CUESPROBLEMS#PHYSIOLOGICBEHAVIORAL

ACTUALPOTENTIALACTUALPOTENTIAL

SUBJECTIVE:>Hindi lang paghikapa akon tiil kay kasakit. As verbalized by the patient.

>Facial grimace noted

>Guarding behavior noted

>Irritability noted

OBJECTIVE: Vital signs taken:BP: 110/80 mmHgRR: 19 cpmPR: 69 bpmTemp: 64.4 C

SUBJECTIVE:>Nakapoy nko sige higda, di ko mayo ka gihogiho tungod sang tiil ko.

>Irritability noted

OBJECTIVE: Vital signs taken:BP: 110/80 mmHgRR: 19 cpmPR: 69 bpmTemp: 64.4 C

SUBJECTIVE:>Kalain na lantawon sang tiil ko.

>Anxiety noted

OBJECTIVE: Vital signs taken:BP: 110/80 mmHgRR: 19 cpmPR: 69 bpmTemp: 64.4 C

Acute Pain

Body Weakness

Low self- esteem

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Impaired skin integrity r/t tissue trauma 2 right leg fracture

Impaired physical mobility r/t decreased muscle strength

Disturbed body image r/t trauma

Risk for infection r/t tissue trauma 2 right leg fracture

Risk for injury: fall r/t altered body function

Risk for loneliness r/t physical isolation

Impaired comfort r/t acute pain

Anxiety r/t changes in role function

Deficient diversional activity r/t skeletal-muscular impairment

Risk for disturbed sleep pattern: insomnia r/t physical discomfort

Risk for Alteration in role performance: parenting role r/t altered body function

Ineffective coping r/t change in body part