Genius Journal - vol. 01 no. 02 (2020) 061-065 61 A Case Study IMPLEMENTATION OF EVIDENCE BASED NURSING: RANGE OF MO- TION EXERCISE TO THE PATIENT WITH FEMUR FRACTURE Windi Oktavia 1 , Mila Karmila 1 , Andika Abdul Malik 1 , Reffi Nantia Khaerunnisa 1 , Ade Fitriani 1 1 STIKes Muhammadiyah Ciamis, Jln.KH. Ahmad Dahlan No.20 Ciamis 46216, Indonesia ARTICLE INFORMATION ABSTRACT Received: November 2, 2020 Revised: November 21, 2020 Available online: December 12, 2020 Introduction: Femur fracture is a break in the continuity or fracture in the thigh caused by external pressure or physical exertion which is character- ized by deformities such as shortening of the leg in the fractured part and limitation of motion. Objective: This case study aims to overcome the physical mobility con- straints and activity limitations of the patient Method: Physical examination of the fracture of the femur was performed using the head-to-toe method in postoperative patients with Open Reduc- tion Internal Fixation. The North American Nursing Diagnosis Association is used to determine nursing diagnoses. Meanwhile, nursing intervention refers to the Nursing Intervention Classification and the Nursing Out- comes Classification. Result: A nursing diagnosis of physical mobility impairment with the diag- nosis number 00085 was given a nursing intervention in the form of a ROM excercise. After 7 days of nursing intervention, physical mobility impairments were resolved with the criteria that the patient's joint move- ment increased from stiffness to being able to move, the patient's muscle movement increased with muscle strength from 3 to 5, the patient's bal- ance from very disturbed to slightly disturbed, the patient's way of walking from very annoyed to be quite annoyed. Conclusion: ROM Excercise can increase physical mobility aided by using a mobilization aid (crutch), so it is important to do in patients with a diagnosis of impaired physical mobility. KEYWORDS evidence based nursing, fracture femur, range of motion CORRESPONDENCE Phone: 085295203494 Email: henrisetiawan1989@gmail.com INTRODUCTION According to data from the Word Health Or- ganization (WHO), traffic accidents are a world health problem which is the number 8 cause of death, the number of traffic acci- dents every year has increased, if not han- dled with serious causes of death due to traf- fic accidents, increase to number 5 in the world by 2030 (Iskandar, Mardiyono, & Rumahorbo, 2018). In Indonesia, WHO is rated as the third biggest killer after coronary heart disease and tuberculosis (Djamil, Sagaran, Manjas, & Rasyid, 2017). Each year 1.24 million people die due to traf- fic accidents, while another 20–50 million people suffer from disabilities due to traffic accidents. Femur fractures were the most frequent cases, accounting for 39%, followed by humerus fractures in 15%, tibial and fibu- lar fractures in 11%. The biggest cause of femur fractures is traffic accidents, including car and motorcycle accidents (Desiartama & Aryana, 2017). Femur fractures are most common in the middle third of the femur and fractures of the femur are more common in males than fe- males with a vulnerable age under 45 years (Djamil et al., 2017). Femur fracture is a condition of damaged bone continuity or a fracture in the thigh caused by external pres- sure or physical exertion accompanied by deformities such as shortening of the leg in