Question

An older adult fell and broke a hip. The patient had an open reduction and internal fixation completed on the hip.

• Using the nursing process as a framework for the care of the older adult with a fracture of the hip, what are the key postoperative interventions?

The nurse is caring for a patient who has had skeletal traction placed to treat a fractured right femur.

• What are the key nursing management concerns of the patient with skeletal traction?

A farmer and avid golfer had a total hip replacement 3 days ago.

• what methods does the nurse need to use to avoid dislocation after hip replacement surgery?
• What should be included in instructions for home care after discharge?

Answer 1

KEY NURSING MANAGEMENT CONCERNS OF THE PATIENT WITH THE SKELETAL TRACTION :

• Always assess the the site for any compartment syndrome.
• Administer analgesic in case of pain.
• Monitor patient's vital signs and document it
• Make sure that the traction is placed properly and with the advised weight.
• The nurse will prevent any bed sore as the patient will be immobile.
• Taking care of the skin as it may tear due to traction.

METHODS NURSES NEED TO USE TO AVOID DISLOCATION AFTER HIP REPLACEMENT SURGERY :

• Explain patient not to move the hip.
• The traction bag should not be touching the floor or rest anywhere it should be hanging in the air.
• Provide support to the pressure points to prevent pressure ulcer.
• Check for blood circulation as it can be blocked.
• Monitor for any edema in the area.
• Maintain patient's personal hygiene.

INSTRUCTIONS INCLUDED FOR HOME CARE AFTER DISCHARGE :

• Explain the relatives how to set the traction.
• Explain about the use of sand bag or the weight.
• Explain pain management at home.
• An air bed or air mattress may be required to prevent any bed sores as the patient will be in bed rest for months.
• Explain how to maintain hygiene at home.
• Inform immediately to the nearest healthcare if the patient feels numb, swelling at the site.