Total Hip Replacement Surgery

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Total Hip Replacement Hip arthroplasty is using a prosthesis to replace hip joint is one of the most common surgical procedures today (Walker, 2007). A good surgical team will increase the success rate of the total hip replacement. However, proper nursing interventions during pre-operative and post-operative phase of the surgery is very important for the patient. Nurses spend more time with patients compared to the other health care personnel. Therefore, a good nursing care will better prepare the patient before the surgery, accelerates healing post-surgery, and prevents further complications (Walker, 2007). This article provides instructions on how to prevent complications after total hip replacement surgery. Providing proper nursing …show more content…
Patients must be encouraged to perform foot exercise to increase blood circulation and prevent the pooling of blood in the calf (Walker, 2007). Another possible complication after total hip replacement is respiratory infection. Nurses must instruct the patients to do breathing and coughing exercise to prevent aspiration and promote healthy function of the lungs (Walker,
2007).
Patient teaching is one of the most important responsibility of a nurse. A good education will significantly improve the healing time of the patient with total hip replacement, thus shortens the length of hospital stays. On the other hand, ineffective education will delay the patient’s discharge from the hospital (Walker, 2007). Patient education starts before the surgery.
The nurse must teach the patient on what to expect before the total hip replacement surgery, post-operative pain and exercise management and discharge planning (Walker, 2007). The patient must be able to familiarize the procedures and allowed to have questions. Patient with good knowledge on the total hip replacement surgery procedure will have less anxiety before
…show more content…
(Walker, 2007). Assessing the patient’s vital signs such as their blood pressure, temperature, respiratory rate, oxygen saturation and pulse is essentials in monitoring the signs of dehydration, pain, and shock. The patient will have PCA (patient controlled analgesia) on their bedside to control the pain. The nurse must check and documents the use of PCA device including the dose, frequency of the analgesia as well as the level of consciousness of the patient to determine the accuracy and effectiveness of the pain management (Walker, 2007). The nurse must assess the operated leg and check for the color, pedal pulses, range of motion, and sensation to watch for the sign and symptoms of venous thromboembolism. Deep breathing and cough exercise will help the patient to prevent respiratory infection. Following surgery, the patient will often have catheter and drainage placed on them.
The nurse responsibility is to monitor intake and output, assess the drainage, and remove the catheter as soon as the client able to go to the toilet to prevent urinary tract infection

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