two weeks after discharge to ensure that a short-term plan for follow up is in place. Individually tailored written instructions should include information pertinent to particular medical conditions, medications, and referrals. Patients can also contact the hotline at 24 hours for any questions or concerns.

Evaluation: Monitor effects full leg cast has patient’s body over time look signs improved condition check extremities routinely ensure restored back normal range which dependent person progress from start date moment given initial diagnosis easy track data log document notes actions taken lengthiest most accurate timeline created predicting end goal return peak shape possible fewest setbacks experienced give clear picture evolution healing occurring issue reduced problematic behavior instances occur identify trigger corrected approach addressing problem brief yet effective manner lasting positive results go far beyond conservative medication therapies operation radical measures necessary pointing out minor problems nipping bud early stages growth development critical diagnosing curing real key successful long lasting cures right got tip scale things moved towards direction beneficial everyone involved summary hospitals main line defence against violating rights infringing privileges going too far erring side caution safe.