# data[].attributes.body
Due to a lack of mobility during the healing phase of some cases of fractures, the gastrointestinal system may be affected with constipation r/t lack of peristalsis also influenced by mobility. If a patient must completely refrain from mobility when recovering from a fracture, it is possible a Foley catheter may need to be instilled, which can create a risk for trauma to the urethra if not placed appropriately, or infectious microbes being introduced through the urethra.

# data[].attributes.body
The immune system is threatened by a new portal of entry for pathogens if bone breaks through the skin; even after surgery to repair a bone, a patient is at risk for infection at the surgical site and may induce fever.

# data[].attributes.body
The integumentary system may be affected from the bone breaking through skin and exposing to the environment, and possibly experiencing heavy blood loss then hypovolemic shock; swelling, bruising, tenderness; contaminated soft skin tissues due to exposure of skin; pressure sores if patient does not shift weight off bony prominences or sacrum; rash or skin erythema if patient cannot utilize bedpans

# data[].attributes.body
The musculoskeletal system is affected in the fact that a physician’s order for bedrest, no weight bearing, and therefore no ambulation, can create a risk for muscle atrophy; muscle spasm or possible shortening of affected extremity; weight gain/loss; bone avascularity, necrosis, or bone infection; affects on GI peristalsis due to lack of mobility; also influencing the cardiovascular system by increasing risk for deep vein thrombosis; blood clots (especially in the patient’s left leg, or if clot causes pulmonary embolism); and damaging surrounding vascular structures, organs, or vessels underlying the damaged bone and lead to avascular necrosis.

# data[].attributes.body
The neurological affect of a fracture may be depressed stimulation of CNS from anesthetics post-surgery; depression due to social isolation when in bedrest or if unable to fully return to health status/strength before injury.

# data[].attributes.body
Temperature 98.4F
Pulse 72 bpm
Respirations 20 bpm
BP 136/78 mm Hg
O2 97% on room air
Weak pulse and muscle strength on LLE

# data[].attributes.body
Intake and Output-Strict

Frequency: Continuous
Start Date: 02/03/2021 1009

# data[].attributes.body
Activity-Physical Therapy
Start Date: 02/03/2021 0909
Patient NWB until reviewed by PT and approved after assessment for strength and engagement tomorrow.

# data[].attributes.body
- acetaminophen 1000 mg and 650  mg
- docusate 250 mg
- sennosides 17 mg
- amlodipine besylate 5 mg
- oxycodone hydrochloride 5 mg
- polyethylene glycol 3350 17 mg

# data[].attributes.body
1. Acute pain r/t tissue trauma underlying left hip and head of femur fracture, secondary to ORIF surgical incision site, as evidenced by patient rating pain a 7 out of 10.
2. Risk for infection of surgical incision site on patient’s left leg.
3. Deficient self-care management r/t impaired left leg mobility, secondary to orders for bedrest and non-weight bearing post-ORIF surgery, as evidenced by patient’s continuation to attempt getting out of bed and “wanting to do things for herself”.

# data[].attributes.body
Possible blood-clotting, constipation, sepsis, bleeding, risk for falls

# data[].attributes.body
Osteoporosis, HTN, peripheral arterial disease, currently thrombocytopenic, prediabetic

# data[].attributes.headline
Admitted Dx- Left hip and head of left femur fx after a fall

# data[].attributes.subject
Admitted Dx- Left hip and head of left femur fx after a fall

# data[].attributes.body
Viola Cumble, 92 y/o, caucasian
Female
FULL CODE
Non-compliant to non-weight bearing order
Allergies: Penicillin (hives and fever)
Scheduled ORIF surgery