This nursing care plan is for patients who are at risk for injury. According to Nanda the definition of risk for injury is the state in which an individual is at risk for harm because of a perceptual or physiologic deficit, a lack of awareness of hazards, or maturational age. In order for a patient to qualify for the nursing diagnosis of risk for injury the nurse must assess the patient for possible risk factors. These risk factors can include:
- Pathopysiologic-Examples include altered cerebral function or altered mobility due to amputation or stroke
- Treatment-Related-Examples include side effects of medications or assistive devices such as casts or canes
- Situational-Examples include prolonged best rest, loss of short-term memory, faculty judgement due to alcohol or stress
- Maturational-Examples include infant/child due to faculty judgement due to cognitive or sensory deficits
*Note the list above is only a few examples that can be used for risk for injury. Please see your nursing care plan book for a complete list of risk factors.
Below is a nursing care plan with diagnosis and nursing interventions/goals for patients at risk for injury.
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for Risk for Injury
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario
A 56 year old male is admitted with pneumonia. The patient is also blind in both eyes and has been blind since he was 21 years old. You have started your nursing care plan and have addressed the pneumonia on your care plan. The patient is alert and oriented times 3. The patient reports to you that he is clumsy and that he “almost” fell out of bed last week. He says that when he is in an unfamiliar environment he is more prone to accidents but once he has learned the lay out of the room he will be okay.
Nursing Diagnosis
Risk for injury related to impaired sensory function of vision as evidence by patient is blind in both eyes.
Subjective Data
The patient reports to you that he is clumsy and that he “almost” fell out of bed last week. He says that when he is in an unfamiliar environment he is more prone to accidents but once he has learned the lay out of the room he will be okay.
Objective Data
A 56 year old male is admitted with pneumonia. The patient is also blind in both eyes and has been blind since he was 21 years old. You have started your nursing care plan and have addressed the pneumonia on your care plan. The patient is alert and oriented times 3.
Nursing Outcomes
-The patient will be free from injuries during his hospitalization.
-The patient will verbalize the lay out of the room within 12 hours of admission.
-The patient will demonstrate how to correctly use the braille call light when asking for assistance.
Nursing Interventions
-The nurse will educate the patient on how to use the braille call light when asking for assistance.
-The nurse will keep the patients room clutter free at all times.
-The nurse will room any hazardous, skidding, or sharp objects from the room.
-The nurse will educate and describe to the patient the room lay out.
-The nurse will assess the patients concerns about safety in the room.