Proximal Tibia Fracture: A Case Report and Application of Dorothy E. Orem Self-Care Deficit Nursing Theory with Nursing Process Approach

Authors

DOI:

https://doi.org/10.37628/ijorn.v5i2.1261

Abstract

Proximal tibia fractures can be closed or open. When bone breaks, that bone becomes small pieces and comes out from the skin that results in open fracture, which causes more damages to the surrounding areas like muscle, tendon and ligaments. It can cause risk for problems like infection and take so much time to recover. Proximal tibia fracture occurs more commonly in young people due to high injuries like fall from the height, sports injuries and its trauma, motor vehicle accidents theses  cause  result in pain, swelling around the knee, and limited bending of the joint, deformity, pale, cool foot, numbness around the foot, nerve injury or excessive swelling within the leg. Diagnoses are achieved by combination X-rays, CT scan and MRI scan. A proximal tibia fracture can be treated non-surgically or surgically like internal fixation (NF) and external fixation (EF), and non-surgical treatment may include casting and bracing.

Author Biography

  • chetan ramesh Sangati, MSc nursing student dept of Medical Surgical Nursing from SDM Institute of Nursing Sciences, Sattur aDharwad.
    M.Sc nursing scholar department of medical surgical nursing

References

Chintamani MM. Lewis’s Medical Surgical Nursing: Assessment and Management of Clinical Problems. Elsevier Publishers; 2010, pp. 1599–1621.

Kottmeier S. Fractures of the Proximal Tibia (Shinbone). American Academy of Orthopaedic Surgeons. Available from: https://orthoinfo.aaos.org/en/diseases--conditions/fractures-of-the-proximal-tibia-shinbone/.

Black JM, Hawks JH. Medical Surgical Nursing: Clinical Management for Positive Outcomes, 8th edition, Vol. I. Elsevier India; 2009, pp. 507–537.

Smith L. What to Know About a Tibia Fracture. Available from: https://www.medicalnewstoday.com/articles/321642.php. (Last reviewed 27 April 2018).

Wennergren D, Bergdahl C, Ekelund J, Juto H, Sundfeldt M, Möller M. Epidemiology and incidence of tibia fractures in the Swedish Fracture Register. Injury. 2018; 49(11): 2068–2074p. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30220634.

Nursing Theory Self-care Deficit Theory. Available from: http://www.nursing-theory.org/theories-and-models/orem-self-care-deficit-theory.php.

Published

2019-11-27

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Section

Articles