Hip Replacement

BSN-3B1 Critical Thinking Exercise Nursing Management of the knob with Total coxa Replacement Situation A 72-year-old male leaf node is being discharged home from the hospital following hip electric switch surgery. In addition to the prevention of another(prenominal) complications, the staff has made either effort to prevent plenteous stain thrombosis and pulmonary embolism the ii most common ca economic consumptions of postoperative mortality in older clients. preceding to discharge, the nurse gives the client a list of instructions for positioning, sitting, and ambulating at home.The client is also instructed to use a go- automobilet or crutches until weight gallery is dear, and to employ adaptative devices for everyday activities. Finally, the client is advised to watch for any(prenominal) signs of hip prosthesis loosening or dislocation, and to call the surgeon like a shot if such signs occur. 1. What atomic number 18 the signs and symptoms of deep vein thrombos is and pulmonary embolism? rich Vein Thrombosis * Swelling of the leg or along a vein in the leg * Pain or tenderness in the leg, which you whitethorn feel only when standing or walking * Increased heat energy in the area of the leg thats swollen or painful * red or discolored skin on the legPulmonary Embolism * Unexplained sudden attack of shortness of breath * Chest pain or discomfort that worsens when you disengage a deep breath or when you cough * Feeling light-headed or dizzy, or fainting * Rapid pulse * Sweating * Coughing up blood * A sense of anxiety or nervousness 2. What types of adaptive equipment is available for clients who drop undergone hip replacement surgery? Adaptive equipment to befriend in daily activities * Reaching use a tump overer in get items from cabinets or off the floor. Do non bend over to crash up something from the floor. Dressing since you are not to bend past 90 degrees, use adaptive devices to be as independent as you screw when dress ing. -Wear slip-on enclothes or use elastic shoelaces so you exit not have to bend over to tie your shoes. -A long-handled shoe horn go out help you border shoes on or happen backbone stockings and whacks off. -A dressing stick may be used to put on pants. * call the hook to catch the waist of underwear or pants. * Place your operative leg first in the pants when dressing, and take it outlast when undressing. * Pull the slacks up over your knees. * Stand with the walker in front of you and hustle your slacks up. Socks and Stockings a stocking aid depart function it easier to put on sleep togethers or stockings. Elastic stockings may be ordered for you. * Slide the sock or stocking onto the stocking aid. Be sure the heel is at the back of the plastic and the toe is tight against the end. * Secure the sock in place with the notches on the plastic piece. Do not pull the top of the sock over the top of the plastic piece. * Holding onto the cords, nod off the stocking aid out in front of the operated foot. * Slip your foot into the sock and pull it on. * Release the sock from the notches on the plastic piece utilize your dressing stick or reacher. To take the stocking or sock off, use the hook on the dressing stick or reacher to hook the back of the heel and push the sock off your foot. * Using the Bathroom * A raised toilet seat may be facilitatory to you at home. It will keep you from bending besides far when sitting or standing. The higher seat also makes it easier to stand up from the toilet. * Clean yourself later on toileting as you are used to, just be careful not to bend too far forward or plication too much at the hip. * Bathing unless you have a walk-in cascade, you will have to learn a new method for getting in and out of the bathtub.Do not sit down into the tub for 6 to 12 weeks. * If possible, have someone help you the first time you bathe at home. * You may sponge bathe until you are comfortable or have help to shower. * If you h ave a walk-in shower, you may stand and shower as long as you feel steady and balanced. * If you have a tub shower and need to sit to bathe, you will need a shower workbench. Make sure the shower bench is placed severely in the tub. pitch someone adjust the height of the shower bench so it is as tall as it can be to capture you to rest your feet comfortably on the floor of the tub when you are sitting. Have someone put non-skid strips or pads in your bathtub for safety. * Have a secure place to put your soap to avoid dropping it. resolve soap on a rope or a deep soap dish. These items are sold at many department stores. * Use a long-handled sponge or bath brush to reach your lower legs and feet without bending more than 90 degrees at your hips. * A portable shower hose may be helpful. * Turn on rimy water first to avoid burning yourself. * Getting In and appear of Bed * You will get in and out of bed on the same side as you had surgery. A hospital bed may be needed at home. Y our physical therapist, nurse and case manager will talk withyou about this if needed. * Some people find it helpful to wear pajamas made of silky materials to help them slide more tardily on the sheets. * You will need someone to carry youroperative leg as you use your arms and non-operative leg to scoot yourself in and out of bed. * posing use a hip cushion to help you sit safely and not break your hip precautions. The cushion adds height to help keep your knees lower than your operative hip when you are sitting.It also may make it easier for you to stand up. If you are not sure about the height of a chair, put your cushion on it to be safe. * Getting Into a cable car it is important to know how to get into the car in a safe manner. It is better for you to ride in a mid-size or large car with regular bench seats rather than bucket seats. Use a thick pillow or cushion. On a long trip, be sure to make frequent rest stops, about every 30 minutes. Get out and shift your weight fr om one leg to the other or walk around. The best choice after a ingrained hip replacement is to ride in the back seat . What are the signs of prosthetic hip dislocation and how can this problem be prevented? * Hip Pain * Uneven Leg Lengths * Numbness Acute phase complications -sciatic meat damage -inability to perform closed reduction recurring dislocation recuperation phase complications -avascular necrosis -arthritis, chondrolysis -myositis ossificans Precautions -Do not cross your legs at the knees. -Do not twist at the hip. -Do not bend your hip past 90 degrees. (This office you are not to bend over at your waist or lift your knee higher than your hip if you are sitting)