Nursing Assessment And Comprehensive Post Operative Planning For An Elderly Patient Undergoing A Total Hip Arthroplasty

As a clinical requirement for my Adult 1: Medical-Surgical course, I had the opportunity to observe a patient in the Operating Room and in the Post Anesthesia Unit of Advocate Good Samaritan Hospital. The procedure that I observed was a left total knee replacement. The patient needed this surgery because she was experiencing osteoarthritis, and this surgery could alleviate her pain and discomfort. I was with the patient from the end of her stay in the pre-operative holding area to the Operating Room, and then to the Post Anesthesia Care Unit. This paper will include background inquiry, preoperative and operative

According to National Falls Prevention for Older People Initiative (2000), patients must be provided with proper education relating to knee and hip injury, in order to make them aware of the sensitivity relating to it. Education can be provided either through post-operation or through on-going basis at the time of hospitalisation. It has been recommended by Standards from the ICSI (2008), education on the subjects which shows how long to survive pain, preventing pain instead of chasing the pain, objective of pain management, treatment in pain management, how to get communicated with the nurse for analgesic when required, pain management planning this includes medication administration schedule. For older patients to instruct for reporting unrelieved pain quickly is important for effective pain management (Gowdy, 2003). After discharging the patients, proper instruction relating to pain management, side

Katz, J. N., Wright, E. A., Polaris, J. J., Harris, M. B., & Losina, E. (2014, May 22). Prevalence and risk factors for periprosthetic fracture in older recipients of total hip replacement: a cohort study. BMC Musculoskeletal Disorders, 15(1), 1-9. http://dx.doi.org/10.1186/1471-2474-15-168Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. M. (2011). Medical-surgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis, MO: else

For the most part, hospitals are places where one comes for healing and it is place where our clients should feel safe and away from harm. Nurses have an important role as a patient advocate and are to provide all clients with safe, compassionate, and quality care at all times. Nonetheless, the hospital can also be a dangerous place for inpatients. It is a foreign environment to clients and there may be alterations in their medical condition in regards to their physical and/or mental status. With this said, there is a need to improve upon how we care for our clients, especially those who are at most risk for various incidents.

The number one priority of the Registered Nurse should be to provide holistic, patient-centred, safe and evidence based care to every patient. Patients who are admitted into hospital or seek healthcare services externally through clinics or the community usually expect to receive the safest and the highest quality of care possible from that facility. Registered Nurses have a major responsibility to ensure that this is achieved. To help guide nurses and other healthcare workers in the right direction, the Nursing and Midwifery Board of Australia created and enforced the “Registered Nurse Standards for Practice”. These standards aim to assist healthcare practitioners in providing high quality and safe care to every client. The standards also aim to prevent any form of harm or negative consequence to the patient during and after their time in any healthcare facility. This paper will discuss the reportedly increasing issue of elder abuse, the responsibilities of the Registered Nurse and the associated Standards of Practice when faced with a patient or family that is experiencing this type of harm. The standards discussed in this paper will be Standards 2.5, 2.9 and 6.6.

The nurse must initially evaluate the patient’s charts for any bacterial precautions and fall risks. As the nurse walks into the patient’s room, the nurse begins by making sure the environment is clean and safe. The nurse would do this by gathering equipment, washing hands thoroughly, and wear gloves. The nurse is then to greet the patient, introducing self, then let them know exactly what you came to do. The nurse should first ask the patient for his or her name, birthdate, location of where the patient is currently at, and the reason as to what

By understanding nursing sensitive indicators, the nurses in this case could improve the structure, process, and outcomes of their nursing care. The structure of nursing care is indicated by the supply of nursing staff and the skill level of the nursing staff. By the nurses having increased knowledge of the issues hip fracture patients are prone to having, such as decrease mobility, increase need for surgical intervention, and increase risk of falls, could help improve the quality of patient care. A patient with decrease mobility is at higher risk for pressure sores. The nurses in this case may have prevented the one by proper

Indications: The patient is a 69 year old black female who fell landing on her right hip. She was seen in the Emergency Room where physical exam and x-ray revealed an intertrochanteric right femoral fracture. She was admitted to Dr. Loyd’s service .

A study conducted by Young, Minnick, and Marcantonio (1996) compared the opinions of more than a thousand staff nurses, numerous nurse managers, and more than two thousand patients from 17 hospitals regarding certain aspects and perceptions of patient care needs. Interestingly, staff nurse and managers

A fall is a lethal event that results from an amalgamation of both intrinsic and extrinsic factors which predispose an elderly person to the incident (Naqvi et al 2009). The frequency of hospital admission due to falls for older people in Australia, Canada, UK and Northern Ireland range from 1.6 to 3.0 per 10 000 population (WHO 2012). The prevalence of senior citizen’s falls in acute care settings varies widely and the danger of falling rises with escalating age or frailty. Falls of hospitalized older adults are one of the major patient safety issues in terms of morbidity, mortality, and decreased socialization

displayed signs of a suspected left hip fracture. Clinical indications would most likely show that the leg is held in external rotation and abduction, and appeared shortened when the patient lay in the supine position (LeBlanc et al., 2014). The patient would be in a high degree of pain and discomfort. Due to her care responsibilities, Mrs B. is keen to return home, and may be concerned about her ability to provide the same level of care after her injury. Where uncooperativeness and non-compliance with the requests of the nursing staff results, Milne, 2018, advises that patient cooperation relies on patience and good interprofessional communication.

Care within the hospital has become very complex and challenging as nurses are being faced with taking critical decisions associated with care of seriously

The objective of this reflection is to explore and reflect upon a situation from a clinical placement on an orthopedic unit. The incident showed that I did not provide safe, timely and competent care for my patient when the oxygen saturation was low. Furthermore, this reflection will include a description of the incident, and I will conclude with explaining what I have learned from the experience and how it will change my future actions.

John was a 76 year old gentleman returning to an orthopaedic ward following a total hip replacement under general anaesthetic. The agreed care plan was to regularly monitor John’s vital signs over the next several hours in accordance with local hospital resuscitation trust policy (2012) and the National Institute

Also, research reveals that RN’s ageist perceptions and behaviors have a negative impact to level of safety and quality of the nursing care provided to an older patient. In a critical review conducted by Brown et al. (2011) in 25 studies, older patients are exposed to under or over treatment. Examples of these in the nursing context are (1) insertion of indwelling catheters to avoid the inconvenience, exertion or pain of toileting and (2) failure to perform basic bed repositioning that contributes to increased pain suffering and pose potential risk of infection and further injury to the older patient. Also, misconception on the recuperative abilities of the older patient causes the RN to lose the ability to impartially and accurately assess