Early Ambulation Accelerate Recovery Essay

3931 Words Jul 9th, 2013 16 Pages
Early Ambulation After Hip Surgery Accelerates Recovery
Colleen Peters
Azusa Pacific University
GNRS 507: Scientific Writing Diana Amaya Rodriquez, PhD, MS, CNS, RN
July 3, 2013

Research studies conducted all over the world, including Japan, Italy, Ireland, Denmark, Australia, and the United States, have explored the effects of early ambulation. Early ambulation is defined as less than 48 hours after surgery. The purpose of this paper is to review current research regarding implementation of early mobilization in the post surgical hip patients that are 65 years of age or older. Early ambulation has been linked to accelerated recovery in the elderly who have undergone hip surgery. Accelerated recovery may
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They also found a decrease length in hospital stay from 7.8 to 4.9 days for those that ambulated the day of surgery. The authors of this study contributed these findings to nurse-led efforts with early and more aggressive ambulation. Nurses led off this new intervention with an information day, which consisted of informing patients (in groups) of the accelerated path, and also to prepare the patients for surgery through individual consultations with the surgeon, anesthesiologist, and nurse. However, in 2012 a study conducted in Japan addressed the question of whether nursing care predicted length of stay in older adults (65 years and older) that had hip surgery and found a lower incidence of complications, but did not find a significant effect on patient’s length of stay. (Kondo, Sada, Yamaguchi, & Fujimoto, 2012) Nevertheless, the incorporation of nursing care with the prevention of complications, encouragement of weight bearing, and controlled pain is believed to contribute to shorter length of stay.
Reduction of Complications Getting out of bed accelerates blood circulation and respiratory functions contributing to the prevention of complications (Kondo et al., 2012). Kamel, Iqbal, Mogallapu, Maas, and Hoffman (2003) tested the hypothesis that time to ambulation after hip surgery impacts the frequency of post-operative complication and

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