Diagnosis Of Post Operative Nursing Interventions

1507 Words Mar 21st, 2016 7 Pages
Total Hip Replacement

Introduction
Ms Sue Pink a 75 year old widow presented in orthopaedic ward following a fall at home resulting in an intra-capsular fracture of the hip at the femoral neck. She has a history of severe rheumatoid arthritis, had an upper GI bleed in 1993 and had coronary artery disease bypass graft 9 months ago. In this essay I will discuss the entire continuum of post-operative nursing interventions in the first 24 hours with more emphasis on pain management for Ms Sue following Total Hip Replacement (THR)
Pathology
There is a high prevalence of degenerative joint conditions such as osteoarthritis among the older adults. Moreover this debilitating condition make them highly prone to falls and fractures, especially hip joints. The most common and effective treatment for intra-capsular fracture of hip at the femoral neck in older adults is surgery for THR. However for some patients this type of surgery may not improve overall quality of life because an improvement in overall health does not always occur (Hordam et al,2011).The amount of displacement of fracture, age of patient, pre-existing health problems, medical fitness for anaesthesia and the surgery and presence of cognitive impairment are all taken into account before surgery is recommended (Jameson et al, 2012). However the patient achieves considerable pain reduction , ameliorate joint movement and mobility and also enhance activities…
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